Mucus in Stool: When to Seek Medical Advice - Gastroenterology and Hepatology

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Mucus in stool


Hello Doctor, about three weeks ago I noticed blood in my stool that was pink in color, settling at the bottom of the toilet, and there was also some on the toilet paper.
A few days before this, I had eaten dragon fruit.
Since then, I have not seen any blood in my stool, but during bowel movements, there is a watery substance with the color of stool settling at the bottom of the toilet, and I also noticed a yellow liquid on the toilet paper when I wiped.
My stools are normal in shape, without any abdominal pain, cramping, or bloating, and there have been no sudden changes in the frequency, consistency, or color of my stools.
I haven't found similar symptoms online.
I would like to know if this situation requires a stool test.
Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2018/08/22

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, sir.
It may be related to the pigments in dragon fruit; you can continue to observe it.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2018/08/22

More Info


When it comes to understanding mucus in stool and determining when to seek medical advice, it’s essential to consider several factors regarding your symptoms and overall health. Based on your description, it appears that you have experienced some changes in your stool, including the presence of pinkish blood and yellow liquid, but you have not reported any accompanying symptoms such as abdominal pain, cramps, or changes in bowel habits.
Mucus in stool can be a normal occurrence, as mucus is produced by the intestines to help lubricate the stool and facilitate its passage. However, when there are changes in the amount or appearance of mucus, or when it is accompanied by other symptoms, it may warrant further investigation.
In your case, the presence of pinkish blood in the toilet and on toilet paper can be concerning, even if it was a one-time occurrence. Blood in the stool can arise from various sources, including hemorrhoids, anal fissures, or more serious conditions such as inflammatory bowel disease (IBD) or colorectal cancer. The fact that you mentioned consuming dragon fruit, which is high in fiber, could potentially explain some changes in stool consistency, but it does not account for the blood.

The yellow liquid you observed could be mucus or bile, which is also not uncommon. However, if it persists or is accompanied by other symptoms, it could indicate an underlying issue that needs to be addressed.
Given that you have not experienced any significant changes in bowel habits, such as diarrhea or constipation, and you are not experiencing any pain, it may not be urgent to seek immediate medical attention. However, it is advisable to monitor your symptoms closely. If you notice any of the following, you should seek medical advice promptly:
1. Persistent Blood: If you continue to see blood in your stool or on toilet paper.

2. Changes in Bowel Habits: If you experience diarrhea, constipation, or a significant change in the frequency of your bowel movements.

3. Abdominal Pain: If you develop any abdominal pain, cramping, or bloating.

4. Weight Loss: If you experience unexplained weight loss.

5. Fatigue or Weakness: If you feel unusually fatigued or weak.

In terms of diagnostic steps, a stool test (often referred to as a stool culture or fecal occult blood test) can help identify the presence of blood or pathogens in the stool. If your symptoms persist or worsen, your healthcare provider may recommend further testing, such as a colonoscopy, to evaluate the health of your colon and rectum.

In conclusion, while the presence of mucus and occasional blood in stool can sometimes be benign, it is crucial to remain vigilant and seek medical advice if your symptoms change or worsen. Keeping a record of your symptoms, dietary habits, and any other relevant information can be helpful for your healthcare provider in determining the best course of action. Always prioritize your health and do not hesitate to reach out to a medical professional if you have concerns.

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