Blood in the stool with pain upon palpation near the left side of the abdomen close to the navel?
Hello, doctor! In the past few days, I have noticed that my stool is black and has some blood in it.
However, there is no pain when I have a bowel movement, and I feel tenderness when pressing near the left side of my abdomen close to the navel.
I also feel bloated.
Recently, I have been working a lot of night shifts.
Could this be the cause? Do I need to undergo a colonoscopy? Please help clarify this for me.
Thank you!
Xiao Zhang, 30~39 year old female. Ask Date: 2016/07/30
Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like irritable bowel syndrome combined with hemorrhoidal bleeding.
It is recommended to start with a light diet and maintain a good daily routine.
If symptoms persist without improvement, you may consult a physician for medication.
If there is still no improvement or if you are very concerned, a colonoscopy can be arranged.
Reply Date: 2016/07/30
More Info
When it comes to understanding the significance of black stools and abdominal pain, it is crucial to recognize that these symptoms can indicate a variety of underlying health issues, some of which may require immediate medical attention. Black stools, particularly when accompanied by blood, can suggest gastrointestinal bleeding, which may stem from conditions such as peptic ulcers, gastritis, or even malignancies in the gastrointestinal tract. The presence of blood in the stool, regardless of the color, should never be taken lightly.
In your case, the combination of black stools and localized pain near the left side of the abdomen, along with feelings of bloating, raises several important considerations. The black coloration of the stool often results from the digestion of blood, which can occur anywhere along the upper gastrointestinal tract, from the esophagus to the stomach and into the small intestine. This is referred to as "melena." The fact that you do not experience pain during bowel movements is somewhat reassuring, but it does not eliminate the need for further investigation.
Given your symptoms, it is advisable to seek medical help promptly. A healthcare provider will likely recommend a thorough evaluation, which may include a physical examination, blood tests, and possibly imaging studies. A colonoscopy (or "colonoscopy") is a common procedure used to visualize the interior of the colon and rectum, allowing for direct examination of any abnormalities. This procedure is particularly important if there is a suspicion of colorectal issues, especially considering your symptoms.
Additionally, lifestyle factors such as working night shifts can indeed affect digestive health. Disrupted circadian rhythms can lead to gastrointestinal disturbances, including changes in bowel habits and increased stress, which may exacerbate existing conditions. However, while lifestyle changes can contribute to gastrointestinal symptoms, they do not account for the presence of black stools and should not distract from the need to investigate potential serious underlying conditions.
In summary, the combination of black stools, abdominal pain, and bloating warrants immediate medical evaluation. It is essential to communicate all your symptoms to your healthcare provider, who can guide you through the necessary diagnostic steps. Early intervention is key to addressing any potential issues effectively and ensuring your overall health and well-being. Please do not delay in seeking medical attention, as timely diagnosis and treatment can significantly impact outcomes in gastrointestinal health.
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