Coping with Anxiety After Experiencing Blood in Stool: A Guide

Since I had blood in my stool, I've been constantly worried about it?

Hello, Doctor.
Ever since I experienced blood in my stool once, I've been extremely anxious and worried, even feeling hopeless at times.
After undergoing gastroscopy and colonoscopy, I found out that I only had a mild anal fissure and everything else was normal.
After relaxing for a while, I became aware of the terrifying uncertainty of cancer, and now I often start to worry about minor symptoms.
For example, recently when I had stomach pain, I began to doubt whether the doctor had missed something during the examination.
If I have mouth sores for a couple of days, I worry it might be oral cancer or similar negative thoughts.
Of course, everything turned out fine later.
Additionally, various life stresses sometimes make me feel exhausted just living...
Out of fear, I have been exercising a lot—weight training three to four days a week and playing basketball for two hours on two days.
I have developed a habit of exercising, and I know this cannot be resolved with medication.
From your perspective as a doctor, what kind of mindset do you recommend I adopt to live my life?

Luo Kairen, 20~29 year old female. Ask Date: 2017/11/20

Dr. Lü Shangheng reply Psychiatry

Caring for physical health and undergoing appropriate medical examinations is important.
However, if excessive anxiety persists for too long, it can negatively impact both physical and mental health.
Adjusting one's mindset or engaging in psychological adjustment requires an assessment of one's physical and mental state.
It is recommended to visit a psychosomatic clinic for evaluation or to arrange a psychological consultation.

Reply Date: 2017/11/20

More Info

Coping with anxiety, especially after experiencing a health scare like blood in stool, can be incredibly challenging. It’s understandable that such an event can trigger feelings of fear and despair, particularly when compounded by the uncertainties surrounding serious health conditions like cancer. However, it’s important to recognize that while anxiety can be a natural response to such experiences, it can also become overwhelming and interfere with daily life.

First and foremost, it’s commendable that you sought medical attention and received a diagnosis of a minor issue like an anal fissure. This is a critical step in alleviating some of the fears associated with more severe conditions. Understanding that your symptoms were not indicative of a serious illness can provide some relief, but it’s common for anxiety to persist even after receiving reassurance from healthcare professionals.

Here are several strategies to help you cope with anxiety and maintain a healthier mindset:
1. Educate Yourself: Knowledge can be a powerful tool against fear. Understanding your condition and the reasons behind your symptoms can help demystify your fears. However, it’s essential to balance this with the understanding that not every symptom is a sign of a serious illness. If you find yourself spiraling into negative thoughts, remind yourself of the medical evaluations you’ve undergone and the results.

2. Practice Mindfulness and Relaxation Techniques: Mindfulness practices, such as meditation, deep breathing exercises, or yoga, can help ground you in the present moment and reduce anxiety. These techniques can help you manage your thoughts and feelings more effectively, allowing you to respond to anxiety rather than react to it.

3. Cognitive Behavioral Therapy (CBT): This form of therapy is particularly effective for anxiety. It helps individuals identify and challenge negative thought patterns and replace them with more balanced and realistic ones. If you haven’t already, consider seeking a therapist who specializes in CBT to help you work through your fears and develop coping strategies.

4. Stay Active: You mentioned that you have a regular exercise routine, which is fantastic. Physical activity is known to reduce anxiety and improve mood. It releases endorphins, which are natural mood lifters. Continue with your weight training and basketball, as these activities not only keep you fit but also provide a healthy outlet for stress.

5. Limit Exposure to Triggers: If you find that certain activities, such as reading about health issues or watching medical dramas, exacerbate your anxiety, it may be beneficial to limit your exposure to these triggers. Instead, engage in activities that bring you joy and relaxation.

6. Connect with Others: Sharing your feelings with friends, family, or support groups can provide relief. Sometimes, just talking about your fears can lessen their intensity. You might also find comfort in hearing how others cope with similar feelings.

7. Set Realistic Goals: Focus on what you can control. Set small, achievable goals for yourself each day, whether it’s going for a walk, practicing mindfulness, or simply taking time to relax. Celebrate your accomplishments, no matter how small.

8. Seek Professional Help: If your anxiety continues to interfere with your daily life, it may be beneficial to consult a mental health professional. They can provide tailored strategies and, if necessary, discuss medication options that can help manage your symptoms.

9. Maintain a Healthy Lifestyle: Ensure you are eating a balanced diet, getting enough sleep, and staying hydrated. These factors can significantly impact your mental health.

10. Practice Self-Compassion: Be kind to yourself. It’s okay to feel anxious, especially after a health scare. Acknowledge your feelings without judgment and remind yourself that healing takes time.

In conclusion, while it’s natural to feel anxious after a health scare, there are numerous strategies you can employ to manage these feelings effectively. By combining education, mindfulness, physical activity, and professional support, you can cultivate a healthier mindset and navigate your daily life with greater ease. Remember, it’s a journey, and taking small steps can lead to significant improvements over time.

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