Blood in Stool: When to Seek Medical Attention - Gastroenterology and Hepatology

Q: Blood in Stool: When to Seek Medical Attention

Hello： If new symptoms arise, you can return for further evaluation. <br>However, the more likely conditions are anal fissures, hemorrhoids, or proctitis, with cancer being a very rare possibility. <br>Changhua Hospital cares about your health. <br>Dr. <br>Tsai An-shun.

Blood in the stool?

Hello Doctor: I recently visited the doctor due to discomfort in my stomach.
The doctor conducted blood tests, an ultrasound, and a fecal occult blood test, all of which were normal.
However, over the past two days, I have noticed a small amount of blood at the tip of my stool, adhering to the surface, along with some blood streaks underneath and some accompanying clear mucus.
For the past six months, I have experienced poor gastrointestinal absorption, with my stools being thin, golden yellow, and loose, often containing undigested food.
I frequently have diarrhea, and the doctor suspects irritable bowel syndrome.
I would like to ask if the bleeding I have experienced over the past two days requires a follow-up visit.

Xiao Cao, 40~49 year old female. Ask Date: 2016/05/21

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If new symptoms arise, you can return for further evaluation.
However, the more likely conditions are anal fissures, hemorrhoids, or proctitis, with cancer being a very rare possibility.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/05/21

More Info

When it comes to blood in stool, it is essential to approach the situation with caution and awareness of the potential underlying causes. Given your recent history of gastrointestinal discomfort and the results of your previous medical evaluations, it is understandable to be concerned about the new symptom of blood in your stool.

The presence of blood in the stool can arise from various sources within the gastrointestinal tract, and its significance can vary widely. In your case, the blood appears to be localized to the surface of the stool, which may suggest that it is coming from the rectum or anus rather than from higher up in the gastrointestinal tract. Common causes of such bleeding include hemorrhoids, anal fissures, or irritation of the rectal mucosa, especially if you have been experiencing loose stools or diarrhea.

Given your symptoms of thin, loose stools and the presence of food particles, it is possible that you are dealing with a condition like irritable bowel syndrome (IBS), which can lead to changes in bowel habits and may also contribute to anal irritation or hemorrhoids. The transparent mucus you mentioned could also be a sign of increased mucus production, which can occur in IBS or other gastrointestinal conditions.

However, it is crucial to consider that while some causes of blood in the stool are benign, others can be more serious, such as gastrointestinal bleeding from ulcers, polyps, or even malignancies. Therefore, it is advisable to seek medical attention, especially since you have noticed a change in your bowel habits and the presence of blood.

Here are some key points to consider:
1. Return to Your Doctor: Given the new onset of blood in your stool, it is prudent to return to your healthcare provider for further evaluation. They may recommend additional tests, such as a colonoscopy, to visualize the lower gastrointestinal tract and rule out any serious conditions.

2. Monitor Symptoms: Keep track of any additional symptoms you may experience, such as changes in the frequency or consistency of your stools, abdominal pain, weight loss, or any other unusual signs. This information can be helpful for your doctor in determining the cause of your symptoms.

3. Diet and Lifestyle: Consider any recent changes in your diet or lifestyle that may have contributed to your gastrointestinal symptoms. Increasing fiber intake, staying hydrated, and managing stress can help improve bowel function, especially in cases of IBS.

4. Avoid Self-Diagnosis: While it can be tempting to search for answers online, it is essential to avoid self-diagnosing. The gastrointestinal tract is complex, and many conditions can present with similar symptoms. A healthcare professional can provide a more accurate diagnosis and appropriate treatment plan.

In summary, while the presence of blood in your stool can sometimes be attributed to benign causes, it is important to take this symptom seriously, especially in the context of your ongoing gastrointestinal issues. Seeking medical attention promptly will ensure that any potential underlying conditions are addressed and managed appropriately. Your health and well-being are paramount, and timely intervention can lead to better outcomes.

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