Rectal Issues: Symptoms, Concerns, and When to Seek Help

Colorectal issues

Hello doctor, I would like to ask you something.
I have a regular bowel movement every morning, but I always feel like I haven't completely emptied my bowels.
This feeling lasts all day.
Today, I noticed a color resembling blood on the toilet paper, and my stool has a mucus-like consistency, often stringy.
I frequently experience cramping pain, and when I feel the urge to go, I try to squat but can't seem to pass anything.
This sensation is very distressing; I constantly feel like something is stuck in my rectum and can't come out.
I'm very worried that it might be colon cancer.

Cheng, 20~29 year old female. Ask Date: 2017/05/18

Dr. Ke Fangxu reply Surgery

This situation is likely a combination of irritable bowel syndrome and mild 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, and over-the-counter hemorrhoid suppositories can be used.
It is best not to take laxatives indiscriminately.
Although the risk of developing colorectal cancer at the age of 22 is not zero, it is generally very low.
A light diet and maintaining a good daily routine are advised, while spicy, irritating, and greasy foods should be avoided.
If symptoms persist without improvement, it is advisable to consult a physician for medication or to undergo a colonoscopy.

Reply Date: 2017/05/18

More Info

It sounds like you're experiencing a range of concerning symptoms related to your bowel movements, and I understand how distressing this can be. Let's break down your symptoms and discuss what they might indicate, as well as when you should seek medical help.

Firstly, the sensation of incomplete evacuation after a bowel movement can be quite uncomfortable and is often associated with several gastrointestinal issues. This feeling can be due to constipation, which can occur when stool becomes hard and difficult to pass. It can also be a sign of rectal or anal issues, such as hemorrhoids or anal fissures, which can cause pain and discomfort during bowel movements.

The presence of blood on the toilet paper is particularly concerning. Blood in the stool or on the toilet paper can arise from various sources, including hemorrhoids, anal fissures, or more serious conditions such as diverticulosis or colorectal cancer. The fact that your stool has a mucus-like consistency and is stringy could indicate an inflammatory condition, such as irritable bowel syndrome (IBS) or even an infection.

The cramping and urgency you describe, along with the feeling of something being stuck, could suggest a blockage or severe constipation. In some cases, this can lead to a condition known as fecal impaction, where a large mass of stool becomes stuck in the colon or rectum, preventing normal bowel movements.

Given the combination of these symptoms—especially the presence of blood and the changes in your stool—it is crucial that you seek medical attention as soon as possible. A healthcare provider can perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly imaging studies or a colonoscopy to determine the underlying cause of your symptoms.

It's important to remember that while some gastrointestinal issues can be benign, others may require prompt treatment. Early detection and intervention are key in managing any potential conditions effectively.
In the meantime, here are some general recommendations to help manage your symptoms:
1. Stay Hydrated: Drink plenty of fluids, as this can help soften your stool and promote regular bowel movements.

2. Dietary Changes: Incorporate more fiber into your diet through fruits, vegetables, and whole grains. Fiber can help regulate your bowel movements and prevent constipation.

3. Regular Exercise: Physical activity can stimulate bowel function and help alleviate constipation.

4. Avoid Straining: When you feel the urge to go, try to respond promptly. Straining can exacerbate issues like hemorrhoids and fissures.

5. Monitor Symptoms: Keep track of any changes in your symptoms, including the frequency of blood, pain levels, and any new symptoms that arise.

In conclusion, while it’s understandable to feel anxious about your symptoms, seeking medical advice is the best course of action. A healthcare professional can provide you with the appropriate tests and treatments to address your concerns and help you feel better. Don’t hesitate to reach out for help; your health is important.

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