Blood in Stool: When to See a Doctor

Blood in stool

In the past few weeks, I've noticed bright red blood on the toilet paper every time I wipe after a bowel movement.
It's not a lot, more like pinpoint spots, and it keeps appearing with each wipe.
After a few hours, when I urinate and check again, I still see blood when wiping, but the color has changed to a darker brown and sometimes a pinkish hue.
Is this hemorrhoids or a wound? Do I need to see a doctor?

Ms. V, 20~29 year old female. Ask Date: 2017/03/04

Dr. Yu Mingchang reply Surgery

Hello; eating more fruits and vegetables is beneficial.
Please take some time to check in with the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare, as they care about your health.

Reply Date: 2017/03/04

More Info

When it comes to noticing blood in your stool or on toilet paper, it can understandably be a cause for concern. The presence of bright red blood typically indicates that the source of the bleeding is in the lower gastrointestinal tract, such as the rectum or anus. This could be due to a variety of reasons, including hemorrhoids, anal fissures, diverticular disease, or even more serious conditions like colorectal cancer.
In your case, the fact that you are seeing bright red blood initially, which then appears darker (like coffee grounds) later on, suggests that the bleeding may be coming from a lower source, but the change in color could also indicate that the blood has been digested or that there is a different source of bleeding. The presence of blood that appears to be more brown or pink could also signify that it is mixed with stool or that it has been in the digestive tract longer.

It is crucial to pay attention to other symptoms that may accompany this bleeding. For instance, if you experience pain, changes in bowel habits, weight loss, or any other unusual symptoms, these could indicate a more serious condition that requires immediate medical attention.
Given the symptoms you described, it is advisable to see a doctor as soon as possible. A healthcare professional will likely perform a thorough examination, which may include a digital rectal exam, colonoscopy, or other imaging studies to determine the exact cause of the bleeding. Early diagnosis is key in managing any potential issues effectively.

In summary, while the presence of blood in your stool or on toilet paper can sometimes be attributed to benign conditions like hemorrhoids or fissures, it is essential to consult a healthcare provider to rule out any serious underlying conditions. Do not hesitate to seek medical attention, as timely intervention can make a significant difference in outcomes.

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