Blood in Stool: Tips for Managing Anxiety and Health - Family Medicine

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Blood in the stool?


I live in a dormitory and I feel very anxious about using the bathroom for a bowel movement.
I tend to rush and only go when I can't hold it anymore.
The first time I wipe with toilet paper, I noticed a circular blood spot, but there was none the second time.
There was no blood in the toilet, but when I’m at home for five or six days, everything is normal, and I have a bowel movement every day.
The blood spot improves to just a trace and eventually disappears.
What can I do to improve this situation?

A Jun, 10~19 year old female. Ask Date: 2016/09/20

Dr. Gao Qingyun reply Family Medicine


Hello: First of all, we would like to express our concern and care regarding your symptoms.
Although your symptoms appear to suggest a disorder of the lower gastrointestinal tract, we still recommend that you visit a colorectal surgery clinic for a thorough examination and treatment by a specialist.
Wishing you a speedy recovery.
Sincerely, Dr.
Gao Qingyun, Department of Family Medicine, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/09/20

More Info


Experiencing blood in your stool can be a distressing situation, especially when coupled with anxiety about bowel movements. It's understandable that you feel nervous about using the restroom in a shared living environment like a dormitory. The anxiety you describe can lead to a cycle of avoidance and increased tension, which may exacerbate gastrointestinal issues. Here are some tips to help you manage both your anxiety and your health regarding this situation.


Understanding the Situation
First, it’s essential to recognize that seeing blood in your stool can be alarming, but it is not always indicative of a severe health issue. The presence of blood can result from various factors, including hemorrhoids, anal fissures, or even dietary changes. Since you mentioned that the blood was only present once and has since improved, it may not be a cause for immediate concern. However, if the issue persists or worsens, it is crucial to consult a healthcare professional for a thorough evaluation.


Managing Anxiety
1. Create a Comfortable Environment: If possible, try to make your bathroom experience more comfortable. This could involve using air fresheners, playing soft music, or even bringing a book or magazine to read while you are in the restroom. The goal is to create a more relaxed atmosphere that reduces anxiety.

2. Practice Relaxation Techniques: Incorporate relaxation techniques into your daily routine. Deep breathing exercises, progressive muscle relaxation, or mindfulness meditation can help reduce overall anxiety levels. For example, before you go to the bathroom, take a few deep breaths, inhaling through your nose and exhaling through your mouth, to calm your nerves.

3. Establish a Routine: Try to establish a regular bathroom routine. This could involve setting aside specific times during the day when you allow yourself to use the restroom, which can help reduce the anxiety associated with needing to go. Regularity can also help your body establish a rhythm, making bowel movements more predictable.

4. Stay Hydrated and Maintain a Healthy Diet: Ensure you are drinking enough water and consuming a balanced diet rich in fiber. This can help prevent constipation and make bowel movements easier, reducing the likelihood of straining, which can lead to issues like hemorrhoids or fissures that might cause bleeding.

5. Seek Support: If your anxiety about using the restroom continues to interfere with your daily life, consider talking to a mental health professional. Cognitive-behavioral therapy (CBT) can be particularly effective for managing anxiety and can help you develop coping strategies to deal with your fears.


Monitoring Your Health
1. Keep a Journal: Document your bowel movements, any instances of blood, and your feelings of anxiety. This can help you identify patterns and triggers, which can be useful information to share with a healthcare provider if needed.

2. Consult a Healthcare Provider: If you notice blood in your stool again, or if you experience other symptoms such as pain, changes in bowel habits, or weight loss, it’s essential to seek medical advice. A healthcare professional can provide a proper diagnosis and recommend treatment options.

3. Educate Yourself: Understanding the potential causes of blood in stool can help alleviate some anxiety. Knowledge can empower you to take appropriate action and reduce fear of the unknown.


Conclusion
Managing anxiety related to bowel movements, especially in a shared living situation, can be challenging, but it is possible with the right strategies. Focus on creating a comfortable environment, practicing relaxation techniques, maintaining a healthy lifestyle, and seeking professional help when necessary. Remember, while occasional blood in stool can be concerning, it is often not indicative of a serious problem, especially if it resolves quickly. However, always prioritize your health and consult a healthcare provider if you have ongoing concerns.

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