Bowel Issues: Causes of Mucus, Blood, and Constipation - Surgery

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Bowel movement issues


Doctor, I have a question.
Recently, I occasionally noticed some mucus when wiping after a bowel movement, and I have also experienced watery stools with some dark red blood, along with a sticky feeling.
I was initially thinking it might be nothing, but lately, my stools have sometimes become very thin, and for the past two days, they have been more like small pellets, giving me a bit of a constipated feeling.
What could be the possible causes of this? Should I be concerned about my diet?

Niming, 20~29 year old female. Ask Date: 2017/06/07

Dr. Yu Mingchang reply Surgery


Hello: Eating more fruits and vegetables is generally not a problem.
The Changhua Hospital of the Ministry of Health and Welfare cares about you.

Reply Date: 2017/06/07

More Info


When it comes to bowel issues, particularly those involving mucus, blood, and constipation, there are several potential causes that need to be considered. Your symptoms, which include occasional mucus in your stool, watery stools with dark red blood, and changes in stool consistency (from thin to pellet-like), suggest that there may be underlying gastrointestinal issues that require further evaluation.

Firstly, the presence of mucus in your stool can be a normal occurrence, as mucus is produced by the intestines to help lubricate the passage of stool. However, if you notice an increase in mucus, especially if accompanied by blood, it could indicate inflammation or irritation in the gastrointestinal tract. Conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD) like Crohn's disease or ulcerative colitis, or even infections can lead to increased mucus production.

The dark red blood you mentioned can be concerning. Blood in the stool can arise from various sources within the gastrointestinal tract. Dark red blood often indicates that the bleeding is occurring in the lower part of the digestive tract, such as the colon or rectum. Possible causes include hemorrhoids, anal fissures, diverticular disease, or even more serious conditions like colorectal cancer. Given your history of changes in bowel habits and the presence of blood, it is crucial to consult a healthcare professional for a thorough evaluation, which may include a colonoscopy or other diagnostic tests.

Constipation, characterized by infrequent or difficult bowel movements, can also contribute to the symptoms you're experiencing. It can lead to straining during bowel movements, which may cause or exacerbate anal fissures, leading to bleeding. Dietary factors, such as insufficient fiber intake, dehydration, and lack of physical activity, can significantly impact bowel regularity. Increasing your fiber intake through fruits, vegetables, whole grains, and adequate hydration can help alleviate constipation.

The changes in your stool consistency—from watery to thin and then to pellet-like—suggest that your bowel habits may be fluctuating due to various factors, including diet, stress, and possibly underlying gastrointestinal conditions. Stress and anxiety can significantly impact gut health, leading to symptoms such as diarrhea or constipation. It’s important to consider your mental well-being alongside your physical symptoms.

In summary, your symptoms warrant further investigation to rule out any serious underlying conditions. It is advisable to keep a detailed record of your symptoms, dietary habits, and any stressors you may be experiencing, and share this information with your healthcare provider. They may recommend tests such as stool analysis, blood tests, or imaging studies to better understand the cause of your symptoms. Early intervention is key in managing gastrointestinal issues effectively, so do not hesitate to seek medical advice.

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