Blood in Stool: Causes and When to Seek Help - Surgery

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Blood in the stool?


Due to the exam, my schedule has been a bit irregular, which has led to constipation.
A few weeks ago, I noticed blood when I had a bowel movement, but it went away after a few days.
However, today after I finished, I found blood on the toilet paper.
Upon closer inspection of my stool, I noticed several streaks of blood.
Is something wrong with me? Am I going to die...?

Xin Ci, 10~19 year old female. Ask Date: 2016/03/29

Dr. Xu Kaixi reply Surgery


Blood in the stool is an abnormal symptom that can range from common conditions like hemorrhoids to more serious gastrointestinal diseases.
Based on your description, it is more likely that the bleeding is caused by hemorrhoids (internal hemorrhoids).
It is advisable to visit a gastroenterology or surgical outpatient clinic for further examination and treatment, and there is no need to be overly concerned.

Reply Date: 2016/03/29

More Info


Blood in stool can be a concerning symptom, and it's understandable to feel anxious about it. There are several potential causes for blood in your stool, and while some may be benign, others can be serious. Here’s a breakdown of what you should know.


Common Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of blood in the stool, especially if the blood is bright red and appears on the toilet paper or on the surface of the stool. Hemorrhoids are swollen veins in the lower rectum or anus that can bleed during bowel movements, particularly if you are experiencing constipation.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. Like hemorrhoids, anal fissures can cause bright red blood on the toilet paper or stool.

3. Diverticular Disease: This condition involves the formation of small pouches in the colon wall, which can become inflamed or infected, leading to bleeding.

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

5. Polyps or Colorectal Cancer: While less common, polyps (growths on the colon lining) and colorectal cancer can cause blood in the stool. This blood may appear darker, indicating it is coming from higher up in the digestive tract.

6. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can lead to inflammation and ulceration of the intestinal lining, resulting in blood in the stool.


When to Seek Help
You should seek medical attention if you experience any of the following:
- Persistent Blood: If you see blood in your stool consistently over several days.

- Accompanying Symptoms: If you have other symptoms such as severe abdominal pain, fever, or significant changes in your bowel habits.

- Large Amounts of Blood: If you notice a large amount of blood or if the blood is dark or tarry, which could indicate bleeding from higher up in the gastrointestinal tract.

- Dizziness or Fainting: If you feel lightheaded, dizzy, or faint, as this could indicate significant blood loss.


What to Do Next
Given your recent experience with blood in your stool, it’s important to monitor your symptoms closely. If the blood persists or if you develop any concerning symptoms, you should consult a healthcare professional. They may recommend tests such as a colonoscopy, stool tests, or imaging studies to determine the cause of the bleeding.


Conclusion
While blood in the stool can be alarming, many causes are treatable, especially if addressed early. It’s crucial to listen to your body and seek medical advice when necessary. Remember, you are not alone in this, and there are healthcare professionals who can help you understand and manage your symptoms effectively. Don’t hesitate to reach out for help; your health is important.

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