Bowel issues
Doctor, I have not been having smooth bowel movements for the past two weeks.
My stools have been hard, and I've noticed blood on the toilet paper after wiping.
However, the stool in the toilet appears darker.
Today, I have been unable to have a bowel movement, and when I wipe, the toilet paper has a sticky, brownish liquid on it (which looks like the residue after diarrhea), but I still haven't passed any stool.
Does this count as having blood in my stool? Should I get it checked? (There haven't been significant changes in my routine.)
A Yang, 10~19 year old female. Ask Date: 2017/10/21
Dr. Chen Jiaming reply Surgery
It is recommended that you see a gastroenterologist or a colorectal surgeon for further examination and treatment (improving bowel habits is the key focus of treatment).
Reply Date: 2017/10/21
More Info
When it comes to bowel issues, especially those involving blood in the stool or changes in bowel habits, it is crucial to understand when to seek medical attention. Your symptoms, including hard stools, blood on toilet paper, and difficulty in passing stool, warrant a closer look.
Firstly, the presence of blood on toilet paper can be concerning. While it may often be attributed to minor issues such as hemorrhoids or anal fissures, it can also indicate more serious conditions, such as inflammatory bowel disease (IBD) or colorectal cancer. The fact that your stools are hard and you are experiencing difficulty in passing them suggests that you might be dealing with constipation. Constipation can lead to straining during bowel movements, which can cause small tears in the anal tissue, resulting in blood on the toilet paper.
The black appearance of your stool could indicate the presence of digested blood, which is often a sign of bleeding higher up in the gastrointestinal tract, such as from the stomach or small intestine. This is known as melena and requires immediate medical evaluation. The "sticky" liquid you described could be mucus, which can be associated with various gastrointestinal conditions, including infections, inflammatory bowel disease, or even irritable bowel syndrome (IBS).
Given your symptoms, it is advisable to seek medical attention promptly. 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 blood tests, stool tests, or imaging studies. In some cases, a colonoscopy may be necessary to visualize the colon and identify any underlying issues.
In addition to seeking medical attention, there are several steps you can take to manage your symptoms and promote bowel health:
1. Increase Fiber Intake: Consuming a diet rich in fiber can help soften stools and promote regular bowel movements. Foods high in fiber include fruits, vegetables, whole grains, and legumes.
2. Stay Hydrated: Drinking plenty of water is essential for preventing constipation. Aim for at least 8-10 glasses of water a day, and consider increasing your intake if you are consuming more fiber.
3. Regular Exercise: Physical activity can stimulate bowel function and help alleviate constipation. Aim for at least 30 minutes of moderate exercise most days of the week.
4. Establish a Routine: Try to set aside time each day for bowel movements, and do not ignore the urge to go. This can help train your body to have regular bowel movements.
5. Over-the-Counter Remedies: If dietary changes are not sufficient, over-the-counter laxatives or stool softeners may provide relief. However, these should be used sparingly and not as a long-term solution without consulting a healthcare provider.
6. Monitor Symptoms: Keep track of your bowel habits, dietary intake, and any other symptoms you may experience. This information can be helpful for your healthcare provider in diagnosing and managing your condition.
In conclusion, while some bowel issues can be benign, the presence of blood, changes in stool consistency, and difficulty in passing stool should not be ignored. It is essential to consult a healthcare professional to rule out any serious conditions and to receive appropriate treatment. Taking proactive steps to improve your diet and lifestyle can also contribute to better bowel health.
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