Blood in Stool and Unusual Objects: Causes and Concerns - Surgery

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Passing foreign objects in stool / Passing blood in stool


Since September of last year, I have been experiencing blood in my stool approximately every two to three months.
Could this be related to hemorrhoids? Do hemorrhoids have a cyclical nature, or could it be due to other reasons? Today, while wiping, I noticed a foreign object.
After looking at other posts, I realized my situation is different; I wiped out something resembling a plastic material like a hair tie, long and thin.
I'm a bit worried that this could be caused by my diet.
What should I do at this stage? Is it possible for the body to produce such a thing?

Mr. Wu, 30~39 year old female. Ask Date: 2017/07/10

Dr. Xu Kaixi reply Surgery


Rectal bleeding is an abnormal symptom that can range from common conditions like hemorrhoids to more serious gastrointestinal diseases.
Based on your description, the likelihood of hemorrhoidal bleeding is the highest.
Hemorrhoids can present with varying symptoms due to different factors, and the characteristics of the stool can also vary depending on diet.
If the symptoms persist without improvement, it is advisable to visit a hospital's surgical or gastroenterology department for further evaluation.

Reply Date: 2017/07/10

More Info


Understanding blood in stool and unusual objects can be concerning, and it’s essential to approach this issue with a clear understanding of potential causes and necessary actions.
Firstly, the presence of blood in stool can arise from various conditions, with hemorrhoids (or piles) being one of the most common causes. Hemorrhoids can indeed cause intermittent bleeding, especially during bowel movements, and they can be associated with straining, constipation, or prolonged sitting. However, the periodic nature of your symptoms, occurring every couple of months, does not definitively indicate hemorrhoids. Other potential causes of rectal bleeding include anal fissures, diverticular disease, inflammatory bowel disease (IBD), polyps, or even colorectal cancer, especially if the bleeding is accompanied by other symptoms such as changes in bowel habits, weight loss, or abdominal pain.

Regarding the unusual object you mentioned, resembling a plastic hair tie, it is crucial to consider that foreign objects can sometimes be ingested inadvertently or can result from dietary factors. However, it is highly unusual for the body to produce such objects naturally. If you have been experiencing gastrointestinal issues, it is possible that this object could be a result of something you ingested, particularly if you consume a diet high in processed foods or if you have a habit of chewing on non-food items.
Given these symptoms, it is advisable to take the following steps:
1. Consult a Healthcare Provider: Schedule an appointment with a healthcare professional, preferably a gastroenterologist. 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 and the nature of the foreign object.

2. Keep a Symptom Diary: Document your bowel habits, any associated symptoms (like pain, changes in stool consistency, or weight loss), and the frequency of the bleeding. This information can be invaluable for your healthcare provider in diagnosing your condition.

3. Dietary Review: Consider keeping a food diary to identify any potential dietary triggers that may correlate with your symptoms. A diet high in fiber can help alleviate constipation and reduce the strain during bowel movements, potentially minimizing hemorrhoid symptoms.

4. Avoid Self-Diagnosis: While it may be tempting to attribute your symptoms to hemorrhoids or dietary issues, self-diagnosing can lead to unnecessary anxiety or mismanagement of a potentially serious condition.
5. Monitor Symptoms: Pay attention to any changes in your symptoms. If you experience increased bleeding, severe pain, or any other concerning symptoms, seek medical attention promptly.

In conclusion, while hemorrhoids are a common cause of blood in stool, the presence of unusual objects and the periodic nature of your symptoms warrant a comprehensive evaluation by a healthcare professional. Early diagnosis and intervention are key to addressing any underlying issues effectively.

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