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

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Blood in the stool?


Doctor, I have noticed that there is almost blood in the toilet after I have a bowel movement.
What could be the cause of this?

Yiyi, 10~19 year old female. Ask Date: 2016/04/19

Dr. Xu Kaixi reply Surgery


Rectal bleeding 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 recommended that you visit a gastroenterology or surgical outpatient clinic for further examination and treatment.

Reply Date: 2016/04/19

More Info


Blood in the stool can be a concerning symptom and may indicate a variety of underlying conditions. It is essential to understand the potential causes and when to seek medical help.
Causes of Blood in Stool:
1. Hemorrhoids: One of the most common causes of blood in the stool, hemorrhoids are swollen veins in the lower rectum or anus that can bleed during bowel movements. The blood is usually bright red and may be seen on the toilet paper or in the toilet bowl.

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. Gastrointestinal Bleeding: Conditions such as diverticulosis, inflammatory bowel disease (IBD), or colorectal cancer can lead to bleeding in the gastrointestinal tract. The blood may appear dark red or black, indicating it has been digested.

4. Polyps: These are growths on the lining of the colon or rectum that can bleed. Some polyps can be precursors to cancer.

5. Infections: Certain infections, particularly those caused by bacteria like Salmonella or E. coli, can lead to bloody diarrhea.

6. Other Conditions: Conditions such as peptic ulcers, liver disease, or vascular malformations can also cause gastrointestinal bleeding.

When to Seek Help:
It is crucial to seek medical attention if you notice blood in your stool, especially if:
- The bleeding is persistent or recurrent.

- You experience significant abdominal pain or cramping.

- You have other symptoms such as fever, weakness, or dizziness.

- The blood is dark or tarry, which may indicate bleeding higher up in the gastrointestinal tract.

- You notice a change in your bowel habits or unexplained weight loss.

Medical Evaluation:
When you visit a healthcare provider, they will likely perform a thorough history and physical examination. They may recommend further diagnostic tests, such as:
- Blood Tests: To check for anemia or signs of infection.

- Stool Tests: To identify infections or blood.

- Colonoscopy: A procedure that allows the doctor to view the inside of the colon and rectum, and potentially take biopsies or remove polyps.

- Imaging Studies: Such as CT scans, to visualize the gastrointestinal tract.

Conclusion:
Blood in the stool is a symptom that should not be ignored. While it can be caused by relatively benign conditions like hemorrhoids or anal fissures, it can also indicate more serious issues such as gastrointestinal bleeding or cancer. Therefore, if you are experiencing this symptom, it is essential to consult a healthcare professional for a proper evaluation and management plan. Early diagnosis and treatment can significantly improve outcomes and address any underlying health concerns effectively.

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