Blood in Stool: When to Seek Medical Attention

Rectal bleeding

Hello, doctor.
After having a bowel movement today, my stool was granular and brownish-yellow, and there were also a few spots of blood on it.
I usually go to the bathroom only when I feel the urge, but sometimes I hold it in until I hardly feel anything.
Occasionally, I experience sudden abdominal pain, and after that, I go to the bathroom, resulting in either a normal stool or sometimes scattered pieces.
Not long ago, I also had an issue with bleeding after a bowel movement, and when I wiped, there were some blood spots on the toilet paper, but there was none during the next bowel movement.
Recently, my stool has been darker in color.
Additionally, I had a fever of 39.2 degrees Celsius yesterday, and the doctor I saw prescribed me some stronger medication.
Should I continue to monitor my stool for about a week, or should I get checked out as soon as possible?

Jen, 10~19 year old female. Ask Date: 2017/09/26

Dr. Ke Fangxu reply Surgery

At the age of 19, there generally shouldn't be any major issues.
If there is bleeding, it is most likely caused by hemorrhoids or anal fissures.
It is recommended to maintain a light diet and increase fiber intake to establish regular bowel habits, and not to hold in the urge to defecate.
If the symptoms persist despite normal dietary and lifestyle habits, it is advisable to consult a physician for further evaluation.

Reply Date: 2017/09/26

More Info

When it comes to blood in stool, it is essential to approach the situation with caution and awareness of the potential underlying causes. The presence of blood in your stool can be indicative of various conditions, some of which may require immediate medical attention. Given your symptoms, including the presence of blood streaks, changes in stool consistency, and abdominal pain, it is advisable to seek medical evaluation sooner rather than later.

Understanding the Symptoms
1. Blood in Stool: The appearance of blood can vary; it may be bright red, indicating fresh bleeding, or darker, which may suggest older blood. The fact that you have noticed blood on the toilet paper and in your stool is significant and should not be ignored.

2. Stool Consistency: You mentioned that your stool is sometimes granular and occasionally appears in small pieces. This could suggest issues with bowel function, such as constipation or straining, which can lead to hemorrhoids or anal fissures, both of which can cause bleeding.

3. Abdominal Pain: The occurrence of abdominal pain, especially if it is sudden and severe, warrants attention. Pain can be a sign of various gastrointestinal issues, including infections, inflammation, or obstructions.

4. Recent Illness: You mentioned having a fever and being prescribed stronger medication. Some medications can affect gastrointestinal health, leading to side effects such as gastrointestinal bleeding or changes in bowel habits.

When to Seek Medical Attention
You should seek medical attention if you experience any of the following:
- Persistent Blood: If the blood in your stool continues or worsens, it is crucial to consult a healthcare provider.

- Severe Abdominal Pain: If the pain becomes severe or is accompanied by other symptoms such as vomiting, fever, or changes in consciousness, seek immediate care.

- Changes in Bowel Habits: If you notice significant changes in your bowel habits, such as prolonged constipation, diarrhea, or changes in stool color and consistency, it is advisable to get evaluated.

- Associated Symptoms: If you experience symptoms like dizziness, weakness, or fainting, these could indicate significant blood loss and require urgent medical attention.

Recommended Actions
1. Consult a Healthcare Provider: Given your symptoms, it would be prudent to schedule an appointment with a healthcare provider. They may recommend diagnostic tests such as a stool test, blood tests, or imaging studies to determine the cause of your symptoms.

2. Monitor Symptoms: While waiting for your appointment, keep a close eye on your symptoms. Note any changes in the frequency or appearance of your stool, the amount of blood, and any associated symptoms.

3. Avoid Self-Medication: While it may be tempting to self-medicate, especially after being prescribed medication for your recent illness, it is essential to avoid any medications that could exacerbate gastrointestinal bleeding unless directed by a healthcare provider.

4. Hydration and Diet: Ensure you stay hydrated and maintain a balanced diet. If you are experiencing constipation, increasing fiber intake may help, but consult your doctor before making significant dietary changes.

Conclusion
In summary, while it may be tempting to wait and observe your symptoms, the presence of blood in your stool, especially combined with abdominal pain and recent illness, is a sign that you should seek medical attention promptly. Early evaluation can help identify the underlying cause and prevent potential complications. Your health and well-being are paramount, and addressing these symptoms with a healthcare professional is the best course of action.

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