Blood in Stool: Causes and Concerns for Teens

There is blood when wiping after a bowel movement?

Hello, I am a ninth-grade student.
I am very worried and scared, so I want to know the reason for my recent frequent abdominal pain (it feels like I need to have a bowel movement).
I have a bowel movement about every day for a week, and the stool is not hard like in constipation (I haven't observed it very precisely).
However, recently I have been passing gas frequently, and my stomach is not very comfortable (other than these symptoms, I don't have much else going on).
I tend to sit for a long time when having a bowel movement; sometimes I can't pass stool, and it takes a long time to come out.
As a result, I sometimes sit until my anus hurts, and when I wipe, there is blood.
Sometimes there is blood even after wiping multiple times, but sometimes after wiping a second time, there is no blood.
I had this situation in elementary school, but it got better after a while.
Now, sometimes there is blood when I wipe after a bowel movement, and sometimes there isn't.
I don't know what the reason is, and I am really scared.
My mom says it's because my lifestyle is irregular and I don't drink enough water.
Is that true?

Niming, 10~19 year old female. Ask Date: 2016/09/21

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility of hemorrhoidal bleeding.
As long as there is no further bleeding, it should not be a concern.
It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements.
Warm sitz baths may also help improve symptoms.
You can purchase hemorrhoid suppositories at the pharmacy for relief.
It is best to avoid taking laxatives indiscriminately.
At this age, increasing dietary fiber and fluid intake should be sufficient.
However, if bleeding persists, it is advisable to consult a physician for evaluation.

Reply Date: 2016/09/21

More Info

It's understandable to feel anxious when experiencing blood in stool, especially at a young age. Let's break down the potential causes and concerns regarding this issue, particularly for a teenager like yourself.

First and foremost, the presence of blood in the stool can be alarming, but it is essential to recognize that there are various reasons for this symptom, some of which are relatively benign. Common causes of blood in the stool include:
1. Hemorrhoids: These are swollen blood vessels in the rectal area that can bleed, especially during bowel movements. If you are experiencing pain during bowel movements, this could be a likely cause.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can be quite painful and may lead to bleeding, especially if you are straining during bowel movements.

3. Gastrointestinal Issues: Conditions such as inflammatory bowel disease (IBD), which includes Crohn's disease and ulcerative colitis, can cause inflammation and bleeding in the digestive tract. However, these conditions usually present with other symptoms, such as severe abdominal pain, diarrhea, or weight loss.

4. Dietary Factors: A diet low in fiber can lead to constipation and straining during bowel movements, which can contribute to hemorrhoids and fissures. It’s crucial to maintain a balanced diet rich in fruits, vegetables, and whole grains to promote healthy digestion.

5. Infections: Certain gastrointestinal infections can cause inflammation and bleeding. These are often accompanied by other symptoms like diarrhea, fever, or abdominal cramps.

Given your description of frequent gas, discomfort, and the need to sit for extended periods during bowel movements, it sounds like you may be experiencing some form of constipation or straining. This can lead to the issues mentioned above, such as hemorrhoids or anal fissures.

Recommendations:
1. Hydration: Make sure you are drinking plenty of water throughout the day. Dehydration can lead to harder stools, making them more difficult to pass.

2. Dietary Changes: Incorporate more fiber into your diet. Foods like fruits, vegetables, whole grains, and legumes can help soften your stool and promote regular bowel movements.

3. Regular Bowel Habits: Try to establish a routine for bowel movements. Don’t ignore the urge to go, and consider setting aside time each day to sit on the toilet, even if you don’t feel the immediate need.

4. Avoid Straining: If you feel pain during bowel movements, try to relax and avoid straining. If you are experiencing significant pain or discomfort, it may be beneficial to consult a healthcare professional.

5. Consult a Doctor: Since you have experienced this issue before and it has recurred, it would be wise to speak with a healthcare provider. They can perform a thorough evaluation, including a physical examination and possibly some tests, to determine the underlying cause of the bleeding.

Conclusion:
While blood in the stool can be concerning, many causes are treatable and manageable. It’s essential to pay attention to your body and seek medical advice if the symptoms persist or worsen. Remember, taking care of your digestive health through proper hydration, diet, and regular bowel habits can significantly improve your situation. Don’t hesitate to reach out to a trusted adult or healthcare professional for support and guidance.

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