Changes in Stool: When to Seek Medical Advice - Surgery

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I would like to confirm whether there are any issues with my stool?


Recently, my bowel movements have been a bit unusual.
Is blood in the stool indicated by a complete color change? I've noticed that a small area of my stool appears to be deep red, but it's only a small portion.
Additionally, there are white particles that occasionally appear in the stool (I can't tell if they are particles or mucus).
I do not experience any abdominal pain with these symptoms.

Chen, 10~19 year old female. Ask Date: 2017/12/11

Dr. Ke Fangxu reply Surgery


At the age of 18, the likelihood of developing colorectal cancer is not zero, but generally, it is very, very low.
Based on your description, it seems more like mild hemorrhoidal bleeding, and the white particles are likely food remnants.
It is recommended to maintain a light diet and good lifestyle habits, while avoiding spicy, irritating, and greasy foods.
Increasing dietary fiber intake can also be beneficial.
If symptoms persist without improvement, you should consult a physician for medication or consider undergoing a colonoscopy.

Reply Date: 2017/12/11

More Info


When it comes to changes in stool, it is essential to pay attention to any unusual characteristics, as they can be indicative of underlying health issues. Based on your description, you are experiencing two specific changes: the presence of a small area of deep red color in your stool and the occasional appearance of white particles or mucus. While you are not experiencing abdominal pain, it is still important to understand what these changes might mean and when to seek medical advice.

Firstly, the presence of red in your stool can be concerning. Red stool can indicate the presence of blood, which may arise from various sources in the gastrointestinal tract. The color can result from bleeding in the lower gastrointestinal tract, such as from hemorrhoids, diverticulosis, or more serious conditions like colorectal cancer. However, it is also possible for red stool to be caused by certain foods (like beets or red food coloring) or medications. Since you mentioned that the red area is small and not accompanied by pain, it might not be an immediate cause for alarm, but it is still advisable to monitor the situation closely.

The appearance of white particles or mucus in your stool can also be noteworthy. Mucus is a normal component of stool, as it helps to lubricate the intestines. However, an increase in mucus production can indicate irritation or inflammation in the intestines, which could be due to conditions such as irritable bowel syndrome (IBS), infections, or inflammatory bowel disease (IBD). If these white particles are persistent or accompanied by other symptoms such as changes in bowel habits, weight loss, or fatigue, it would be prudent to seek medical evaluation.

In general, you should consider seeking medical advice if you notice any of the following:
1. Persistent Changes: If the changes in your stool persist for more than a few days or worsen over time.

2. Accompanying Symptoms: If you develop additional symptoms such as abdominal pain, diarrhea, constipation, weight loss, or fatigue.

3. Blood in Stool: If the red color in your stool increases in amount or frequency, or if you notice any other signs of bleeding (such as black, tarry stools).

4. Concerns About Diet or Medication: If you suspect that your diet or any medications you are taking may be contributing to these changes.

It is always better to err on the side of caution when it comes to changes in bowel habits or stool characteristics. A healthcare professional can perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly diagnostic tests such as stool tests, blood tests, or imaging studies to determine the cause of your symptoms.

In conclusion, while the changes you are experiencing may not be immediately alarming, it is essential to monitor them closely and consult a healthcare provider if they persist or worsen. Early intervention can lead to better outcomes, especially if there is an underlying condition that requires treatment. Remember, your health is paramount, and seeking advice from a medical professional is always a wise decision when it comes to unusual symptoms.

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