Blood in Stool: When to Seek Medical Attention for Your Symptoms

Blood in the stool?

Hello doctor, I would like to ask about a recent issue.
Lately, after having a bowel movement, I sometimes notice a small amount of blood when wiping.
Occasionally, the amount is a bit more, and there have been a few instances where I saw a few drops in the toilet, but the quantity is generally not significant.
Sometimes, I don't experience any of these symptoms, and my bowel movements are quite regular, usually once a day.
When there is blood, my stool tends to be harder, and I feel some pain in the anal area during the process.
Just now, I went to urinate without any urge to have a bowel movement, and although my period hasn't started, I noticed blood in the toilet.
When I wiped my anal area, I found blood, which startled me.
Should I seek medical attention? P.S.
I usually don't feel anything unless I need to use the restroom, and I drink more than 2000 ml of water daily.

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

Dr. Chen Jiaming reply Surgery

The presence of blood in the stool is most commonly caused by hemorrhoids or damage to the intestinal mucosa (such as after multiple episodes of diarrhea).
However, it is important to rule out the possibility of benign or malignant tumors in the intestines or other lesions.
If symptoms persist despite the use of stool softeners and dietary adjustments (such as increasing water intake, consuming more high-fiber fruits and vegetables, and modifying bowel posture habits), it is advisable to consult a colorectal surgeon or a gastroenterologist for a digital rectal examination or a colonoscopy to further investigate the issue.

Reply Date: 2016/07/30

More Info

When it comes to the presence of blood in your stool, it is essential to approach the situation with caution and awareness. Blood in the stool can be indicative of various conditions, some of which may require immediate medical attention. Given your description of occasional blood after bowel movements, along with some discomfort, it is advisable to consider several factors before deciding on the next steps.

Firstly, the characteristics of the blood are important. If the blood is bright red, it often suggests that the source of the bleeding is closer to the rectum or anus, which could be due to conditions such as hemorrhoids, anal fissures, or other benign issues. On the other hand, darker blood or black stools may indicate bleeding from higher up in the gastrointestinal tract, which can be more serious.

You mentioned that your bowel movements are generally normal and that you experience some pain during bowel movements, especially when the stool is hard. This could suggest that you might be experiencing anal fissures or hemorrhoids, both of which can cause bleeding and discomfort. Anal fissures are small tears in the lining of the anus, often caused by passing hard stools, while hemorrhoids are swollen veins in the rectal area that can bleed, especially during bowel movements.

Given that you have noticed blood on several occasions, even if the quantity is small, it is crucial to seek medical attention. While it may not be an emergency, a healthcare professional can provide a thorough evaluation to rule out any serious conditions. They may perform a physical examination and possibly recommend further tests, such as a colonoscopy, to investigate the source of the bleeding more thoroughly.

In addition to seeking medical advice, there are some steps you can take to manage your symptoms and promote better bowel health. Since you mentioned that you drink plenty of water (around 2000 ml daily), you are already on the right track to staying hydrated. However, incorporating a high-fiber diet can further help soften your stools and reduce the strain during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. If necessary, you might also consider using a fiber supplement.

If you are experiencing pain during bowel movements, it may be beneficial to avoid straining and to take your time in the restroom. You could also try using a sitz bath, which involves soaking the anal area in warm water to relieve discomfort. Over-the-counter topical treatments for hemorrhoids may also provide relief if that is the source of your symptoms.

In summary, while the presence of blood in your stool can sometimes be attributed to benign conditions, it is essential to consult with a healthcare provider to ensure that there are no underlying issues that require treatment. Early intervention can help address any potential problems and provide you with peace of mind regarding your health. Please do not hesitate to reach out to a medical professional for further evaluation and guidance.

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