Blood in Stool: Causes and What to Do Next

Blood in stool issues?

Hello, doctor.
Recently, I've been experiencing blood in my stool.
I usually have a bowel movement once in the morning, and upon waking up, I have a strong urge to go.
During this time, I noticed blood, as the toilet paper shows a significant amount of bright red blood when I wipe.
The blood seems to be separate from the stool, and sometimes there are small blood clots on the toilet paper.
There is no pain during bowel movements.
However, recently, after my regular morning bowel movement, I tried to go again five minutes later (without eating anything), and I did not see any blood.
Is it possible that there is an issue in my gastrointestinal tract that requires a longer digestion time before I see blood mixed with the stool? It's strange that during my second bowel movement, which was only five minutes later and without eating, I also did not see any blood.
Thank you for your help.

ED, 30~39 year old female. Ask Date: 2016/03/23

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility of hemorrhoidal bleeding.
As long as there is no further bleeding, it should not be a concern.
It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements.
Warm sitz baths may also help alleviate symptoms.
You can also purchase over-the-counter hemorrhoidal suppositories for use.
However, if bleeding persists, it is advisable to consult a physician for evaluation.

Reply Date: 2016/03/23

More Info

Understanding blood in stool can be concerning, and it’s essential to approach this issue with a clear understanding of potential causes and necessary actions. Based on your description, you are experiencing bright red blood on the toilet paper after bowel movements, with the blood appearing separate from the stool itself. This can indicate several possible conditions, but it’s important to remember that only a healthcare professional can provide a definitive diagnosis.

Possible Causes of Blood in Stool:
1. Hemorrhoids: One of the most common causes of bright red blood in the stool is hemorrhoids. These are swollen blood vessels in the rectum or anus that can bleed during bowel movements, especially if there is straining involved.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can cause sharp pain and bleeding during bowel movements.

3. Diverticular Disease: Diverticulosis, which involves the formation of small pouches in the colon wall, can lead to diverticulitis if these pouches become inflamed or infected, potentially causing bleeding.

4. Colorectal Polyps or Cancer: While less common, polyps (growths on the colon lining) or colorectal cancer can also present with blood in the stool. This is particularly a concern if there are other symptoms such as changes in bowel habits or unexplained weight loss.

5. Gastrointestinal Infections: Certain infections can cause inflammation and bleeding in the gastrointestinal tract, leading to blood in the stool.

6. Other Conditions: Conditions such as inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis, can also cause bleeding.

What to Do Next:
1. Monitor Symptoms: Keep track of any additional symptoms you may experience, such as abdominal pain, changes in bowel habits, weight loss, or fatigue. This information can be crucial for your healthcare provider.

2. Consult a Healthcare Professional: Given that you are experiencing blood in your stool, it is advisable to consult a healthcare professional as soon as possible. They may recommend a physical examination, a digital rectal exam, or further diagnostic tests such as a colonoscopy to visualize the colon and rectum directly.

3. Avoid Self-Diagnosis: While it can be tempting to try to diagnose the issue yourself based on symptoms, it’s important to avoid this. Many conditions can present similarly, and a healthcare professional will be able to provide a more accurate diagnosis.

4. Dietary Considerations: While waiting for your appointment, consider your diet. Ensure you are consuming enough fiber to prevent constipation, which can exacerbate hemorrhoids and anal fissures. Staying hydrated is also important.

5. Avoid Straining: If you are experiencing constipation, try to avoid straining during bowel movements, as this can worsen hemorrhoids and fissures.

6. Follow-Up: If you notice any changes in your symptoms, such as increased bleeding, pain, or changes in bowel habits, seek medical attention immediately.

In summary, while the presence of blood in your stool can be alarming, many causes are treatable. It is crucial to consult with a healthcare professional for a proper evaluation and to rule out any serious conditions. Early diagnosis and treatment can significantly improve outcomes and alleviate concerns.

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