Right Abdominal Pain with Blood and Mucus in Stool: Possible Causes - Surgery

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Right abdominal pain, blood in stool, and mucus?


Hello, I have been experiencing pain in my right abdomen for the past few days, and I often notice blood and mucus in my stool.
I did some research online and I'm a bit worried it might be inflammation, but I don't have any other symptoms.
Could you please advise me on what might be the cause? Thank you.

Ling, 20~29 year old female. Ask Date: 2016/11/05

Dr. Ke Fangxu reply Surgery


At the age of 28, the likelihood of developing colorectal cancer is not zero, but generally, it is relatively low.
Based on your description, it seems more like irritable bowel syndrome (IBS).
It is recommended to start with a light diet and maintain a good lifestyle.
If the symptoms persist without improvement, you may consult a physician for medication.
If there is still no improvement or if you are very concerned, you can also schedule a colonoscopy.

Reply Date: 2016/11/05

More Info


Right abdominal pain accompanied by blood and mucus in the stool can be concerning and may indicate several potential underlying conditions. It's important to approach this symptomatology with caution, as it could be indicative of gastrointestinal issues that require medical attention. Here are some possible causes for your symptoms:
1. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause inflammation in the gastrointestinal tract, leading to symptoms such as abdominal pain, diarrhea, and the presence of blood and mucus in the stool. These conditions often require specific diagnostic tests, including colonoscopy, to confirm.

2. Infections: Gastrointestinal infections, whether viral, bacterial, or parasitic, can lead to symptoms similar to what you are experiencing. Bacterial infections, such as those caused by E. coli or Salmonella, can result in abdominal pain, diarrhea, and blood in the stool. Stool cultures may be necessary to identify the causative organism.

3. Diverticulitis: This condition occurs when diverticula (small pouches that can form in the walls of the colon) become inflamed or infected. Symptoms typically include left-sided abdominal pain, but it can also present with right-sided pain, especially if the diverticula are located in the right colon. Blood and mucus in the stool can occur as well.

4. Hemorrhoids or Anal Fissures: While these conditions primarily cause rectal bleeding, they can sometimes be associated with mucus discharge and abdominal discomfort. Hemorrhoids are swollen veins in the rectum or anus, while anal fissures are small tears in the lining of the anus.

5. Colorectal Polyps or Cancer: Although less common, the presence of blood and mucus in the stool, along with abdominal pain, can be a sign of colorectal polyps or cancer. This is particularly concerning if you have risk factors such as a family history of colorectal cancer or if you are over the age of 50.

Given the potential seriousness of these conditions, it is crucial to seek medical attention promptly. Here are some steps you should consider taking:
- Consult a Gastroenterologist: Given your symptoms, it would be advisable to see a specialist in gastrointestinal disorders. They can perform a thorough evaluation, including a physical examination and a review of your medical history.

- Diagnostic Testing: Be prepared for potential diagnostic tests, which may include blood tests, stool tests, imaging studies (like a CT scan), and possibly a colonoscopy. A colonoscopy is particularly important as it allows direct visualization of the colon and rectum and can help identify any abnormalities.

- Keep a Symptom Diary: Documenting your symptoms, including the frequency and characteristics of your bowel movements, any associated symptoms (like fever or weight loss), and dietary habits can provide valuable information to your healthcare provider.

- Avoid Self-Diagnosis: While it’s understandable to seek information online, self-diagnosing can lead to unnecessary anxiety. Rely on professional medical advice for an accurate diagnosis and treatment plan.

In summary, your symptoms warrant further investigation to rule out serious conditions. Timely medical evaluation is essential to ensure appropriate management and treatment. Please do not hesitate to reach out to a healthcare provider for assistance.

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