Blood in Stool: Causes and Concerns for Your Health

Blood in stool?

I have been experiencing constipation for a while due to my menstrual period.
Today, my period has ended, and in the afternoon, I felt the urge to go to the bathroom.
At first, the stool that came out was somewhat thick, but the front part felt harder and was more like retained stool, while the back part was normal brown stool.
After that, the stool became a bit softer and dark brown.
When I wiped, I noticed blood on the toilet paper, and there was also some blood on the stool, but it was minimal and appeared in streaks on the stool.
The thicker stool at the front did not have any blood.
I would like to know what this could mean.
Is it colon cancer? I was previously diagnosed with irritable bowel syndrome, and I wonder if this is related.
I have had similar stool issues before, but without any bleeding.
The night before, I ate spicy kimchi, and my recent meals have not been very regular.
I also often go to bed around one or two in the morning, and my stomach has been feeling a bit uncomfortable.

Dm, 10~19 year old female. Ask Date: 2018/08/03

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 the toilet.
Increasing dietary fiber intake can also be beneficial.
Warm sitz baths may help alleviate symptoms, and over-the-counter hemorrhoidal suppositories can be used.
It is best to avoid taking stool softeners indiscriminately.
If bleeding persists, it is advisable to consult a physician.
Maintaining a good lifestyle and dietary habits is essential; as long as bowel movements are normal, these symptoms should improve.

Reply Date: 2018/08/03

More Info

Understanding blood in stool can be concerning, and it's essential to approach this issue with care and a clear understanding of potential causes. Based on your description, it seems you experienced some bleeding after a bowel movement, which can be alarming. However, there are various reasons for blood in stool, and not all of them indicate a severe condition like colorectal cancer.

First, let's consider the characteristics of the blood you observed. You mentioned that the blood appeared on the toilet paper and on the stool, but it was not a large amount. This detail is significant because the source of the bleeding can often be inferred from its appearance. Bright red blood typically suggests that the bleeding is coming from the lower gastrointestinal tract, such as the rectum or anus, rather than from higher up in the digestive system. Common causes of bright red blood include hemorrhoids, anal fissures, or diverticular disease.
Given your history of constipation, it is possible that straining during bowel movements could have led to the development of an anal fissure, which is a small tear in the lining of the anus. This condition can cause pain and bleeding, especially after passing hard stools. Hemorrhoids, which are swollen veins in the rectal area, can also cause similar symptoms and are quite common, particularly in individuals who experience constipation.

Your mention of having irritable bowel syndrome (IBS) could also play a role in your current symptoms. IBS can lead to changes in bowel habits, including constipation and diarrhea, which may contribute to the discomfort and potential bleeding you are experiencing. Stress, dietary changes, and irregular eating patterns, such as those you've described, can exacerbate IBS symptoms.

It's also worth noting that dietary factors can influence bowel health. You mentioned consuming spicy foods, such as kimchi, which can irritate the gastrointestinal tract in some individuals, particularly if they are not accustomed to such foods. Additionally, irregular eating habits and late-night meals can disrupt digestion and lead to gastrointestinal discomfort.

While the presence of blood in your stool can be concerning, it is essential to consider the context and accompanying symptoms. If the bleeding is minor and resolves quickly, it may not be a cause for alarm. However, if you experience persistent bleeding, significant changes in your bowel habits, or other concerning symptoms such as severe abdominal pain, weight loss, or changes in appetite, it is crucial to seek medical attention promptly.

In summary, while the presence of blood in your stool can be alarming, it is not always indicative of a severe condition like colorectal cancer, especially given your history of constipation and IBS. Common causes include hemorrhoids and anal fissures, which can often be managed with dietary changes, increased hydration, and possibly over-the-counter treatments. However, it is always best to consult with a healthcare professional for a thorough evaluation and appropriate management tailored to your specific situation. They may recommend further tests, such as a colonoscopy, to rule out any serious conditions and provide peace of mind.

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