Diarrhea, Abdominal Pain, and Rectal Bleeding Symptoms

Diarrhea, abdominal pain, blood in stool, anal pain?

Hello Doctor, my gastrointestinal health has not been very good.
I often have stomach issues and tend to eat quickly without properly chewing my food.
Recently, I have been trying to improve my diet by eating slowly, drinking more water, and incorporating more fiber into my meals.
However, I visited a nearby clinic due to diarrhea, and the doctor prescribed some antidiarrheal and abdominal pain medications, which have helped somewhat.
Although I am no longer experiencing watery stools, I still have abdominal pain, and I feel like I can't fully pass stool.
When I do have a bowel movement, it's only a small amount.
Is this considered normal? Additionally, I experience pain and sometimes bleeding from the anus when I strain (most of the time there is bleeding).
Could you please tell me what might be going on? Thank you!

Xiao Ting, 20~29 year old female. Ask Date: 2016/09/25

Dr. Ke Fangxu reply Surgery

Based on your description, it seems to be a typical symptom of anal fissure, which is characterized by pain during bowel movements accompanied by slight bleeding.
If there is concurrent bleeding from hemorrhoids, the amount of blood may be greater.
The primary cause of anal fissures is usually hard stools, but diarrhea, frequent bowel movements, or prolonged straining can also lead to fissures.
It is recommended to improve bowel habits and to take warm sitz baths to alleviate symptoms.
Topical ointments and suppositories can also be used for treatment.
If conservative treatment does not yield satisfactory results, surgical intervention may be considered.
If symptoms persist for more than a week without improvement, it is important to consult a physician to identify the underlying issue.

Reply Date: 2016/09/25

More Info

It sounds like you're experiencing a combination of gastrointestinal symptoms that can be quite distressing. Your symptoms of diarrhea, abdominal pain, and rectal bleeding are concerning and warrant a thorough evaluation. Let's break down your symptoms and discuss potential causes and next steps.

Understanding Your Symptoms
1. Diarrhea: This can be caused by a variety of factors, including infections (viral, bacterial, or parasitic), food intolerances, or underlying gastrointestinal conditions such as irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD). Since you mentioned that you often eat quickly and have had a history of poor dietary habits, it's possible that your digestive system is reacting to these changes.

2. Abdominal Pain: The pain you're experiencing can be related to several factors. It could be due to intestinal cramping from diarrhea, irritation of the intestinal lining, or even constipation if you're having difficulty passing stool. The fact that you feel pain during bowel movements and experience bleeding is particularly concerning.

3. Rectal Bleeding: This symptom should never be taken lightly. Rectal bleeding can arise from several conditions, including hemorrhoids, anal fissures, diverticulosis, or more serious conditions like colorectal polyps or cancer. Given that you mentioned the bleeding occurs when you strain during bowel movements, it could be indicative of hemorrhoids or an anal fissure, both of which can cause pain and bleeding.

What You Should Do
1. Follow Up with Your Doctor: Since you've already seen a doctor and received some medication, it's important to follow up if your symptoms persist or worsen. You should inform your healthcare provider about the ongoing abdominal pain, the difficulty with bowel movements, and the rectal bleeding. They may recommend further tests, such as a colonoscopy or imaging studies, to rule out any serious conditions.

2. Dietary Adjustments: While you mentioned that you are trying to improve your diet, continue to focus on high-fiber foods, such as fruits, vegetables, and whole grains, which can help regulate your bowel movements. Staying well-hydrated is also crucial. Avoiding processed foods, excessive fats, and sugars can further help your digestive health.

3. Monitor Your Symptoms: Keep a diary of your symptoms, noting when they occur, their severity, and any dietary triggers. This information can be invaluable for your healthcare provider in diagnosing your condition.

4. Consider Stress Management: Stress can significantly impact gastrointestinal health. Techniques such as mindfulness, yoga, or even simple breathing exercises can help manage stress levels, which may, in turn, alleviate some of your digestive symptoms.

5. Avoid Straining: When you do have a bowel movement, try to avoid straining, as this can exacerbate bleeding and pain. If you're experiencing constipation, consider using a stool softener or a gentle laxative, but consult your doctor before starting any new medication.

Conclusion
In summary, your symptoms of diarrhea, abdominal pain, and rectal bleeding are concerning and should be evaluated by a healthcare professional. While dietary changes and medications can help manage your symptoms, it is crucial to address the underlying causes. Regular follow-ups and open communication with your healthcare provider will be key in managing your gastrointestinal health effectively. If you experience severe pain, significant changes in your bowel habits, or worsening symptoms, seek immediate medical attention. Your health is paramount, and taking proactive steps can lead to better outcomes.

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