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

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Seeing blood in the toilet after a bowel movement can be concerning, and it’s important to understand the potential causes and when to seek medical attention. Blood in the stool can manifest in various ways, including bright red blood, dark red blood, or even black, tarry stools, each indicating different underlying issues.

In your case, since you mentioned that the stool itself is normal in color (yellow) and that you only noticed blood in the toilet water, it could suggest a few possibilities. One common cause of bright red blood in the toilet water is hemorrhoids, which are swollen veins in the rectum or anus that can bleed during bowel movements, especially if there is straining involved. Another possibility is anal fissures, which are small tears in the lining of the anus that can occur due to passing hard stools.

Other potential causes could include diverticular disease, where small pouches form in the colon and can become inflamed or infected, leading to bleeding. Less commonly, conditions such as colorectal polyps or even colorectal cancer can cause blood in the stool, particularly if there are other symptoms present, such as changes in bowel habits, unexplained weight loss, or persistent abdominal pain.

Given your recent dietary habits, such as consuming a lot of "龜苓膏" (a traditional Chinese herbal jelly) and eating irregularly, it’s possible that these could have contributed to gastrointestinal irritation or constipation, leading to straining during bowel movements and subsequent bleeding from hemorrhoids or fissures.


When to Seek Help
It’s crucial to monitor your symptoms closely. If the bleeding persists, increases in volume, or is accompanied by other symptoms such as abdominal pain, changes in bowel habits, or any signs of anemia (such as fatigue, weakness, or paleness), you should seek medical attention promptly. A healthcare provider may recommend a physical examination, and possibly a colonoscopy, to determine the exact cause of the bleeding.


Recommendations
1. Dietary Adjustments: Ensure you are consuming a balanced diet rich in fiber to promote regular bowel movements and prevent straining. Hydration is also key.


2. Avoid Straining: If you experience constipation, consider using over-the-counter stool softeners or fiber supplements, but consult with a healthcare provider before starting any new medication.

3. Monitor Symptoms: Keep track of any changes in your bowel habits, the appearance of your stool, and any additional symptoms that may arise.

4. Consult a Doctor: If you notice blood in your stool again, or if you have any of the concerning symptoms mentioned earlier, make an appointment with a healthcare professional for a thorough evaluation.

In summary, while occasional blood in the stool can be benign, it’s essential to remain vigilant and consult a healthcare provider if you have any concerns or if symptoms persist. Early intervention can help address any underlying issues effectively.