Blood in Stool: Causes and When to Seek Help - Gastroenterology and Hepatology

There are small spots of blood in the stool?

Hello, doctor.
For the past two weeks, I have been experiencing blood in my stool every time I have a bowel movement.
There are small amounts of bright red blood that seem to be mixed with the stool.
The shape of my stool is often many small pieces pressed together in a short, narrow form.
I do not have abdominal pain, but I feel a bit uncomfortable above my navel.
I have had a history of constipation since childhood and have experienced mild anal fissures in the past.
However, the blood I have noticed recently seems to be sticking to the stool.
I have tried to separate the stool with toilet paper, and there was a little blood inside as well.
A few days ago, I felt a slight pain when passing stool, as if the stool was scraping against my anus.
When I touch the anal area while showering, there is a bit of pain, and I also experience some itching around the anus.
However, the pain has subsided in the last few days, but the presence of blood in my stool has not improved.
Additionally, I tend to pass gas frequently, and it is usually just a little at a time.
Recently, I have been hearing gurgling sounds in my stomach, but I do not feel hungry, and my appetite is normal.
My usual diet includes a lot of fried foods and instant noodles, and I tend to eat more when I am stressed, although I do not eat very few fruits and vegetables.
I have been under more stress lately and have some tendencies toward depression.
I plan to see a doctor after my midterm exams, but I am feeling anxious about my situation, so I would like to ask you if my condition could simply be caused by stress.

Sara, 10~19 year old female. Ask Date: 2020/05/02

Dr. Yang Zhichao reply Gastroenterology and Hepatology

Hello Ms.
Sara, the presence of blood in your stool, considering your age, is likely due to anal fissures or internal hemorrhoids.
However, if this persists, I recommend that you consult a physician for an evaluation.
This will also help alleviate any psychological stress or worry you may have.
Thank you for your question.

Reply Date: 2020/05/02

More Info

When it comes to blood in the stool, it can be a concerning symptom that warrants careful evaluation. Based on your description, it seems that you are experiencing bright red blood on your stool, which can be indicative of several potential issues, particularly related to the lower gastrointestinal tract. Given your history of constipation and mild anal fissures, it is possible that the blood you are seeing is related to these conditions.
Anal fissures, which are small tears in the lining of the anus, can cause bleeding during bowel movements, especially if the stool is hard or if there is straining involved. The fact that you have experienced some discomfort and slight pain during bowel movements supports this possibility. Additionally, the presence of blood that appears to be mixed with the stool rather than coming from a separate source can further suggest that the bleeding is occurring in the anal region rather than higher up in the gastrointestinal tract.

However, it is important to consider other potential causes of rectal bleeding as well. Conditions such as hemorrhoids, diverticular disease, or even more serious issues like colorectal polyps or cancer can also lead to blood in the stool. Given that you have been experiencing this symptom for two weeks, it is advisable not to delay seeking medical attention. While stress and dietary habits can contribute to gastrointestinal symptoms, they are unlikely to be the sole cause of rectal bleeding.

Your dietary habits, including a preference for fried foods and instant noodles, may contribute to constipation, which can exacerbate anal fissures and lead to further discomfort. Increasing your intake of fiber-rich foods, such as fruits, vegetables, and whole grains, can help improve bowel regularity and may alleviate some of the issues you are experiencing. Staying hydrated is also crucial, as it helps soften the stool and makes it easier to pass.

Given your symptoms, it is essential to consult with a healthcare professional who can perform a thorough evaluation. This may include a physical examination and possibly further diagnostic tests, such as a colonoscopy, to rule out any serious underlying conditions. It is particularly important to seek help if you notice any changes in the color or consistency of the blood, if the bleeding worsens, or if you develop additional symptoms such as significant abdominal pain, changes in bowel habits, or weight loss.

In summary, while your symptoms may be related to anal fissures or hemorrhoids, it is crucial to have a healthcare provider assess your condition to rule out any serious issues. Do not wait until after your exams to seek help; your health should be a priority. Addressing your dietary habits and managing stress can also play a significant role in improving your gastrointestinal health.

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