Mucus and Blood in Stool: Causes and Concerns - Surgery

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Mucus with blood


Hello, doctor.
Recently, I have been observing that my stool has been accompanied by mucus, and sometimes there is even blood mixed with the mucus.
I also often feel discomfort to the left of my navel.
I am very concerned and hope you can provide some advice.

Mr. Wang, 20~29 year old female. Ask Date: 2016/08/28

Dr. Ke Fangxu reply Surgery


At the age of 22, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is extremely low.
Based on your description, it seems more like irritable bowel syndrome combined with mild hemorrhoidal bleeding.
It is recommended to start with a light diet and maintain a good lifestyle.
If the symptoms persist without improvement, you can ask a physician for medication.
If there is still no improvement or if you are very concerned, you may also consider scheduling a colonoscopy.

Reply Date: 2016/08/28

More Info


Mucus and blood in the stool can be concerning symptoms that warrant careful evaluation. The presence of mucus is not uncommon in stool, as it is produced by the intestines to lubricate the passage of stool. However, when mucus is accompanied by blood, it raises the possibility of underlying gastrointestinal issues that need to be addressed.

There are several potential causes for mucus and blood in the stool, ranging from benign to more serious conditions. Some common causes include:
1. Infections: Bacterial, viral, or parasitic infections can lead to inflammation of the intestines, resulting in mucus and blood in the stool. Conditions like gastroenteritis or food poisoning can present with these symptoms.

2. Inflammatory Bowel Disease (IBD): Conditions such as Crohn's disease and ulcerative colitis are characterized by chronic inflammation of the gastrointestinal tract. These diseases can cause symptoms like abdominal pain, diarrhea, mucus, and blood in the stool.

3. Hemorrhoids: Swollen blood vessels in the rectum or anus can cause bleeding during bowel movements, which may be accompanied by mucus. This is often associated with straining during defecation.

4. Diverticular Disease: Diverticulitis, which is the inflammation of diverticula (small pouches that can form in the walls of the colon), can lead to symptoms including abdominal pain, mucus, and blood in the stool.

5. Polyps or Colorectal Cancer: Polyps are growths on the lining of the colon that can bleed. In some cases, they can be precursors to colorectal cancer. Blood in the stool, especially if it is persistent, should be evaluated to rule out malignancy.

6. Irritable Bowel Syndrome (IBS): While IBS typically does not cause blood in the stool, it can lead to increased mucus production. However, the presence of blood should prompt further investigation.

Given your symptoms of mucus and blood in the stool, along with discomfort in the left side of your abdomen, it is crucial to seek medical attention. A healthcare provider will likely recommend a thorough evaluation, which may include:
- Medical History and Physical Examination: Discussing your symptoms, duration, and any associated factors (such as diet, stress, or recent travel) can provide valuable information.

- Stool Tests: These can help identify infections or the presence of blood.

- Blood Tests: A complete blood count (CBC) can assess for anemia, infection, or inflammation.

- Imaging Studies: Depending on the findings, imaging studies like an abdominal ultrasound or CT scan may be necessary to evaluate the abdominal organs.

- Endoscopy: A colonoscopy may be recommended to directly visualize the colon and rectum, allowing for biopsy of any suspicious areas.

It is important not to ignore these symptoms, especially if they persist or worsen. Early diagnosis and treatment can significantly improve outcomes, particularly if a serious condition is present.
In summary, while mucus in the stool can be a normal finding, the combination of mucus and blood is concerning and should be evaluated by a healthcare professional. Please make an appointment with your doctor as soon as possible to discuss your symptoms and undergo the necessary evaluations.

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