Gastrointestinal Bleeding: Causes and Concerns - Gastroenterology and Hepatology

Liver, gallbladder, and gastrointestinal tract?

I would like to ask about my symptoms.
I have been experiencing rectal bleeding for two months.
During this time, I sometimes have a strong urge to have a bowel movement, but I only pass some mucus and blood.
I also feel a bit bloated in my abdomen, and I have pain in my upper abdomen.
Recently, I noticed a long streak of blood alongside some mucus in my stool.
My bowel movements have not been normal at all.
What could these symptoms indicate?

Jay, 20~29 year old female. Ask Date: 2016/04/19

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, sir.
Please undergo a colonoscopy for diagnosis.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2016/04/19

More Info

Gastrointestinal bleeding is a concerning symptom that can arise from various underlying conditions. Your description of experiencing blood in your stool for two months, along with symptoms such as urgency, mucus, abdominal bloating, and upper abdominal pain, suggests that you may be dealing with a significant gastrointestinal issue that requires further evaluation.

There are several potential causes for your symptoms. One common cause of gastrointestinal bleeding is hemorrhoids, which can lead to bright red blood on the stool or toilet paper, especially if there is straining during bowel movements. However, given the duration and nature of your symptoms, it is essential to consider other possibilities as well.

Inflammatory bowel diseases (IBD), such as Crohn's disease or ulcerative colitis, could also be responsible for your symptoms. These conditions can cause inflammation of the gastrointestinal tract, leading to symptoms such as abdominal pain, diarrhea, and blood in the stool. The presence of mucus and the description of your stools may indicate an inflammatory process.

Another possibility is an infection, which can lead to gastroenteritis and result in bloody diarrhea. Infections can be caused by bacteria, viruses, or parasites, and they often present with additional symptoms such as fever, nausea, and vomiting.

Polyps or colorectal cancer are also serious considerations, especially if you are experiencing changes in your bowel habits or if there is a family history of colorectal cancer. Polyps can bleed and may not always present with obvious symptoms until they become more advanced.

Given the complexity of your symptoms and the potential for serious underlying conditions, it is crucial to seek medical attention. A healthcare provider may recommend a thorough evaluation, which could include blood tests, stool tests, imaging studies, and possibly endoscopic procedures such as a colonoscopy. These tests can help identify the source of the bleeding and determine the appropriate treatment.

In the meantime, it is essential to monitor your symptoms closely. Keep track of any changes in the frequency, color, and consistency of your stools, as well as any associated symptoms such as weight loss, fever, or worsening abdominal pain. Avoiding irritants such as spicy foods, alcohol, and nonsteroidal anti-inflammatory drugs (NSAIDs) may help alleviate some discomfort.

In conclusion, gastrointestinal bleeding is a serious symptom that warrants prompt medical evaluation. Your symptoms could be indicative of various conditions, ranging from benign to more serious issues. Early diagnosis and treatment are key to managing your health effectively, so please consult a healthcare professional as soon as possible to discuss your symptoms and receive appropriate care.

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