Blood in Stool: When to Seek Medical Attention - Gastroenterology and Hepatology

Q: Blood in Stool: When to Seek Medical Attention

Hello： It could be a case of anal fissure or hemorrhoids. <br>It is advisable to increase your intake of fluids and fruits and vegetables, and to have a bowel movement daily to avoid hard or bulky stools. <br>If there is significant and persistent bleeding, it is recommended to c

Rectal bleeding

Hello, Doctor! I would like to ask about a recent issue I've been experiencing.
After bowel movements, I've noticed a drop of fresh blood on the toilet paper, but it doesn't happen every time.
This has been occurring for several days.
Yesterday, after using the restroom, I again saw a drop of fresh blood on the toilet paper, and there was a small amount of blood mixed with my stool, which was a deep yellow-brown color and shaped like a log.
The stool was slightly sticky, and during the bowel movement, I felt a tearing sensation around the anus, which was sharp.
When wiping, there was a little blood at the anal opening.
This morning, I used the restroom again but did not notice any fresh blood when wiping.
However, there was a small amount of tomato skin from what I ate yesterday.
Just now, during lunch, I felt like I had diarrhea; the stool was yellow-brown and contained a lot of tomato skin.
What should I be concerned about, and should I get checked? Thank you, Doctor.

Jiang Xiaojie, 20~29 year old female. Ask Date: 2016/09/04

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: It could be a case of anal fissure or hemorrhoids.
It is advisable to increase your intake of fluids and fruits and vegetables, and to have a bowel movement daily to avoid hard or bulky stools.
If there is significant and persistent bleeding, it is recommended to consult a gastroenterologist or a colorectal specialist.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2016/09/04

More Info

When it comes to noticing blood in your stool, it is essential to take this symptom seriously, as it can indicate a variety of underlying health issues. Based on your description, it seems you have been experiencing bright red blood on the toilet paper after wiping, along with some blood mixed in with your stool, which has a deep yellow-brown color and a somewhat sticky texture. Additionally, you mentioned feeling a tearing sensation during bowel movements, which could suggest some irritation or injury in the anal area.

First and foremost, the presence of bright red blood typically suggests that the source of the bleeding is closer to the end of the digestive tract, such as the rectum or anus. Common causes of this type of bleeding include hemorrhoids, anal fissures, or minor injuries to the anal area, especially if you are experiencing pain or tearing sensations during bowel movements. Hemorrhoids are swollen veins in the lower rectum or anus that can cause discomfort and bleeding, while anal fissures are small tears in the lining of the anus that can occur due to passing hard stools.

However, it is also important to consider other potential causes of blood in the stool, such as diverticular disease, inflammatory bowel disease (IBD), or even colorectal polyps or cancer, especially if the bleeding persists or is accompanied by other symptoms like changes in bowel habits, weight loss, or abdominal pain.

Given that you have been experiencing this symptom for several days and have noticed changes in your stool consistency and color, it is advisable to seek medical attention. A healthcare professional can perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly diagnostic tests such as a colonoscopy or imaging studies to determine the exact cause of the bleeding.

In the meantime, here are some steps you can take to manage your symptoms and promote bowel health:
1. Stay Hydrated: Drink plenty of fluids to help soften your stool and prevent constipation, which can exacerbate anal fissures and hemorrhoids.

2. Increase Fiber Intake: Incorporate more fiber-rich foods into your diet, such as fruits, vegetables, whole grains, and legumes. This can help regulate your bowel movements and reduce straining.

3. Avoid Straining: When using the bathroom, try to relax and avoid straining, as this can worsen any existing issues.

4. Warm Baths: Taking warm baths can help soothe any discomfort in the anal area and promote relaxation.

5. Over-the-Counter Remedies: If you suspect hemorrhoids, over-the-counter creams or ointments may provide temporary relief.

6. Monitor Symptoms: Keep track of any changes in your symptoms, including the frequency and amount of blood, as well as any new symptoms that may arise.

In conclusion, while some causes of blood in the stool can be benign, it is crucial to consult with a healthcare provider to rule out any serious conditions. Early diagnosis and treatment can lead to better outcomes and help alleviate your concerns. Don't hesitate to reach out to a medical professional for guidance and support regarding your symptoms.

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