Abnormal Bowel Movements: When to Seek Medical Attention

Q: Abnormal Bowel Movements: When to Seek Medical Attention

Hello： Changes in bowel habits and stool characteristics, along with other gastrointestinal symptoms, are not normal and could indicate various potential diagnoses, including serious gastrointestinal diseases. <br>It is strongly recommended to visit a hospital's gastroenterology

Abnormal bowel movements?

Since the second half of last year, I have occasionally experienced sudden abdominal pain (dull pain, mostly located below the navel or in the right abdomen) during sleep, but I do not have the urge to defecate.
Even when I do feel the urge, I can only pass a small amount of stool, and there are times when I feel like I cannot fully empty my bowels.
I often have to go multiple times to defecate (with each time producing a small amount), and my stools are generally soft.
I have noticed some discharge resembling vaginal discharge (separate from the stool), as well as a transparent film on a portion of the stool.
Additionally, I have experienced rectal bleeding.
Does this indicate a possible abnormality in the intestines, and should I seek further evaluation?

Niming, 30~39 year old female. Ask Date: 2017/03/09

Dr. Xu Kaixi reply Surgery

Hello: Changes in bowel habits and stool characteristics, along with other gastrointestinal symptoms, are not normal and could indicate various potential diagnoses, including serious gastrointestinal diseases.
It is strongly recommended to visit a hospital's gastroenterology or surgical outpatient clinic for further examination and treatment, to assess the necessity of relevant tests or medication.

Reply Date: 2017/03/09

More Info

When it comes to abnormal bowel movements and gastrointestinal symptoms, it is crucial to understand the potential underlying issues and when to seek medical attention. Based on your description, you have been experiencing several concerning symptoms, including intermittent abdominal pain, difficulty with bowel movements, and the presence of blood in your stool. These symptoms warrant careful consideration and possibly further evaluation by a healthcare professional.

Firstly, the abdominal pain you described, particularly if it occurs during sleep and is localized to the lower abdomen or right side, could indicate a variety of gastrointestinal issues. Conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even appendicitis could present with similar symptoms. The fact that you experience a sense of incomplete evacuation and have to go multiple times to pass small amounts of stool may suggest a functional bowel disorder or an obstruction, which can be serious.

The presence of blood in your stool is particularly concerning. Hematochezia, or the passage of fresh blood through the anus, can be indicative of several conditions ranging from hemorrhoids to more serious issues like colorectal polyps or cancer. The appearance of mucus or a film-like substance in your stool can also suggest inflammation or irritation in the intestines, which may be associated with infections or inflammatory conditions.

Given these symptoms, it is advisable to seek medical attention promptly. A healthcare provider may recommend several diagnostic tests, including:
1. Physical Examination: A thorough physical examination can help identify any abdominal tenderness or masses.

2. Blood Tests: These can help assess for signs of infection, inflammation, or anemia, which can occur with significant blood loss.

3. Stool Tests: Testing your stool for pathogens, blood, or other abnormalities can provide insight into potential infections or digestive issues.

4. Imaging Studies: An abdominal ultrasound or CT scan may be necessary to visualize the organs and structures in your abdomen to rule out obstructions or other abnormalities.

5. Colonoscopy: If indicated, a colonoscopy can allow direct visualization of the colon and rectum, enabling the physician to identify any lesions, inflammation, or sources of bleeding.

It is important to communicate all your symptoms clearly to your healthcare provider, including the frequency and nature of your bowel movements, any associated symptoms (such as weight loss, fever, or changes in appetite), and the timeline of your symptoms. This information will assist in forming a differential diagnosis and determining the appropriate course of action.

In summary, your symptoms suggest that there may be an underlying gastrointestinal issue that requires further investigation. Do not hesitate to seek medical attention, as early diagnosis and treatment can significantly improve outcomes and address any potential health concerns effectively. Remember, it is always better to err on the side of caution when it comes to gastrointestinal health, especially with symptoms like abdominal pain and rectal bleeding.

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