Blood in Stool: Causes and Concerns for Teens - Surgery

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Rectal bleeding


Hello doctor, I am 16 years old.
Recently, I noticed blood in my stool, but I also remembered that I have been staying up late often and drinking very little water.
When I went to the bathroom for the second time, I tried to improve my habit of drinking less water, and I noticed that there was less blood.
I'm wondering if I have some serious illness or if it's caused by dehydration and lack of sleep.

MOMo, 10~19 year old female. Ask Date: 2018/07/24

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 helpful.
Warm sitz baths may assist in alleviating symptoms, and you can purchase hemorrhoid suppositories at the pharmacy.
It is best to avoid taking laxatives indiscriminately.
Although the likelihood of developing colorectal cancer at the age of 16 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 want to consult a physician for medication or to undergo a colonoscopy.

Reply Date: 2018/07/24

More Info


Seeing blood in your stool can understandably be alarming, especially for a teenager like yourself. It's important to approach this situation with a clear understanding of the potential causes and necessary actions to take.
Firstly, the presence of blood in the stool can stem from various sources within the gastrointestinal tract. Common causes include hemorrhoids, anal fissures, diverticular disease, and gastrointestinal infections. In some cases, it can also indicate more serious conditions such as inflammatory bowel disease (IBD), polyps, or even colorectal cancer, although the latter is less common in younger individuals.

Given your recent lifestyle habits—staying up late and not drinking enough water—these factors could contribute to some gastrointestinal issues. For instance, dehydration can lead to constipation, which may result in straining during bowel movements. This straining can cause hemorrhoids or anal fissures, both of which can lead to blood in the stool.
It's also worth noting that dietary habits play a crucial role in digestive health. A diet low in fiber and fluids can exacerbate constipation, leading to the aforementioned issues. Increasing your water intake and incorporating more fiber-rich foods into your diet can help alleviate these symptoms. Foods such as fruits, vegetables, whole grains, and legumes are excellent sources of fiber that can promote regular bowel movements.

However, while lifestyle changes can help, it’s essential not to dismiss the presence of blood in your stool. Even if you notice a reduction in blood after making changes, it’s crucial to consult a healthcare professional. They may recommend a thorough evaluation, which could include a physical examination, a review of your medical history, and possibly diagnostic tests such as a colonoscopy or imaging studies to rule out any serious conditions.

In addition to blood in your stool, pay attention to other symptoms that may accompany it, such as abdominal pain, changes in bowel habits, weight loss, or fatigue. These symptoms can provide valuable information to your healthcare provider and help guide the diagnostic process.

In summary, while your recent habits of staying up late and not drinking enough water could contribute to gastrointestinal issues, it’s vital to take the presence of blood in your stool seriously. Make an appointment with a healthcare provider to discuss your symptoms and undergo any necessary evaluations. Early detection and intervention can significantly improve outcomes, especially if there is an underlying condition that needs to be addressed. Remember, maintaining a healthy lifestyle, including proper hydration and nutrition, is essential for your overall well-being.

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