Blood clots in stool?
Hello, doctor.
I noticed some blood clots and blood symptoms after straining during a bowel movement.
I usually don't have blood clots, but I sometimes see blood when I have a bowel movement.
After a while, the bleeding usually stops.
I also drink very little water.
This time, the toilet was filled with blood, and I noticed blood when I wiped.
I'm not sure what the problem is.
Cindy, 20~29 year old female. Ask Date: 2016/10/22
Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to see a colorectal surgeon and undergo both an anoscopy and a colonoscopy.
Take care! Changhua Hospital cares about you!
Reply Date: 2016/10/22
More Info
When you notice blood clots in your stool, it can be concerning and may indicate several underlying issues. The presence of blood in your stool can arise from various causes, ranging from benign to serious conditions. It’s essential to understand these potential causes and know when to seek medical attention.
Common Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of blood in the stool is hemorrhoids. These are swollen veins in the lower rectum or anus that can bleed during bowel movements, especially if you are straining. The blood is typically bright red and may be seen on the toilet paper or in the toilet bowl.
2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to sharp pain and bleeding during bowel movements, and the blood is usually bright red.
3. Gastrointestinal Bleeding: More serious causes of blood in the stool include bleeding from the gastrointestinal tract, which can occur due to conditions such as diverticulosis, inflammatory bowel disease (IBD), or colorectal cancer. The blood may appear dark red or even black if it originates from higher up in the gastrointestinal tract.
4. Infections: Certain infections, particularly those affecting the intestines, can cause inflammation and bleeding. Bacterial infections, such as those caused by E. coli or Salmonella, can lead to bloody diarrhea.
5. Polyps or Tumors: Polyps are growths on the lining of the colon or rectum that can bleed. Some polyps can develop into cancer over time, making it crucial to monitor any changes in bowel habits or stool appearance.
When to Seek Medical Help
You should seek medical attention if you experience any of the following:
- Persistent Blood: If you notice blood in your stool consistently over a few days or weeks, it’s essential to consult a healthcare provider.
- Large Amounts of Blood: If you see a significant amount of blood or if the blood is dark and tarry, this could indicate a more severe condition.
- Accompanying Symptoms: If you experience additional symptoms such as severe abdominal pain, dizziness, fainting, or changes in bowel habits (such as diarrhea or constipation), you should seek immediate medical care.
- History of Gastrointestinal Issues: If you have a history of gastrointestinal diseases, such as IBD or colorectal cancer, any new bleeding should be evaluated promptly.
Recommended Actions
1. Hydration: Since you mentioned that you rarely drink water, increasing your fluid intake is crucial. Dehydration can lead to constipation, which may cause straining during bowel movements and exacerbate issues like hemorrhoids or fissures.
2. Dietary Changes: Incorporating a high-fiber diet can help soften stools and promote regular bowel movements, reducing the risk of straining.
3. Medical Evaluation: A healthcare provider may recommend tests such as a colonoscopy, stool tests, or imaging studies to determine the cause of the bleeding. It’s essential to provide your doctor with a complete history of your symptoms, including any changes in bowel habits, diet, and lifestyle.
4. Avoid Straining: If you are experiencing constipation, consider using stool softeners or laxatives as recommended by a healthcare professional to avoid straining during bowel movements.
In conclusion, while blood in the stool can often be attributed to less severe conditions like hemorrhoids or anal fissures, it is crucial to take it seriously, especially if it is a new symptom for you. Monitoring your symptoms, maintaining hydration, and seeking medical advice when necessary are key steps in addressing this issue effectively.
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