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

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Blood in the stool?


I have been experiencing fresh blood in my stool for the past couple of days, and I have also had difficulty passing stool, requiring significant effort to produce only a few small pieces.
Additionally, I have some pain in my rectum.
I used a suppository last night, but there is still blood in my stool today.
I feel a slight strain when having a bowel movement.
I consume a fair amount of fruits and vegetables, but I don't drink much water.
Could this indicate any underlying health issues?

Xin Jia, 10~19 year old female. Ask Date: 2016/05/22

Dr. Li Qinglong reply Surgery


Your description likely indicates hemorrhoids.
For further confirmation, it is advisable to consult a surgeon or a colorectal specialist.

Reply Date: 2016/05/22

More Info


Blood in stool can be a concerning symptom and may indicate a variety of underlying health issues. In your case, the presence of fresh blood in your stool, along with difficulty in passing stool and anal pain, suggests that there may be a few potential causes that need to be considered.

1. Hemorrhoids: One of the most common causes of blood in the stool, especially if the blood is bright red, is hemorrhoids. These are swollen veins in the lower rectum or anus that can bleed during bowel movements, particularly if you are straining to pass hard stools. Given that you mentioned having difficulty with bowel movements, this could be a likely cause.

2. Anal Fissures: Another possibility is an anal fissure, which is a small tear in the lining of the anus. This can occur due to passing hard stools and can cause pain and bleeding during bowel movements.

3. Diverticular Disease: Diverticulosis, which involves the formation of small pouches in the colon wall, can also lead to bleeding. This is more common in older adults but can occur in younger individuals as well.

4. Gastrointestinal Infections: Infections of the gastrointestinal tract can lead to inflammation and bleeding. This is often accompanied by other symptoms such as diarrhea, abdominal pain, and fever.

5. Inflammatory Bowel Disease (IBD): Conditions such as Crohn's disease or ulcerative colitis can cause inflammation of the gastrointestinal tract, leading to symptoms like blood in the stool, abdominal pain, and changes in bowel habits.

6. Polyps or Colorectal Cancer: While less common in younger individuals, polyps or colorectal cancer can also present with blood in the stool. This is particularly a concern if there is a family history of colorectal cancer or if other symptoms are present.

Given your symptoms, it is important to seek medical attention. A healthcare provider will likely perform a physical examination and may recommend further tests such as a colonoscopy, stool tests, or imaging studies to determine the exact cause of the bleeding.
In the meantime, it is essential to maintain hydration, especially if you are experiencing constipation. Increasing your water intake can help soften your stools and make bowel movements easier. Additionally, continue to eat a diet rich in fruits and vegetables, as fiber can aid in digestion and prevent constipation.

If you experience any of the following symptoms, you should seek immediate medical attention:
- Severe abdominal pain
- Dizziness or fainting
- Persistent bleeding
- Changes in bowel habits that last more than a few days
In summary, while there are several potential causes for blood in your stool, it is crucial to consult a healthcare professional to obtain a proper diagnosis and treatment plan. Early intervention can help prevent complications and address any underlying health issues effectively.

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