Bowel Issues: Gas, Blood, and Gastrointestinal Health Concerns - Surgery

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Bowel movement issues?


Recently, due to the stress from exams, I have been staying up late and my weight has remained around 50 kilograms, similar to the past few years.
I rarely exercise and usually eat out.
Since last year, I have been experiencing frequent flatulence, which is not foul-smelling, and sometimes I naturally pass gas during my lunch break.
The frequency is quite high, and I often feel my intestines gurgling.
My eating habits are normal, and I seldom have irregular appetite.
I have bowel movements approximately every 1 to 2 days, and the odor is generally consistent.
However, I recently noticed a bit of blood on the toilet paper after wiping, resembling the appearance of a squashed mosquito.
There are no issues with bowel movement regularity, and the stool color is brown, with the odor being the same as before.
I have not observed any blood in the stool itself.
I am concerned whether this could be colon cancer, hemorrhoids, or irritable bowel syndrome.

Niming, 10~19 year old female. Ask Date: 2017/03/26

Dr. Chen Jiaming reply Surgery


Based on your description, it does not appear to be indicative of colorectal cancer or irritable bowel syndrome.
As for whether it is hemorrhoids or bleeding due to damage to the anal mucosa from excessive wiping, further examination by a gastroenterologist or colorectal surgeon is necessary.
If this symptom occurs frequently, it may be helpful to change the wiping technique after bowel movements.

Reply Date: 2017/03/26

More Info


Understanding bowel issues can be complex, especially when symptoms like gas, blood in stool, and gastrointestinal discomfort arise. Based on your description, it seems you are experiencing a combination of gastrointestinal symptoms that could be influenced by stress, dietary habits, and possibly underlying conditions.

Firstly, the presence of gas and frequent flatulence, especially if they are not accompanied by foul odor, can often be attributed to dietary choices or digestive issues. Foods that are high in fiber, such as beans, lentils, and certain vegetables, can lead to increased gas production. Additionally, stress can significantly affect gut motility and function, leading to symptoms like bloating and increased gas. The "gurgling" sounds you hear from your abdomen are likely due to normal digestive processes, but they can be more pronounced under stress or when the gut is reacting to certain foods.

Regarding your bowel movements, having a frequency of once every one to two days can be considered normal for some individuals, especially if you are not experiencing discomfort or straining. However, the presence of blood on the toilet paper, even if it is minimal, should not be overlooked. The bright red blood you describe could indicate several things, including hemorrhoids (commonly known as piles), which are swollen veins in the rectal area that can bleed during bowel movements, especially if you are experiencing any straining or if your stools are hard. Another possibility could be anal fissures, which are small tears in the lining of the anus that can occur due to passing hard stools.

While the symptoms you describe do not immediately suggest colorectal cancer, especially given your age and the fact that you have not experienced significant weight loss, changes in bowel habits, or other alarming symptoms, it is still crucial to take the presence of blood seriously. Your family history, particularly with your mother's history of rectal cancer, adds a layer of concern that warrants further investigation.

It is advisable to consult a healthcare professional, preferably a gastroenterologist, who can perform a thorough evaluation. This may include a physical examination, a review of your dietary habits, and possibly diagnostic tests such as a colonoscopy, especially given your family history. Early detection of any potential issues is key to effective management.

In the meantime, consider making some lifestyle changes that could help alleviate your symptoms. Increasing your physical activity, even with simple exercises like walking, can improve gut motility and reduce stress. Additionally, maintaining a balanced diet rich in fiber can help regulate your bowel movements. Staying hydrated is also essential, as adequate fluid intake can prevent constipation and promote overall digestive health.

Lastly, managing stress is crucial. Techniques such as mindfulness, meditation, or yoga can be beneficial in reducing stress levels, which in turn may help alleviate some of your gastrointestinal symptoms.

In summary, while your symptoms may not be indicative of a severe condition, the presence of blood in your stool and your family history necessitate a thorough evaluation by a healthcare professional. Taking proactive steps in managing your diet, exercise, and stress can also contribute positively to your gastrointestinal health.

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