Blood in Stool: When to Seek Medical Attention

The stool only has blood?

Hello, I started noticing some blood when wiping after a bowel movement on July 25.
On July 26, I experienced multiple urges to have a bowel movement, but only about one-third of those were actual bowel movements.
The stool volume was very small, the consistency was soft rather than hard, and the color was brown.
There was also blood when wiping, and in the remaining two-thirds of the urges, I passed blood without any stool.
The blood appeared mixed with tissue fluid, not bright red, and the color was similar to pink due to the mixture.
I experienced pain near the anus when straining, and yesterday I also had pain in my head and lower back.
Should I observe this at home first, seek medical attention promptly, or are there any ways to improve this condition?

Niming, 20~29 year old female. Ask Date: 2017/07/27

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility 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 and use stool softeners, but it is best not to take medications indiscriminately.
If bleeding persists, it is advisable to consult a physician.
If necessary, a colonoscopy can also be arranged.

Reply Date: 2017/07/27

More Info

When it comes to blood in the stool, it is essential to take the situation seriously and seek medical attention promptly. The symptoms you describe, including blood mixed with stool, changes in bowel habits, and pain during bowel movements, can indicate various underlying conditions, some of which may require immediate intervention.

Firstly, the presence of blood in the stool can arise from several causes, ranging from benign to serious. Common causes include hemorrhoids, anal fissures, diverticular disease, and gastrointestinal bleeding from conditions such as ulcers or tumors. The fact that you are experiencing pain during bowel movements and that the blood appears mixed with tissue fluid rather than being bright red is particularly concerning. This could suggest a more significant issue, such as an anal fissure or a more severe gastrointestinal condition.

The color and consistency of the blood can provide clues about the source of the bleeding. Bright red blood typically indicates bleeding from the lower gastrointestinal tract, such as the rectum or anus, while darker blood or "coffee ground" appearance may suggest bleeding from higher up in the digestive tract, such as the stomach or small intestine. The pinkish color you mentioned could indicate that the blood is mixed with other fluids, which may complicate the diagnosis.

Given that you have been experiencing these symptoms for several days, it is advisable not to wait and observe at home. Instead, you should seek medical attention as soon as possible. A healthcare provider will likely 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.

In the meantime, there are a few steps you can take to manage your symptoms and discomfort:
1. Stay Hydrated: Ensure you are drinking plenty of fluids to prevent dehydration, especially if you are experiencing diarrhea or blood loss.

2. Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate pain and potentially worsen any existing fissures or hemorrhoids.

3. Dietary Adjustments: Consider a diet high in fiber to help soften stools and promote regular bowel movements. Foods such as fruits, vegetables, whole grains, and legumes can be beneficial.

4. Pain Management: Over-the-counter pain relievers may help alleviate discomfort, but consult with a healthcare provider before taking any medication, especially if you have underlying health conditions or are on other medications.

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

In summary, while some causes of blood in the stool may be benign, the combination of your symptoms warrants prompt medical evaluation. Do not hesitate to reach out to a healthcare professional for guidance and treatment. Early intervention can be crucial in managing potential complications and ensuring your health and well-being.

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