Hemorrhoids: Causes of Blood in Stool and Abdominal Pain - Surgery

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Hemorrhoids with rectal bleeding?


I have been experiencing severe abdominal pain lately, and my bowel movements have been very watery, almost like diarrhea.
Today, I noticed that my diarrhea had blood in it, and it was clearly red.
Sometimes, I notice blood when I have a bowel movement, but not always; it usually happens when I strain.
This is the first time I've had diarrhea with blood.
My stomach has been hurting a lot, but I feel better after having a bowel movement.
However, shortly after, I feel the urge to go again.

fangdg, 10~19 year old female. Ask Date: 2018/06/01

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, shorten the time spent on bowel movements, and increase the intake of dietary fiber, which can be helpful.
Warm sitz baths may also aid in alleviating symptoms.
Over-the-counter hemorrhoid suppositories can be used, but it is best not to take stool softeners indiscriminately.
If bleeding persists, it is advisable to consult a physician for evaluation.
If necessary, a colonoscopy can be arranged.

Reply Date: 2018/06/01

More Info


Hemorrhoids, also known as piles, are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding. The symptoms you are experiencing, such as abdominal pain and blood in your stool, can indeed be associated with hemorrhoids, but they can also indicate other gastrointestinal issues that should not be overlooked.


Causes of Blood in Stool and Abdominal Pain
1. Hemorrhoids: The most common cause of blood in the stool, especially if it is bright red, is hemorrhoids. They can cause pain during bowel movements, and straining can exacerbate the bleeding. If you notice blood only when you have a bowel movement, it is likely related to hemorrhoids.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to sharp pain and bleeding during bowel movements.

3. Gastrointestinal Infections: Infections can lead to diarrhea and may cause blood in the stool. This could be due to bacterial, viral, or parasitic infections.

4. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause abdominal pain, diarrhea, and blood in the stool. These are chronic conditions that require medical management.

5. Diverticulosis: This condition involves the formation of small pouches in the colon wall, which can become inflamed or infected, leading to diverticulitis. Symptoms include abdominal pain and changes in bowel habits, including blood in the stool.

6. Colorectal Polyps or Cancer: While less common, polyps can bleed and may be a precursor to colorectal cancer. If you are experiencing persistent symptoms, it is essential to rule out these possibilities.


Recommendations
Given your symptoms of abdominal pain and blood in your stool, it is crucial to seek medical attention. Here are some steps you can take:
1. Consult a Healthcare Provider: Schedule an appointment with a gastroenterologist or your primary care physician. They may recommend tests such as a colonoscopy to examine the colon and rectum for any abnormalities.

2. Keep a Symptom Diary: Document your symptoms, including when they occur, their severity, and any dietary changes. This information can help your doctor make a more accurate diagnosis.

3. Dietary Adjustments: Increasing your fiber intake can help soften stools and reduce straining during bowel movements, which may alleviate some of your symptoms. Foods high in fiber include fruits, vegetables, whole grains, and legumes.

4. Hydration: Ensure you are drinking plenty of fluids, as this can help prevent constipation and promote regular bowel movements.

5. Avoid Straining: Try not to strain during bowel movements, as this can worsen hemorrhoids and lead to further bleeding.

6. Over-the-Counter Treatments: For immediate relief, consider using over-the-counter creams or suppositories designed for hemorrhoids. However, these should not replace a visit to your doctor.


Conclusion
While hemorrhoids are a common cause of the symptoms you are experiencing, it is essential to rule out other potential causes, especially if you are experiencing significant abdominal pain and blood in your stool. Early diagnosis and treatment can prevent complications and improve your quality of life. Please prioritize seeing a healthcare professional to address your symptoms comprehensively.

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