Blood in Stool: Symptoms and Concerns for Digestive Health

Rectal bleeding and issues with bowel movements?

Doctor, I would like to ask you something.
I have a regular bowel movement every day, but at the beginning of this month, I suddenly experienced abdominal pain while having a bowel movement.
I felt like I had to exert extra effort, and when I wiped, there were traces of blood on the toilet paper, although it wasn't bright red.
The color of my stool was yellow-brown, but there were a couple of spots of red blood on the edge of the toilet bowl.
I felt like I had to wipe continuously, as if I couldn't get clean, and it felt like I was just wiping water.
For the next two days, my bottom felt strange, but I didn't have any abdominal pain.
After drinking more water, my bowel movements returned to normal without any blood for a few days, and I felt like everything was fine.
However, in the past few days, my bowel movements have felt a bit irregular again.
After finishing, I still feel like I need to go, and I pass a small amount of stool.
There is no blood when I wipe, but I notice a lot of clear mucus, which makes me very aware of my gastrointestinal sensations.
I am a full-time student preparing for exams, often buying lunch from convenience stores.
Given my irregular bowel habits and the fact that my mother and uncle are colorectal cancer patients, I feel very anxious and it seems like I'm scaring myself.

Lü Chá, 20~29 year old female. Ask Date: 2017/04/13

Dr. Ke Fangxu reply Surgery

This situation is likely indicative 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 duration of bowel movements.
Prolonged straining can lead to increased mucus production in addition to bleeding.
Warm sitz baths may also help alleviate symptoms.
Over-the-counter hemorrhoid suppositories can be used, but laxatives should be taken with caution.
If symptoms persist without improvement, it is advisable to consult a physician for medication or to undergo a colonoscopy.

Reply Date: 2017/04/13

More Info

Understanding blood in stool can be a concerning issue, especially when there is a family history of colorectal cancer. Your symptoms, including the presence of blood on toilet paper and changes in bowel habits, warrant careful consideration and possibly further evaluation.
Firstly, it's important to clarify that the presence of blood in the stool can arise from various sources within the gastrointestinal tract. The blood you observed could be due to several benign causes, such as hemorrhoids, anal fissures, or even minor injuries to the rectal area, especially if you experienced straining during bowel movements. Hemorrhoids are swollen veins in the lower rectum and anus that can cause bleeding, particularly during bowel movements. Anal fissures, which are small tears in the lining of the anus, can also lead to blood on the toilet paper.

The fact that the blood was not bright red but rather mixed with stool or present as small streaks could suggest that it originated from a higher point in the gastrointestinal tract, but it could also be consistent with hemorrhoids or fissures. The yellow-brown color of your stool is generally normal, but the presence of mucus and the sensation of incomplete evacuation could indicate some irritation or inflammation in the intestines.

Given your family history of colorectal cancer, it is prudent to be vigilant about any changes in your bowel habits or symptoms. While your symptoms may resolve on their own, it is essential to consult a healthcare professional for a thorough evaluation. They may recommend a physical examination, possibly including a digital rectal exam, and may suggest further diagnostic tests such as a colonoscopy, especially considering your family history. A colonoscopy allows for direct visualization of the colon and rectum and can help identify any abnormalities, including polyps or signs of cancer.

In terms of lifestyle factors, your current diet, which consists of convenience store meals, may lack sufficient fiber, which is crucial for healthy bowel movements. A diet rich in fruits, vegetables, whole grains, and adequate hydration can help maintain regular bowel habits and prevent constipation, which may reduce the risk of hemorrhoids and other gastrointestinal issues. Regular physical activity is also beneficial for digestive health.

Stress and anxiety, particularly related to your studies, can also impact your digestive system. Stress can lead to changes in bowel habits, including diarrhea or constipation, and may exacerbate symptoms like mucus in the stool. It is essential to find healthy coping mechanisms for stress, such as exercise, mindfulness, or relaxation techniques.

In summary, while your symptoms may not indicate a severe condition, it is crucial to take them seriously, especially with your family history. A healthcare provider can help determine the cause of your symptoms and recommend appropriate treatment or lifestyle changes. Regular screenings for colorectal cancer are also essential, particularly if you have a family history of the disease. Being proactive about your digestive health is key to preventing potential issues in the future.

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