the Causes of Blood in Stool: When to Seek Help - Surgery

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Hemorrhaging from the rectum can be caused by various conditions, including hemorrhoids, anal fissures, diverticular disease, inflammatory bowel disease (IB


Hello Doctor, a few days ago I started experiencing abdominal bloating without pain, and I thought it was due to my menstrual period approaching.
However, this morning during a bowel movement, the stool was normal in shape but had a little bit of blood, and there was also blood on the toilet paper.
I just had another bowel movement, and there was blood again, but there is no discomfort around the anus.
I usually have severe gastric bloating but do not often experience constipation; I have at least one bowel movement a day.
I am unsure what the cause might be.
Which specialty should I consult for this issue? Thank you for your response!

An An, 10~19 year old female. Ask Date: 2017/07/03

Dr. Yu Mingchang reply Surgery


Hello; eating more fruits and vegetables is beneficial.
Please take a moment to check the colorectal health information from the Changhua Hospital, Ministry of Health and Welfare, which cares about your well-being.

Reply Date: 2017/07/03

More Info


When it comes to the presence of blood in stool, it is essential to understand that this symptom can arise from various underlying causes, some of which may require immediate medical attention. The presence of blood, even in small amounts, should not be ignored, as it can indicate a range of conditions, from benign to serious.

In your case, you mentioned experiencing abdominal bloating and noticing blood in your stool. The blood could be bright red, indicating it is likely coming from the lower gastrointestinal tract, such as the rectum or anus. Common causes of blood in the stool include hemorrhoids, anal fissures, diverticular disease, or more serious conditions like inflammatory bowel disease (IBD), colorectal polyps, or colorectal cancer.

Given your symptoms, it is advisable to seek medical attention. You should consider visiting a gastroenterologist, a specialist in digestive system disorders. They can perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly diagnostic tests such as a colonoscopy or imaging studies to determine the source of the bleeding.

It is also important to note that while some causes of blood in the stool are benign, others can be serious. For instance, hemorrhoids and anal fissures are common and often treatable with lifestyle changes and topical treatments. However, conditions like IBD or colorectal cancer require more comprehensive management and treatment.

In addition to the blood in your stool, you mentioned experiencing significant bloating. This symptom can be associated with various gastrointestinal issues, including food intolerances, irritable bowel syndrome (IBS), or gastrointestinal infections. It is crucial to discuss these symptoms with your healthcare provider, as they can help identify any potential connections between your bloating and the presence of blood in your stool.

When you visit the gastroenterologist, be prepared to provide detailed information about your symptoms, including when they started, their frequency, and any other associated symptoms (such as changes in bowel habits, weight loss, or abdominal pain). This information will help the doctor make an accurate diagnosis.

In summary, the presence of blood in your stool, even if it is minimal, warrants a medical evaluation. It is advisable to consult a gastroenterologist who can assess your symptoms, perform necessary tests, and provide appropriate treatment based on the underlying cause. Early diagnosis and intervention are key to managing any potential gastrointestinal issues effectively.

Similar Q&A

Understanding Blood in Stool: Causes and When to Seek Help

Finding blood in your stool, especially if it is not bright red, can be indicative of several potential issues. It may suggest the presence of conditions such as hemorrhoids, diverticular disease, inflammatory bowel disease (IBD), or even more serious conditions like colorectal c...


Dr. Ke Fangxu reply Surgery
If the stool is dark red, it does not necessarily indicate bleeding. To determine whether it is bleeding, a stool test is required. At the age of 23, it is mostly likely hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended ...

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Hello, doctor. I am a 19-year-old college student. Recently, I have been experiencing blood in my stool frequently, sometimes a lot, resembling urine in flow, and at other times just a small amount on the toilet paper. Sometimes I see blood during bowel movements, and sometimes I...


Dr. Su Baojia reply Gastroenterology and Hepatology
If there is blood in the stool and significant bleeding, it is important to see a gastroenterologist for an examination as soon as possible. The causes may include hemorrhoids, colorectal cancer, or colonic ulcers, among others, and should not be taken lightly. Otherwise, it coul...

[Read More] Understanding Blood in Stool: Causes and When to Seek Help


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Hello doctor, I have a question. Today when I went to the bathroom, there was no blood in my stool, but after straining a bit, I noticed fresh red blood on the edge of the stool. The first time I wiped, there was blood, but the second time there was none. I had a stool test done ...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, it is advisable to investigate the cause of blood in the stool in order to provide appropriate treatment. Common causes of blood in the stool include anal fissures, hemorrhoids, rectal or colon polyps, tumors, or inflammation. It is recommended to increase fiber and fluid ...

[Read More] Understanding Blood in Stool: Causes and When to Seek Help


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Hello, doctor. May I ask you something? Recently, after I have a bowel movement, I notice some blood stains on the toilet paper when I wipe. Why is that?


Dr. Xu Kaixi reply Surgery
I apologize for the late response. Blood in the stool is an abnormal symptom, and potential diagnoses can range from common hemorrhoids to other serious gastrointestinal diseases. Based on your description, it is more likely that the bleeding is caused by hemorrhoids (internal he...

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