Blood Clots in Stool: Causes and When to Seek Help

There are two pieces resembling blood clots in the stool?

I have been experiencing slight pain during bowel movements for the past few weeks, and there is blood when I wipe, which is bright red.
This situation has been ongoing for over a month.
A couple of days ago, I felt some pain when I was having a bowel movement, and then I felt something coming out.
Upon inspection, I noticed two blood-like clots that were bright red.
Yesterday, while I was out, I felt a sharp pain in my lower right abdomen (not sure if it's the uterus), but it went away quickly.
The color of my stool is normal, typically brown, and there is no unusual black coloration.
I would appreciate your guidance, doctor! Thank you.

zero zero zero zero zero zero zero, 20~29 year old female. Ask Date: 2017/02/03

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.
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, but it is best not to take laxatives indiscriminately.
At this age, increasing the intake of dietary fiber and fluids should be sufficient.
If bleeding persists, it is advisable to consult a physician for evaluation.
Additionally, the uterus is located in the lower abdomen centrally and does not deviate to the right.
If the bleeding is gynecological in nature, please seek evaluation from a gynecologist.

Reply Date: 2017/02/03

More Info

When it comes to the presence of blood in stool, especially when accompanied by pain and the appearance of blood clots, it is crucial to take these symptoms seriously. The bright red color of the blood often indicates that the bleeding is occurring in the lower gastrointestinal tract, which includes the rectum and anus. This can be due to several potential causes, and understanding these can help determine the appropriate course of action.

One of the most common causes of bright red blood in the stool is hemorrhoids. Hemorrhoids are swollen blood vessels in the rectal area that can become inflamed or rupture, leading to bleeding during bowel movements. They are often associated with pain, especially when sitting or during bowel movements, and can be exacerbated by straining or constipation.

Another possible cause is anal fissures, which are small tears in the lining of the anus. These can occur due to passing hard stools and can cause sharp pain and bleeding during bowel movements. The blood from fissures is typically bright red and may be seen on the toilet paper or in the toilet bowl.

In some cases, the presence of blood clots in the stool could indicate more serious conditions, such as diverticulosis or diverticulitis, where small pouches form in the colon wall and can become inflamed or infected. Other potential causes include colorectal polyps or even colorectal cancer, especially if there are changes in bowel habits, weight loss, or other systemic symptoms.

Given that you have been experiencing these symptoms for over a month, it is essential to seek medical attention. A healthcare provider will likely perform a thorough evaluation, which may include a physical examination, a digital rectal exam, and possibly a colonoscopy to visualize the colon and rectum directly. This is particularly important if you are experiencing pain in the lower abdomen, as it could indicate an underlying issue that requires treatment.

In addition to the physical examination, your doctor may also order blood tests to check for anemia, which can occur if there has been significant blood loss. They may also assess for signs of infection or inflammation.

It is important to note that while some causes of rectal bleeding are benign, others can be serious. Therefore, do not delay in seeking medical care, especially since you have noted changes in your bowel movements and the presence of blood clots. Early diagnosis and treatment can significantly improve outcomes and address any underlying health issues effectively.

In summary, the presence of blood in your stool, especially with accompanying pain and the appearance of clots, warrants prompt medical evaluation. Conditions such as hemorrhoids and anal fissures are common and treatable, but more serious conditions must be ruled out to ensure your health and well-being. Please consult with a healthcare professional as soon as possible to discuss your symptoms and receive appropriate care.

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