Rectal Bleeding: Questions About Symptoms and Diet

I would like to consult a doctor regarding my concerns about an internal mole. Thank you!

Here's the translation:
The situation is as follows: On Friday, April 7th, around 5 AM, I felt some discomfort in my stomach, so I went to the restroom.
My bowel movement was normal, and I thought I would go back to sleep afterward.
However, my stomach still felt uncomfortable, but it seemed to improve a bit after the bowel movement.
Then, around 6:30 AM, I suddenly felt a strong urge to go again, and this time I had diarrhea, but to my shock, there was blood in it.
I was terrified, as I had never experienced this before! I quickly went to the Veterans General Hospital to seek assistance.
I ended up seeing a doctor in the colorectal department, who performed a physical examination and confirmed that there was indeed bleeding.
They scheduled a colonoscopy for a week later.
The doctor prescribed me an ointment, a 7-day supply of suppositories, and a laxative for the colonoscopy preparation.
After the visit, I felt much better; in fact, on the way to the hospital and even during the appointment, my stomach discomfort had subsided, and I wasn't in pain.
However, I still experienced intermittent urges to go, and each time I did, there was blood, mostly in the form of watery diarrhea, but the amount was not significant.
I was really scared.

What I would like to ask the doctor is, while I am resting at home, is it okay to go to the restroom whenever I feel the urge, even if there is blood? Additionally, are there any specific dietary precautions I should take? Lastly, I have seen many people mention the term "massive bleeding." What is the definition of that? I am unsure whether my bleeding situation is severe or mild.
Thank you for your help, doctor.

Xiao Ban, 30~39 year old female. Ask Date: 2017/04/07

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.
If you feel the urge to defecate, you should go rather than hold it in, as that can be counterproductive.
A diet rich in light foods, fruits, and vegetables is advisable.
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.
If bleeding persists, it is advisable to consult a physician.
As for what constitutes "heavy" bleeding, it is generally considered significant if there is a pool of bright red, opaque blood in the toilet.

Reply Date: 2017/04/07

More Info

Experiencing rectal bleeding can be alarming, and it's understandable to have many questions regarding symptoms, dietary considerations, and the implications of your condition. Based on your description, it seems you have already taken the right steps by consulting a healthcare professional and scheduling a colonoscopy. Here’s a comprehensive overview of what you should know about rectal bleeding, dietary recommendations, and how to manage your symptoms.

Understanding Rectal Bleeding
Rectal bleeding can manifest in various forms, including bright red blood on the stool, dark red blood, or even blood mixed with diarrhea. The color and consistency of the blood can provide clues about the source of the bleeding. Bright red blood typically indicates bleeding from the lower gastrointestinal tract, such as hemorrhoids or anal fissures, while darker blood may suggest a source higher up in the digestive tract.

In your case, since you mentioned experiencing watery stools with blood, it is crucial to monitor the situation closely. The fact that you have already consulted a doctor and are scheduled for a colonoscopy is a positive step. This procedure will help identify the underlying cause of your symptoms, whether it be hemorrhoids, inflammatory bowel disease, or other gastrointestinal issues.

Dietary Considerations
While you are waiting for your colonoscopy, certain dietary adjustments can help manage your symptoms and promote healing. Here are some recommendations:
1. Stay Hydrated: Diarrhea can lead to dehydration, so it’s essential to drink plenty of fluids. Water, clear broths, and electrolyte solutions can help replenish lost fluids.

2. Avoid Irritating Foods: Spicy foods, caffeine, alcohol, and high-fat foods can irritate the gastrointestinal tract and exacerbate symptoms. It’s best to avoid these until your symptoms improve.

3. Incorporate Soft, Bland Foods: Foods that are easy to digest, such as bananas, rice, applesauce, and toast (often referred to as the BRAT diet), can help settle your stomach. Gradually reintroduce other foods as tolerated.

4. Increase Fiber Intake: Once your symptoms improve, incorporating soluble fiber can help regulate bowel movements. Foods like oats, barley, and fruits can be beneficial. However, if you are experiencing diarrhea, it may be best to limit fiber intake temporarily.

5. Monitor for Trigger Foods: Keep a food diary to track what you eat and any symptoms that arise. This can help identify any specific foods that may trigger your symptoms.

Managing Symptoms at Home
If you experience rectal bleeding, it’s essential to listen to your body. If you feel the urge to have a bowel movement, it’s generally okay to go, especially if you are not experiencing severe pain or discomfort. However, if you notice an increase in the volume of blood, or if you experience significant pain, dizziness, or other concerning symptoms, seek medical attention immediately.

Defining "Massive Bleeding"
The term "massive bleeding" typically refers to a significant loss of blood that can lead to hemodynamic instability, which means your body is unable to maintain adequate blood flow and pressure. This can manifest as symptoms like rapid heartbeat, low blood pressure, dizziness, or fainting. If you are unsure whether your bleeding qualifies as massive, it’s always best to err on the side of caution and consult a healthcare professional.

Conclusion
In summary, while waiting for your colonoscopy, focus on staying hydrated, avoiding irritating foods, and consuming a bland diet. Monitor your symptoms closely, and do not hesitate to seek medical attention if your condition worsens. Understanding the nature of your rectal bleeding and making appropriate dietary adjustments can help you manage your symptoms effectively. Remember, your healthcare provider is your best resource for personalized advice and treatment options.

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