Blood in Stool: Possible Causes and Solutions - Surgery

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Constipation with blood in the stool?


Recently, for about 2 to 3 weeks, there has been blood around the stool.
There is no pain in the anus, and passing gas is easy.
The stool is also thin and stringy.
What could be the issue?

Ano, 10~19 year old female. Ask Date: 2017/09/24

Dr. Chen Jiaming reply Surgery


This is a gastrointestinal issue.
Please consult a gastroenterologist or a colorectal surgeon for examination or advice.

Reply Date: 2017/09/24

More Info


Blood in stool can be a concerning symptom, and it is essential to understand the potential causes and appropriate responses to this condition. The presence of blood in your stool can arise from various sources within the gastrointestinal tract, and it is crucial to identify the underlying issue to determine the best course of action.

One of the most common causes of blood in the stool is hemorrhoids. Hemorrhoids are swollen blood vessels in the rectal area that can bleed during bowel movements, especially if there is straining or constipation involved. The blood from hemorrhoids is typically bright red and may be seen on the toilet paper or on the surface of the stool. If you are experiencing blood that appears in streaks or on the surface of your stool, this could be indicative of hemorrhoids.

Another possible cause is anal fissures, which are small tears in the lining of the anus. These can occur due to passing hard stools or straining during bowel movements. Like hemorrhoids, anal fissures can cause bright red blood and may be accompanied by pain during bowel movements.

In some cases, the blood may originate from higher up in the gastrointestinal tract, such as the colon or rectum. Conditions such as diverticulosis, inflammatory bowel disease (IBD), or colorectal polyps can also lead to blood in the stool. Diverticulosis involves the formation of small pouches in the colon wall, which can become inflamed or bleed. IBD, which includes Crohn's disease and ulcerative colitis, can cause inflammation and ulceration of the intestinal lining, leading to bleeding. Colorectal polyps are growths on the lining of the colon that can sometimes bleed and may require monitoring or removal.

Given that you mentioned the blood is not accompanied by pain and that you are experiencing gas, it is essential to consider dietary factors as well. A diet low in fiber can lead to constipation, straining, and the development of hemorrhoids or fissures. Increasing your fiber intake through fruits, vegetables, and whole grains can help promote regular bowel movements and reduce the risk of these issues.

Regardless of the potential causes, it is crucial to consult a healthcare professional for a thorough evaluation. A doctor may recommend a physical examination, possibly including a digital rectal exam, and may suggest further diagnostic tests such as a colonoscopy to visualize the colon and rectum directly. This is particularly important if the bleeding persists, increases in severity, or is accompanied by other symptoms such as changes in bowel habits, weight loss, or abdominal pain.

In summary, while there are several potential causes for blood in the stool, including hemorrhoids, anal fissures, and more serious gastrointestinal conditions, it is vital to seek medical advice to determine the exact cause and appropriate treatment. Early intervention can help manage symptoms and prevent complications. Maintaining a healthy diet, staying hydrated, and avoiding straining during bowel movements can also contribute to better gastrointestinal health.

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