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

More Info

---

Blood in the stool can be a concerning symptom, and understanding its potential causes is crucial for determining the appropriate course of action. The presence of bright red blood at the end of a bowel movement, especially if it occurs intermittently, can be indicative of several conditions, ranging from benign to more serious issues.

One of the most common causes of bright red blood in the stool is hemorrhoids. Hemorrhoids are swollen blood vessels in the rectal area that can become inflamed or irritated, often leading to bleeding during bowel movements. This is particularly likely if you have experienced constipation, as straining during a bowel movement can exacerbate hemorrhoids. The blood from hemorrhoids typically appears bright red and may be seen on toilet paper or on the surface of the stool.

Another possible cause is anal fissures, which are small tears in the lining of the anus. These can occur due to passing hard stools or straining during bowel movements. Like hemorrhoids, anal fissures can cause bright red blood and may be accompanied by pain during bowel movements.

In some cases, blood in the stool can be a sign of more serious conditions, such as diverticular disease, inflammatory bowel disease (IBD), or colorectal polyps and cancer. Diverticulosis involves the formation of small pouches in the colon wall, which can become inflamed or infected, leading to bleeding. IBD, which includes conditions like Crohn's disease and ulcerative colitis, can cause inflammation and ulceration in the gastrointestinal tract, resulting in blood in the stool. Colorectal cancer may also present with rectal bleeding, especially in older adults or those with a family history of the disease.

Given that you have experienced blood in your stool intermittently and have noted some constipation, it is essential to monitor your symptoms closely. If the bleeding persists, increases in volume, or is accompanied by other symptoms such as abdominal pain, changes in bowel habits, or weight loss, it is crucial to seek medical attention promptly. A healthcare provider may recommend a physical examination, possibly including a rectal exam, and may suggest further diagnostic tests such as a colonoscopy to visualize the colon and identify the source of the bleeding.

In summary, while the presence of bright red blood in the stool can often be attributed to benign causes like hemorrhoids or anal fissures, it is essential to remain vigilant. If symptoms persist or worsen, consulting a healthcare professional is vital to rule out more serious conditions and to receive appropriate treatment. Remember, early intervention can lead to better outcomes, especially when it comes to gastrointestinal health.