Rectal bleeding
Hello doctor, for the past couple of days, I've been experiencing a lot of gas before having a bowel movement.
The stool at the beginning is somewhat hard, with a clay-yellow color and a tubular shape.
After the front part comes out, the rest follows quickly, but the latter part of the stool is dark brown, not tubular in shape, resembling a loose stool but with a somewhat solid consistency.
It has a bit of stickiness and contains mucus and blood.
When I wipe, I notice mucus along with some blood and blood clots.
However, I don't feel any discomfort in my abdomen, and there is no pain in the anal area.
I have a history of anal fissures, and sometimes hard stools cause slight bleeding, but I haven't experienced that recently.
Since I ate some mildly spicy duck blood hot pot last night, I've noticed these symptoms this morning.
Last night before bed, I felt some indigestion and bloating.
I'm wondering if this is related to what I ate.
zero one seven two six, 20~29 year old female. Ask Date: 2017/11/17
Dr. Xu Kaixi reply Surgery
I apologize for the delayed response due to the email forwarding process.
The nature of stool can indeed be influenced by diet; however, the presence of blood in the stool is considered abnormal.
This could indicate a range of conditions, from common hemorrhoids to more serious gastrointestinal diseases.
I recommend visiting a hospital's surgical or gastroenterology department for further evaluation.
Reply Date: 2017/11/17
More Info
Understanding blood in stool can be concerning, and it’s important to approach this issue with careful consideration of the potential causes and when to seek medical help. Based on the symptoms you described, there are several factors to consider.
Firstly, the presence of blood in the stool can arise from various sources within the gastrointestinal tract. The fact that you have a history of anal fissures is significant. Anal fissures can cause bleeding, especially when passing hard stools, which can lead to minor bleeding that may appear as bright red blood on toilet paper or mixed with stool. The description of your stool being hard and the presence of mucus and blood could indicate that the fissure is irritated, especially if you have been experiencing harder bowel movements recently.
The change in stool consistency and color, particularly the darker brown color and the presence of mucus, could also suggest other gastrointestinal issues. For instance, the consumption of spicy or irritating foods, such as the spicy duck blood you mentioned, can sometimes lead to gastrointestinal upset, which may manifest as changes in stool consistency or even mild inflammation of the intestinal lining. This could potentially lead to symptoms like mucus in the stool or a slight increase in bleeding if there is an underlying fissure or irritation.
However, it’s crucial to be aware of other potential causes of blood in the stool that are more serious, such as hemorrhoids, diverticulosis, inflammatory bowel disease (IBD), or even colorectal polyps or cancer, especially if the bleeding persists or is accompanied by other symptoms like significant abdominal pain, changes in bowel habits, or weight loss.
Given that you mentioned experiencing some digestive discomfort and bloating, it’s possible that your gastrointestinal system is reacting to the spicy food. Spicy foods can sometimes exacerbate conditions like gastritis or irritable bowel syndrome (IBS), leading to symptoms such as bloating, gas, and changes in bowel habits.
When to seek help? If the blood in your stool persists, increases in volume, or is accompanied by other concerning symptoms such as severe abdominal pain, fever, or significant changes in bowel habits, it is essential to seek medical attention promptly. A healthcare provider can perform a thorough evaluation, which may include a physical examination, stool tests, and possibly imaging studies or endoscopy, to determine the underlying cause of your symptoms.
In summary, while your symptoms may be related to your existing anal fissure and dietary choices, it is important to monitor the situation closely. If you notice any worsening of symptoms or new symptoms arise, do not hesitate to consult a healthcare professional for a comprehensive evaluation and appropriate management. Remember, early detection and treatment of gastrointestinal issues can significantly improve outcomes and prevent complications.
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