Blood in Stool: Causes and When to Seek Help

Rectal bleeding issues?

Dr.
Ke, I would like to ask about a situation I experienced.
Two days ago and today, I noticed blood when wiping after a bowel movement, and the blood was somewhat dark.
I didn't see any blood yesterday, but I remember that about a month ago, I had a day where I passed a significant amount of blood—three times that day, and each time had a lot of blood.
After that, there was no blood until these past two days.
Currently, I don't see blood in the stool itself, but there is blood when I wipe, although there is no pain.
For the past ten years, my bowel movements have taken about half an hour each time, but I have been having daily bowel movements.
Due to work, I have been going to bed late for over three years, averaging about six hours of sleep per night.
I don't experience abdominal pain, and my weight hasn't changed, but I am still concerned and would like to inquire about this.
Thank you.

Tianlong Xue, 30~39 year old female. Ask Date: 2017/05/10

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 time spent on the toilet.
Warm sitz baths may help alleviate symptoms.
You can also purchase over-the-counter hemorrhoid suppositories for relief.
It is best to avoid taking laxatives indiscriminately.
A light diet and maintaining a good lifestyle are advised, while spicy, irritating, and greasy foods should be avoided.
If symptoms persist without improvement, you may consult a physician for medication or to undergo a colonoscopy.

Reply Date: 2017/05/10

More Info

When it comes to the presence of blood in stool, it can be a concerning symptom that warrants careful evaluation. Blood in the stool can arise from various causes, some of which may be benign, while others could indicate a more serious condition. Given your description, it’s important to consider several factors and potential causes.

Possible Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of blood in the stool, especially if the blood is bright red. Hemorrhoids can cause bleeding during bowel movements, and while they can be uncomfortable, they are generally not serious.

2. Anal Fissures: Small tears in the lining of the anus can occur, often due to passing hard stools. This can lead to bright red blood on the toilet paper or in the stool.

3. Diverticular Disease: Diverticulosis, which involves small pouches forming in the colon wall, can lead to diverticulitis, where these pouches become inflamed or infected, potentially causing bleeding.

4. Gastrointestinal Infections: Certain infections can cause inflammation and bleeding in the gastrointestinal tract, leading to blood in the stool.

5. Polyps or Colorectal Cancer: Polyps are growths on the lining of the colon that can bleed. While many polyps are benign, some can develop into cancer over time. Colorectal cancer can also present with blood in the stool, especially if it is dark or tarry.

6. Inflammatory Bowel Disease (IBD): Conditions like Crohn’s disease or ulcerative colitis can cause inflammation in the gastrointestinal tract, leading to bleeding.

When to Seek Medical Help
Given your situation, it is advisable to seek medical attention, especially considering the following factors:
- Duration and Frequency: You mentioned that you have experienced blood in your stool on multiple occasions over the past month. This recurring symptom should be evaluated by a healthcare professional.

- Characteristics of the Blood: Dark-colored blood can indicate that the bleeding is coming from higher up in the gastrointestinal tract, which may require more urgent evaluation.

- Associated Symptoms: While you currently do not have pain or weight loss, any changes in bowel habits, persistent blood, or other gastrointestinal symptoms should prompt a visit to a healthcare provider.

- Lifestyle Factors: Your work schedule and sleep patterns may contribute to gastrointestinal issues, including stress-related conditions. Discussing these factors with your doctor can provide a more comprehensive understanding of your health.

Recommended Actions
1. Consult a Healthcare Provider: Schedule an appointment with a gastroenterologist or your primary care physician. They may recommend tests such as a colonoscopy, which can help visualize the colon and identify any abnormalities.

2. Keep a Symptom Diary: Document when you notice blood, the amount, and any other symptoms you experience. This information can be valuable for your healthcare provider.

3. Lifestyle Modifications: Consider dietary changes to increase fiber intake, which can help with bowel regularity and potentially reduce the risk of hemorrhoids and fissures. Staying hydrated is also important.

4. Stress Management: Since your work schedule may be affecting your health, exploring stress management techniques could be beneficial.

In conclusion, while there are many potential causes for blood in the stool, it is crucial to have a thorough evaluation to rule out serious conditions. Early diagnosis and treatment can significantly improve outcomes, so do not hesitate to seek medical advice.

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