Blood in Stool: Causes and Concerns for Gastrointestinal Health - Gastroenterology and Hepatology

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Blood in the stool


Hello, doctor: After I finished lunch, I suddenly experienced severe abdominal pain (cramping) and had a strong urge to use the restroom, but it was inconvenient to do so while I was out, so I held it for about ten minutes.
Once I got home, I had a bowel movement that was watery and mushy.
Afterward, I noticed that there was transparent mucus on the toilet paper, and within the mucus, there were small pieces of bright red blood.
I have a history of irritable bowel syndrome, but it has not flared up for over six months.
What could be the cause of this?

Xiao Ming, 20~29 year old female. Ask Date: 2016/08/12

Dr. Chen Qifeng reply Gastroenterology and Hepatology


If you have blood in your stool, please consult a colorectal surgeon.

Reply Date: 2016/08/12

More Info


Experiencing blood in your stool can be alarming and may indicate various gastrointestinal issues. Based on the symptoms you've described, including abdominal cramping, diarrhea, and the presence of blood and mucus in your stool, there are several potential causes to consider.

Firstly, the acute onset of abdominal pain followed by diarrhea suggests a possible gastrointestinal infection or inflammation. This could be due to viral or bacterial gastroenteritis, which is often characterized by sudden onset of symptoms, including cramping, diarrhea, and sometimes fever. In such cases, the presence of blood may arise from irritation or inflammation of the intestinal lining, leading to minor bleeding.

Another possibility is that the blood you observed could be related to your history of irritable bowel syndrome (IBS). IBS can cause changes in bowel habits and may lead to increased sensitivity of the intestinal lining. Stress, dietary changes, or infections can trigger IBS symptoms, potentially resulting in mucus and blood in the stool. The mucus itself is often a sign of inflammation or irritation in the intestines.

Additionally, the presence of blood in the stool could indicate more serious conditions, such as hemorrhoids or anal fissures, especially if the blood is bright red and appears on the surface of the stool or on toilet paper. These conditions can occur due to straining during bowel movements, which may be exacerbated by diarrhea or constipation.

However, it is essential to consider other gastrointestinal disorders that could present with similar symptoms. Conditions such as inflammatory bowel disease (IBD), which includes Crohn's disease and ulcerative colitis, can cause abdominal pain, diarrhea, and blood in the stool. These conditions often require further evaluation through diagnostic procedures like colonoscopy to assess the health of the colon and rule out any serious underlying issues.

Given your symptoms and medical history, it is crucial to seek medical attention promptly. A healthcare professional can perform a thorough evaluation, including a physical examination and possibly laboratory tests or imaging studies, to determine the underlying cause of your symptoms. If necessary, they may recommend a colonoscopy to visualize the intestinal lining and obtain biopsies if any abnormalities are detected.

In summary, while the presence of blood in your stool can be due to various benign causes, it is essential to take it seriously, especially considering your history of IBS. Prompt medical evaluation is necessary to rule out any serious conditions and to receive appropriate treatment. In the meantime, ensure you stay hydrated, monitor your symptoms, and avoid any foods that may exacerbate your gastrointestinal discomfort.

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