Blood in Stool: Symptoms and Concerns for Teens

Rectal bleeding

I am 17 years old and in the second year of high school.
This week, I have had bowel movements about five times, and each time there was bleeding, both dripping and spraying, leaving the entire toilet bowl filled with blood.
I have read many responses and initially thought it was just hemorrhoids, but after my last bowel movement, I noticed that the stool was very thin, about the size of a finger, and there were blood clots when I wiped.
Other symptoms are similar to what I have read; I usually wipe two or three times until clean, and I don't experience pain.
I am really scared that this could be a symptom of colon cancer.
Doctor, what is going on?

Abo, 10~19 year old female. Ask Date: 2016/07/30

Dr. Yu Mingchang reply Surgery

Hello; if you have bleeding from a mole indoors, please take some time to see a colorectal specialist at Changhua Hospital, Ministry of Health and Welfare, who is concerned about your health.

Reply Date: 2016/07/30

More Info

Experiencing blood in stool can be alarming, especially for a teenager. It’s essential to understand that while there are various potential causes for this symptom, not all of them are serious. However, it is crucial to seek medical attention to determine the underlying cause.

From your description, it seems you have been experiencing blood in your stool consistently over the past week, with the blood appearing both as drops and in sprays, which can indicate a significant issue. The fact that your stool is very thin, about the size of a finger, and that you have noticed blood clots raises some concerns that should not be ignored.

Possible Causes of Blood in Stool
1. Hemorrhoids: This is one of the most common causes of blood in the stool, especially if the blood is bright red and appears on the surface of the stool or on toilet paper. Hemorrhoids can be internal or external and are often associated with straining during bowel movements.

2. Anal Fissures: These are small tears in the lining of the anus, which can occur due to passing hard stools. They can cause sharp pain and bleeding during bowel movements.

3. Diverticular Disease: Diverticulosis can lead to diverticulitis, which may cause bleeding. This is more common in older adults but can occur in younger individuals as well.

4. Gastrointestinal Infections: Certain infections can cause inflammation and bleeding in the gastrointestinal tract, leading to bloody stools.

5. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause significant gastrointestinal symptoms, including blood in the stool.

6. Polyps or Colorectal Cancer: While less common in teenagers, it is still a possibility. Polyps can bleed, and in rare cases, they can be precursors to cancer.

What to Do Next
Given the symptoms you are experiencing, it is crucial to consult a healthcare professional as soon as possible. They may recommend several diagnostic tests, including:
- Physical Examination: A doctor will likely perform a physical examination, including a rectal exam, to check for hemorrhoids or fissures.

- Blood Tests: These can help assess your overall health and check for anemia, which can occur due to blood loss.

- Stool Tests: These tests can help identify infections or other abnormalities in your stool.

- Imaging Studies: In some cases, a doctor may recommend imaging studies such as a colonoscopy or CT scan to visualize the intestines and identify any abnormalities.

Importance of Early Diagnosis
It’s essential to address these symptoms promptly. While many causes of blood in the stool are benign, some can lead to more severe health issues if left untreated. Early diagnosis and treatment can significantly improve outcomes and alleviate any concerns you may have about serious conditions like colorectal cancer.

Conclusion
In summary, while blood in the stool can be caused by various conditions, it is essential to take this symptom seriously, especially given the frequency and nature of your symptoms. Please schedule an appointment with a healthcare provider to discuss your symptoms in detail and undergo the necessary evaluations. Remember, it’s always better to err on the side of caution when it comes to your health.

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