Experiencing Blood in Stool After Surgery: What You Need to Know - Surgery

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Blood in the stool?


Hello doctor, today when I went to the bathroom, I felt some abdominal pain, but when I went, I passed a large amount of blood.
I had a colostomy surgery for a Bartholin's cyst last month and have been taking stool softeners, so my stools have been watery.
However, today it was 90% blood and 10% stool.
My abdomen feels a bit uncomfortable, and there is no pain in my anus, but I do have some abdominal pain.
I'm not sure if this could be a serious condition.

Mo, 20~29 year old female. Ask Date: 2016/07/27

Dr. Ke Fangxu reply Surgery


If you have recently undergone surgery in the perineal area, there is a possibility of wound bleeding.
It is advisable to have your surgeon examine the site.
If the wound is not an issue, then it could be bleeding from hemorrhoids.
It is recommended to avoid constipation and shorten the duration of bowel movements.
Warm sitz baths may also be helpful.
If the bleeding from the wound persists without improvement, you should consult your physician to determine if further examination and treatment are necessary.

Reply Date: 2016/07/27

More Info


Experiencing blood in your stool after surgery can be alarming, and it is essential to address this issue with care. Given your recent surgery for a Bartholin's cyst, it's crucial to consider several factors that could contribute to this symptom.
Firstly, the presence of blood in the stool can arise from various sources within the gastrointestinal tract. It could be due to hemorrhoids, anal fissures, or more serious conditions such as diverticulosis or gastrointestinal bleeding. Since you mentioned that you have been taking stool softeners, this could help prevent constipation and reduce the risk of straining during bowel movements, which can lead to bleeding from hemorrhoids or fissures. However, the fact that you are experiencing a significant amount of blood (90% blood and 10% stool) is concerning and warrants immediate medical attention.

The abdominal pain you are experiencing could be related to several factors. It might be due to the surgical site, especially if there is any internal bleeding or complications from the surgery. Alternatively, it could be related to gastrointestinal issues, such as inflammation or irritation of the bowel. The absence of pain during bowel movements is a positive sign, as it suggests that the bleeding may not be originating from the anal region.

Given the potential seriousness of your symptoms, it is crucial to seek medical attention as soon as possible. A healthcare professional will likely perform a thorough evaluation, which may include a physical examination, blood tests, and possibly imaging studies or endoscopy to determine the source of the bleeding.
In the meantime, here are some general recommendations to help manage your symptoms and promote recovery:
1. Stay Hydrated: Ensure you are drinking plenty of fluids to help maintain hydration, especially if you are experiencing diarrhea or blood loss.

2. Monitor Your Symptoms: Keep track of any additional symptoms, such as changes in bowel habits, increased abdominal pain, dizziness, or weakness. This information will be helpful for your healthcare provider.

3. Avoid Straining: Continue using stool softeners as directed to prevent constipation and straining during bowel movements, which can exacerbate bleeding.

4. Dietary Considerations: Incorporate a diet rich in fiber to promote regular bowel movements. Foods such as fruits, vegetables, and whole grains can help.

5. Rest: Allow your body time to heal after surgery. Avoid strenuous activities that could put additional strain on your abdominal area.

6. Follow-Up Care: Ensure you attend all follow-up appointments with your surgeon or primary care physician to monitor your recovery and address any complications promptly.

In conclusion, while some bleeding can occur after surgery, the amount you are experiencing is concerning and should not be ignored. It is essential to consult with a healthcare professional to determine the cause of the bleeding and receive appropriate treatment. Early intervention can prevent complications and ensure a smoother recovery process.

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