Blood in Stool: Causes and When to Seek Help

Rectal bleeding

I had curry rice for both lunch and dinner, and I made sure there were no red items or added spices.
However, during my first bowel movement in the evening, I noticed blood.
It didn't turn the toilet water red, but after confirming there was blood, I became very anxious and used toilet paper to wipe my bottom.
I found a small amount of red (about the size of a coin, but the markings weren't very clear).
There was no pain associated with external hemorrhoids or anal fissures; it felt quite normal (even a bit comfortable).
If there is blood but no pain, could I have colon cancer? My lifestyle is irregular, and my diet is not very careful.
I've read many articles that discuss significant amounts of blood indicating a problem, or directly related to hemorrhoids.
However, before seeking medical attention, I wanted to inquire if a small amount of blood could actually be normal, or if it could be related to polyps or hemorrhoids.

Note: The stool was formed, but afterwards, I intentionally wiped a bit inside (my finger slightly inside until the toilet paper almost tore), and I noticed the stool was a bit sticky, with a small amount of blood (less than the size of a coin).
Is this stickiness what is referred to as "mucous"? Or is it normal for stool to be sticky at the anal opening, especially if it is fresh?

Lin Xiansheng, 20~29 year old female. Ask Date: 2018/03/29

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility of hemorrhoidal bleeding.
As long as there is no further bleeding, it should not be a concern.
It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements.
Increasing dietary fiber intake can also be beneficial.
Warm sitz baths may help alleviate symptoms, and you can purchase hemorrhoid suppositories over the counter.
It is best to avoid taking laxatives indiscriminately.
Although the probability of developing colorectal cancer at the age of 22 is not zero, it is generally very low.
Based on your description, it seems more like hemorrhoids.
It is advisable to maintain a light diet and a good lifestyle routine, avoiding spicy, irritating, and greasy foods.
If symptoms persist without improvement, you may consult a physician for medication or consider undergoing a colonoscopy.

Reply Date: 2018/03/29

More Info

When it comes to the presence of blood in stool, it can understandably cause significant concern. However, it is important to approach this issue with a clear understanding of potential causes and the appropriate steps to take.

Firstly, the presence of blood in stool can arise from various sources within the gastrointestinal tract. Common causes include hemorrhoids, anal fissures, diverticular disease, and gastrointestinal bleeding from conditions such as inflammatory bowel disease (IBD) or colorectal cancer. In your case, you mentioned that the blood was minimal and that there was no pain associated with it, which could suggest a less serious issue, such as hemorrhoids or a minor anal fissure. These conditions can often cause slight bleeding without significant discomfort.

The fact that you have a history of irregular eating habits and lifestyle choices may also play a role in your gastrointestinal health. Diets low in fiber can lead to constipation, which can exacerbate conditions like hemorrhoids or fissures. Additionally, the presence of "sticky" stool could indicate that your stool is not well-formed, which can occur with dietary issues or dehydration.

While it is true that any presence of blood in stool should be taken seriously, it is essential to consider the quantity and associated symptoms. In your case, since the blood is minimal and there is no pain, it may not indicate a severe condition. However, it is crucial to monitor the situation closely. If the bleeding persists, increases in quantity, or is accompanied by other symptoms such as abdominal pain, changes in bowel habits, or weight loss, it would be prudent to seek medical attention promptly.

In terms of when to seek help, here are some guidelines:
1. Persistent Symptoms: If the blood in your stool continues over several days or worsens, it is essential to consult a healthcare provider.

2. Associated Symptoms: If you experience additional symptoms such as abdominal pain, diarrhea, or changes in bowel habits, seek medical advice.

3. Family History: If there is a family history of colorectal cancer or other gastrointestinal diseases, it is wise to discuss your symptoms with a doctor sooner rather than later.

4. Age Considerations: If you are over the age of 50 or have risk factors for colorectal cancer, it is advisable to have a screening colonoscopy.

In conclusion, while the presence of a small amount of blood in your stool can be concerning, it does not automatically indicate a severe condition like colorectal cancer, especially in the absence of pain and other alarming symptoms. However, it is always best to err on the side of caution. Consulting with a healthcare professional for a thorough evaluation, including a physical examination and possibly further testing, will provide you with the most accurate diagnosis and peace of mind. Remember, early detection and intervention are key in managing any potential health issues effectively.

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