Blood in Stool: Causes and When to Seek Help - Surgery

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Blood in the stool?


Two days ago, I noticed blood streaks on the toilet paper after wiping.
Today, I found some blood in the toilet, although it wasn't much.
When I wiped again, there was also blood on the toilet paper, mixed with some clear mucus.
However, I have been having bowel movements every day.

Nü Dàshēng, 10~19 year old female. Ask Date: 2017/01/14

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.
The mucus may be caused by prolonged straining during bowel movements.
It is recommended to avoid constipation during this period and to shorten the time spent on the toilet.
Warm sitz baths may also help alleviate symptoms.
You can purchase hemorrhoid suppositories at the pharmacy for use.
It is best not to take laxatives indiscriminately.
At this age, increasing dietary fiber and fluid intake should be sufficient.
If bleeding persists, it is advisable to consult a physician for evaluation.

Reply Date: 2017/01/14

More Info


When you notice blood in your stool, it can be alarming and understandably raises concerns about your health. Blood in the stool can manifest in various forms, such as bright red blood, dark red blood, or even black, tarry stools. The presence of blood can indicate a range of conditions, some of which may require immediate medical attention.


Possible Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of blood in the stool, hemorrhoids are swollen veins in the lower rectum or anus that can bleed during bowel movements. The blood is usually bright red and may be seen on 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 cause sharp pain and bleeding during bowel movements.

3. Diverticular Disease: Diverticulosis, which involves the formation of small pouches in the colon wall, can lead to diverticulitis when these pouches become inflamed or infected. This condition can cause bleeding.

4. Gastrointestinal Infections: Infections caused by bacteria, viruses, or parasites can lead to inflammation and bleeding in the gastrointestinal tract.

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

6. Polyps or Colorectal Cancer: Polyps are growths on the lining of the colon or rectum that can bleed. Some polyps can develop into cancer over time, which is why regular screenings are important.

7. Gastrointestinal Bleeding: This can occur from various sources, including ulcers, varices, or tumors in the stomach or intestines.


When to Seek Medical Help
It is crucial to seek medical attention if you experience any of the following:
- Persistent or Heavy Bleeding: If the bleeding does not stop or is accompanied by a significant amount of blood, you should seek immediate medical care.


- Severe Abdominal Pain: If you have severe pain along with the bleeding, this could indicate a more serious condition.

- Changes in Bowel Habits: If you notice a significant change in your bowel habits, such as diarrhea or constipation, especially if accompanied by blood.

- Other Symptoms: Symptoms such as fever, weakness, dizziness, or unexplained weight loss should prompt a visit to a healthcare provider.


Recommended Actions
1. Keep a Record: Document the frequency, amount, and appearance of the blood, as well as any accompanying symptoms. This information can be helpful for your healthcare provider.

2. Consult a Healthcare Provider: Schedule an appointment with a gastroenterologist or your primary care physician. They may recommend tests such as a colonoscopy, stool tests, or imaging studies to determine the cause of the bleeding.

3. Avoid Self-Diagnosis: While it can be tempting to search online for answers, it is essential to consult a medical professional for an accurate diagnosis and appropriate treatment.


Conclusion
Blood in the stool can be caused by a variety of conditions, ranging from benign to serious. While some causes may be minor, others can indicate significant health issues that require prompt attention. If you notice blood in your stool, especially if it is persistent or accompanied by other concerning symptoms, do not hesitate to seek medical advice. Early diagnosis and treatment can lead to better outcomes and peace of mind.

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Hello, it is advisable to investigate the cause of blood in the stool in order to provide appropriate treatment. Common causes of blood in the stool include anal fissures, hemorrhoids, rectal or colon polyps, tumors, or inflammation. It is recommended to increase fiber and fluid ...

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Dear Doctor, Yesterday, I noticed blood in my stool and also found blood on the toilet paper after wiping. Could you please advise me on how to proceed? I would be very grateful.


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Hello, the presence of blood in the stool may be caused by hemorrhoids, anal fissures, inflammatory bowel disease, tumors, polyps, or diverticular bleeding, with hemorrhoidal bleeding being the most common. It is advisable to consume more fruits, vegetables, and fluids to maintai...

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