Blood in Stool: Causes and What You Should Know - Internal Medicine

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Blood in stool can be a concerning symptom and should not be taken lightly. There are several potential causes for this condition, and understanding them can help you determine the next steps for your health.

Firstly, the presence of blood in your stool can be attributed to various gastrointestinal issues. One common cause is hemorrhoids, which are swollen veins in the lower rectum or anus that can bleed during bowel movements, especially if you are experiencing constipation. The blood from hemorrhoids is typically bright red and may be seen on toilet paper or in the toilet bowl.

Another potential cause is anal fissures, which are small tears in the lining of the anus. These can occur due to passing hard stools and can lead to sharp pain and bleeding during bowel movements. The blood from fissures is also usually bright red and may be accompanied by pain.

Diverticular disease is another possibility, particularly diverticulitis, which occurs when small pouches in the colon become inflamed or infected. This condition can cause abdominal pain, changes in bowel habits, and bleeding.

More serious conditions include colorectal polyps or colorectal cancer. Polyps are growths on the lining of the colon that can bleed, and while not all polyps are cancerous, some can develop into cancer over time. Colorectal cancer can also present with symptoms such as blood in the stool, changes in bowel habits, weight loss, and abdominal discomfort.

Given your symptoms of bright red blood in the stool, pain during bowel movements, and the fact that this has persisted for about a week, it is crucial to seek medical attention promptly. A healthcare provider will likely recommend a thorough evaluation, which may include a physical examination, a digital rectal exam, and possibly imaging studies or a colonoscopy to visualize the colon and identify the source of the bleeding.

In the meantime, it is essential to manage your constipation, as straining during bowel movements can exacerbate bleeding. Increasing your fiber intake through fruits, vegetables, and whole grains, along with adequate hydration, can help soften your stools. If you are using traditional Chinese medicine or any other remedies, it may be wise to discuss these with your healthcare provider to ensure they are not contributing to your symptoms.

In summary, while there are several potential causes for blood in your stool, it is vital to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can prevent complications and address any underlying issues effectively. Please do not delay in seeking medical care, as timely evaluation is crucial in managing your symptoms and ensuring your overall health.