Symptoms: Blood in Stool and Digestive Discomfort - Gastroenterology and Hepatology

Colorectal cancer

Hello, doctor.
A few days ago, I experienced diarrhea and, due to urgency, I held it in for a moment before going to the restroom.
I later noticed blood (bright red on the toilet paper, darker in the toilet).
At that time, I was also suffering from a severe cold and had taken quite a bit of cold medication, but I still went to see a gastroenterologist.
After a brief examination, the doctor said it was caused by hemorrhoids and mentioned that at my age, it's unlikely to be colon cancer.
However, I later began to feel discomfort in my abdomen.
I then visited a general practitioner who initially diagnosed me with gastroenteritis.
Although my discomfort eased, I thought I could eat regular food, but after just a few bites, the abdominal discomfort returned very intensely and then subsided after some time.
In the past few days, my stools have been thin and dark.
What could this situation indicate? I am very worried.
Thank you.

Jim, 10~19 year old female. Ask Date: 2017/03/03

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Based on the symptoms, it appears to be more like gastroenteritis.
The presence of blood in the stool may be due to diarrhea from gastroenteritis causing straining at the anal opening, which can lead to hemorrhoidal bleeding.
However, if the bleeding persists, it is necessary to visit a colorectal surgeon to determine whether the bleeding is from hemorrhoids or another cause.

Reply Date: 2017/03/03

More Info

When experiencing symptoms such as blood in the stool and digestive discomfort, it is essential to approach the situation with a clear understanding of potential causes and appropriate actions to take. Based on your description, it appears that you have encountered a few concerning symptoms, including fresh blood on toilet paper and in the toilet bowl, as well as changes in your bowel movements, such as the appearance of thin, dark stools.

Blood in the stool can arise from various sources within the gastrointestinal tract. Common causes include hemorrhoids (piles), anal fissures, diverticular disease, and gastrointestinal infections. Hemorrhoids are often the most benign cause, especially in younger individuals, and can lead to bright red blood on the stool or toilet paper, particularly after straining during bowel movements. Anal fissures, which are small tears in the lining of the anus, can also cause similar symptoms, often accompanied by pain during bowel movements.

The fact that you mentioned experiencing a recent episode of diarrhea and having taken cold medication could suggest that your gastrointestinal system is reacting to various factors, including dietary changes or medication side effects. Gastroenteritis, or inflammation of the stomach and intestines, can lead to symptoms such as abdominal pain, diarrhea, and discomfort. If your symptoms improved temporarily but then returned after eating, it may indicate that your digestive system is still sensitive or recovering from the recent illness.

The appearance of thin, dark stools can be concerning, as it may indicate bleeding from higher up in the gastrointestinal tract, such as the stomach or small intestine. However, it is also important to consider that certain foods, medications, or even iron supplements can darken the stool. If the dark stools are accompanied by other symptoms, such as significant abdominal pain, vomiting, or weakness, it is crucial to seek medical attention promptly.

Given your symptoms and the recent history of gastrointestinal issues, it is advisable to follow up with a healthcare provider for further evaluation. A thorough examination, including a detailed medical history and possibly additional diagnostic tests (such as a colonoscopy or imaging studies), may be necessary to rule out more serious conditions.
In the meantime, consider the following recommendations:
1. Dietary Adjustments: Focus on a bland diet that is easy on your digestive system. Avoid spicy, fatty, or highly processed foods that may exacerbate your symptoms. Incorporate fiber-rich foods gradually to help normalize bowel movements.

2. Hydration: Ensure you are drinking plenty of fluids, especially if you have experienced diarrhea. Staying hydrated is crucial for recovery.

3. Monitor Symptoms: Keep track of your symptoms, including the frequency and appearance of your stools, any associated pain, and any other changes in your health. This information will be valuable for your healthcare provider.

4. Avoid Straining: If hemorrhoids are suspected, try to avoid straining during bowel movements. Consider using stool softeners or fiber supplements if necessary.

5. Follow-Up Care: If symptoms persist or worsen, do not hesitate to seek medical attention. It is better to err on the side of caution when it comes to gastrointestinal health.

In summary, while your symptoms may be related to benign conditions such as hemorrhoids or gastrointestinal irritation, it is essential to remain vigilant and consult with a healthcare professional for a comprehensive evaluation. Early diagnosis and management can help prevent complications and ensure your overall well-being.

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