Persistent Rectal Bleeding: What to Do When You Can't See a Doctor

Blood in the stool has been present for almost a year?

I have been working abroad and I go to the bathroom every day.
Each month, I notice blood on the toilet paper when I wipe after having a bowel movement.
Sometimes there is blood, sometimes there isn't, but it almost always happens every month.
It has now been eight months of this ongoing issue.
Recently, I have been seeing blood almost every day when I wipe, and I experience significant pain in my anus during bowel movements.
The blood is bright red.
I don't know what to do; I still have three months before I return home, and I feel helpless.
I often worry that I might be sick.
Additionally, I notice that my stool feels hard at the beginning and then becomes soft, coming out quickly afterward.

ken, 20~29 year old female. Ask Date: 2016/08/31

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Please visit the colorectal surgery department.

Reply Date: 2016/08/31

More Info

Persistent rectal bleeding can be a concerning symptom, especially when it has been ongoing for several months. It is crucial to understand that while I cannot provide a definitive diagnosis without a physical examination and appropriate tests, I can offer some general guidance on what you might consider doing in your situation.

Firstly, the presence of blood on toilet paper, especially if it is bright red, often indicates that the source of the bleeding is likely to be in the lower gastrointestinal tract, such as the rectum or anus. Common causes of rectal bleeding include hemorrhoids, anal fissures, diverticular disease, or even more serious conditions like inflammatory bowel disease (IBD) or colorectal cancer. Given that you have been experiencing this for eight months, it is essential to take it seriously.

Here are some steps you can consider while you are away from home and unable to see a doctor immediately:
1. Monitor Your Symptoms: Keep a detailed record of your symptoms, including the frequency and amount of blood, any associated pain, changes in bowel habits, and any other gastrointestinal symptoms (such as diarrhea or constipation). This information will be valuable when you do see a healthcare provider.

2. Dietary Adjustments: Since you mentioned that your stools are sometimes hard, it may be beneficial to increase your fiber intake. Consuming more fruits, vegetables, whole grains, and legumes can help soften your stools and reduce straining during bowel movements. Staying well-hydrated is also crucial, so ensure you are drinking plenty of water.

3. Over-the-Counter Remedies: If you suspect hemorrhoids or anal fissures, over-the-counter treatments such as topical creams or ointments designed for these conditions may provide relief. Additionally, stool softeners can help ease the passage of stools.

4. Avoid Straining: Straining during bowel movements can exacerbate bleeding and pain. If you find that you are straining, consider adjusting your diet as mentioned above, and take your time in the restroom.

5. Seek Medical Attention: While you may be unable to see a doctor immediately, it is essential to seek medical attention as soon as you can. If your symptoms worsen—such as experiencing significant pain, changes in bowel habits, or if you notice dark, tarry stools (which can indicate bleeding higher up in the gastrointestinal tract)—you should seek emergency medical care.

6. Consider Telemedicine: If you are in a location where you can access telemedicine services, consider scheduling a virtual appointment with a healthcare provider. They may be able to provide guidance, recommend treatments, or help you find local resources for care.

7. Mental Health: It’s understandable to feel anxious or worried about your symptoms, especially when they persist. Consider reaching out to friends or family for support, or even a mental health professional if your anxiety becomes overwhelming.

In summary, while persistent rectal bleeding is a symptom that should not be ignored, there are steps you can take to manage your symptoms and prepare for a medical consultation when you are able. Keep monitoring your condition, make dietary adjustments, and seek medical attention as soon as possible. Your health is important, and addressing these symptoms promptly is crucial for your well-being.

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