Blood in Stool: Causes and When to Seek Help

Blood in the stool

Hello, doctor.
Recently, I've been experiencing difficulty with bowel movements.
After having a bowel movement, I notice some mucus and blood streaks on the toilet paper, but there are no blood streaks after wiping a second time.
The amount of stool is not much, but I check the toilet every day, and it usually appears cloudy.
Sometimes, there are white, cotton-like particles.
I also feel a lump in the lower left abdomen, which I can feel when I press on it, but it doesn't hurt.
My daily routine is quite normal, and I don't stay up late, although I don't exercise much.
I plan to see a doctor, but I'm unsure which specialty to consult.
The mucus in my stool has been present for several days, but the blood streaks have only appeared in the last two days.
I hope you can provide me with some advice.
Thank you.

Anluo, 20~29 year old female. Ask Date: 2016/09/30

Dr. Chen Jiaming reply Surgery

Since you already plan to see a doctor, I recommend directly consulting a colorectal surgeon or a gastroenterologist for further evaluation, such as a colonoscopy.

Reply Date: 2016/09/30

More Info

Blood in stool can be concerning and may indicate various underlying conditions. In your case, the presence of mucus and blood streaks on toilet paper, along with changes in stool consistency, warrants attention. Here’s a breakdown of potential causes and when to seek medical help.

Possible Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of blood in the stool, especially if the blood is bright red and appears on the surface of the stool or on toilet paper. Hemorrhoids can cause discomfort but are usually not serious.

2. Anal Fissures: Small tears in the lining of the anus can occur due to straining during bowel movements. This can lead to bleeding and pain during bowel movements.

3. Diverticulosis: This condition involves the formation of small pouches in the colon wall, which can sometimes bleed.

4. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause inflammation in the digestive tract, leading to symptoms such as diarrhea, abdominal pain, and blood in the stool.

5. Infections: Bacterial, viral, or parasitic infections can lead to gastrointestinal symptoms, including blood in the stool.

6. Polyps or Colorectal Cancer: While less common, polyps can bleed, and colorectal cancer can present with blood in the stool, especially in older adults.

When to Seek Medical Help
Given that you have noticed blood in your stool recently, along with mucus and a feeling of fullness in your lower abdomen, it is advisable to consult a healthcare professional. Here are some guidelines on when to seek help:
- Persistent Symptoms: If the blood in your stool continues or worsens, or if you experience significant changes in bowel habits.

- Accompanying Symptoms: If you develop additional symptoms such as severe abdominal pain, fever, or significant weight loss.

- Duration: Since you mentioned that the mucus has been present for several days and the blood is a new symptom, it is wise to seek medical advice sooner rather than later.

Which Specialist to See
For your symptoms, you should consider seeing a gastroenterologist. This specialist focuses on the digestive system and can perform necessary evaluations, such as a colonoscopy, to determine the cause of your symptoms. They can provide a thorough examination and recommend appropriate tests based on your symptoms.

Additional Recommendations
- Keep a Symptom Diary: Documenting your symptoms, including the frequency of blood in your stool, any associated pain, and dietary habits, can be helpful for your doctor.

- Dietary Considerations: While waiting for your appointment, consider increasing your fiber intake to help with bowel regularity, but avoid straining during bowel movements.

- Hydration: Ensure you are well-hydrated, as this can help with stool consistency.

Conclusion
Blood in stool is a symptom that should not be ignored, especially when accompanied by other changes in bowel habits or abdominal discomfort. Consulting a gastroenterologist will provide you with the best course of action to identify the underlying cause and receive appropriate treatment. Remember, early intervention can lead to better outcomes, so don’t hesitate to seek medical advice.

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