Blood in Stool: When to Seek Medical Attention - Surgery

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Rectal bleeding


I ate noodles today, and afterwards I had diarrhea, which caused significant pain in my buttocks.
I had another episode of diarrhea, and when I wiped, there was some blood, although not a lot.
Should I see a doctor for this, or is it just a case of food poisoning? However, I do have regular bowel movements every day, and this is the first time I've experienced such pain and bleeding.

Xiao Xiaojie, 20~29 year old female. Ask Date: 2016/05/17

Dr. Chen Jiaming reply Surgery


During diarrhea, the intestines undergo repeated physical friction, which can easily lead to mucosal damage.
Therefore, pain at the anal region and blood-stained wiping may simply be due to local mucosal injury.
However, based solely on the description without examination, it is difficult to rule out the possibility of internal or external hemorrhoids.
It is recommended that if diarrhea persists in the coming days, one should try rinsing with water or gently wiping with moist wipes after bowel movements to reduce further abrasion.
If symptoms continue, if there is unusual pain, or if any abnormal growths are felt upon touching the anal area, it is advisable to consult a colorectal surgeon for further evaluation and treatment.

Reply Date: 2016/05/17

More Info


When it comes to blood in the stool, it is essential to take the situation seriously, especially if it is accompanied by pain and discomfort. Based on your description, it sounds like you experienced a painful bowel movement followed by some bleeding. While it is possible that this could be related to something benign, such as hemorrhoids or anal fissures, it is crucial to assess the situation further.

Understanding the Symptoms:
1. Blood in Stool: The presence of blood can indicate various conditions, ranging from minor issues like hemorrhoids to more serious conditions such as gastrointestinal bleeding, infections, or inflammatory bowel diseases.

2. Pain: The pain you are experiencing could be due to several factors, including anal fissures (which are small tears in the lining of the anus), hemorrhoids, or even more severe conditions that might require medical attention.

3. Diarrhea: If you have diarrhea, it could be a sign of a gastrointestinal infection or foodborne illness, especially if you suspect you may have eaten something that didn’t agree with you.

When to Seek Medical Attention:
You should consider seeking medical attention if you experience any of the following:
- Persistent or Severe Pain: If the pain continues or worsens, it is advisable to see a healthcare provider.

- Significant Bleeding: If you notice a significant amount of blood or if the bleeding continues, you should seek medical help.

- Accompanying Symptoms: If you experience other symptoms such as fever, chills, nausea, vomiting, or if you feel faint or lightheaded, these could indicate a more serious condition.

- Changes in Bowel Habits: If your bowel habits change significantly or if you notice any other unusual symptoms, it’s best to consult a doctor.

Potential Causes:
- Hemorrhoids: Swollen blood vessels in the rectum that can cause pain and bleeding, especially during bowel movements.

- Anal Fissures: Small tears in the lining of the anus, often caused by passing hard stools, which can lead to pain and bleeding.

- Gastrointestinal Infections: These can cause diarrhea and may lead to inflammation or irritation of the intestinal lining, resulting in blood.

- Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause inflammation and bleeding in the gastrointestinal tract.

Conclusion:
Given your symptoms of pain and blood after a bowel movement, it is advisable to consult a healthcare provider. They can perform a thorough evaluation, which may include a physical examination and possibly further tests, to determine the underlying cause of your symptoms. Early diagnosis and treatment can help prevent potential complications and provide you with relief from your discomfort. Remember, it’s always better to err on the side of caution when it comes to your health.

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