Bowel Issues: Causes and When to Seek Medical Help - Gastroenterology and Hepatology

Bowel issues

Previously, bowel movements occurred about 2 to 3 times per day, often in thin or mushy forms, with fresh red blood in the toilet.
There was often abdominal pain and urgency when feeling stressed.
A month ago, treatment for influenza was initiated (medications included Procaterol, Prednisolone, and Cimetidine).
In the past week, bowel movements have been 2 to 3 times per day, presenting as 2 cm thick stools, with a large volume, but requiring straining to pass.
There is often a sensation of granular stools at the anal opening, and there is still mild pain on the left side of the anal area after bowel movements.
What could be the possible causes? Is it possible that this is medication-related? If a consultation is recommended, which specialty should be consulted? Thank you.

amy, 40~49 year old female. Ask Date: 2019/04/07

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Please visit a colorectal surgery clinic.

Reply Date: 2019/04/07

More Info

When dealing with bowel issues, especially those that involve changes in bowel habits, the presence of blood, and discomfort, it is crucial to understand the potential causes and when to seek medical help. Based on the symptoms you've described, there are several factors to consider.

Firstly, the presence of bright red blood in the stool can be alarming and may indicate several conditions. Common causes include hemorrhoids, anal fissures, diverticular disease, or more serious conditions like inflammatory bowel disease (IBD), which includes Crohn's disease and ulcerative colitis. Given that you have a history of bowel issues, it is essential to consider these possibilities seriously.

The changes in your bowel habits, such as the frequency of 2-3 times per day and the consistency of your stool, could be indicative of a few different issues. The fact that you are experiencing straining during bowel movements and a sensation of incomplete evacuation may suggest a functional bowel disorder, such as irritable bowel syndrome (IBS) or constipation-predominant IBS. Additionally, the medications you mentioned—Procaterol, Prednisolone, and Cimetidine—can have gastrointestinal side effects. For instance, corticosteroids like Prednisolone can affect gut motility and may lead to changes in bowel habits.

The pain you describe near the anal area, especially if it feels like a lump or granule, could be related to hemorrhoids or an anal fissure, both of which can cause discomfort and bleeding. It is also worth noting that stress and anxiety can exacerbate gastrointestinal symptoms, leading to increased abdominal pain and altered bowel habits.

Given these symptoms, it is advisable to seek medical attention. You should consider visiting a gastroenterologist, a specialist in digestive system disorders. They can perform a thorough evaluation, which may include a physical examination, a detailed history of your symptoms, and possibly diagnostic tests such as a colonoscopy or imaging studies to rule out any serious conditions.

In the meantime, it may be beneficial to monitor your diet and hydration. Increasing fiber intake through fruits, vegetables, and whole grains can help improve stool consistency and reduce straining. Staying well-hydrated is also crucial for maintaining healthy bowel function. If you are experiencing significant anxiety related to your symptoms, discussing this with a healthcare provider can also be beneficial, as they may recommend strategies or therapies to help manage stress.

In summary, while your symptoms may be related to medication side effects or functional bowel issues, the presence of blood and pain warrants a thorough evaluation by a healthcare professional. Do not hesitate to seek help, as early intervention can lead to better outcomes and peace of mind.

Similar Q&A

Understanding Gastrointestinal Issues: When to Seek Medical Help

Hello, doctor. My cousin seems to have a very poor digestive system. Every time he eats, he has to rush to the bathroom immediately, and it's not just once; it's usually two or three times before he feels better. I would like to ask what kind of problem this symptom mig...

Dr. Chen Shidian reply Gastroenterology and Hepatology
Hello Ms. Peipei: It is likely that you have Irritable Bowel Syndrome (IBS), which can cause digestive discomfort. You may want to visit a gastroenterology clinic for a basic examination to rule out other possibilities. Additionally, adjusting your diet and managing stress, along...

Understanding Digestive Issues: When to Seek Medical Help

Hello Doctor: Approximately two weeks ago (around the 16th), I started experiencing diarrhea. I am currently taking medication prescribed by the hospital (around the third day of treatment). I tend to be anxious and nervous (as I have cared for my father with cancer and am worrie...

Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello Mr. Chen: I am unsure of your definition of critical illness. I recommend seeking medical attention for a physician to assess whether further examinations are necessary to identify any issues. If you are experiencing anxiety and nervousness, it may be advisable to consult a...

Understanding Bowel Issues: When to Seek Medical Attention

I initially only experienced irregular bowel movements and occasional bloating, which did not significantly affect my daily life. A long time ago, I consulted a doctor who prescribed some medications to promote gastrointestinal motility. Since I am currently preparing for exams, ...

Dr. Xu Kaixi reply Surgery
There are many factors that can affect bowel movements, including diet and lifestyle habits. If bowel issues have led to the symptoms you described and are impacting your quality of life, it is advisable to visit a gastroenterologist for further examination and treatment.

Understanding Digestive Issues: When to Seek Medical Advice

Since the start of last school year (September), I have been experiencing mild pain on the sides of my abdomen and in the four corners. At that time, my bowel movements were not very smooth, and the doctor diagnosed me with constipation, advising me to drink more water and eat ve...

Dr. Luo Yining reply Gastroenterology and Hepatology
If symptoms persist or worsen despite adjustments in lifestyle and dietary habits, it is recommended to consult a pediatrician or a pediatric gastroenterologist for further evaluation and treatment.