Blood in Stool: Causes and When to Seek Help

Blood in the stool, blood on wiping?

Hello Doctor, I would like to ask you about something.
I have regular bowel movements every day, and the color is normal.
This morning, I had two bowel movements, both with normal color, but when I wiped, there was blood.
After wiping two or three times, the blood was gone.
In the evening, I didn't pay attention to the color of my stool, but I noticed that the water was blood-colored (like menstrual blood).
When I wiped, there was also blood, similar to this morning.
This is the first time this has happened to me.
I haven't eaten any dragon fruit or similar fruits, and my diet yesterday was quite normal.
What could be the issue?

Ms. Huang, 30~39 year old female. Ask Date: 2020/07/21

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 bowel movements.
Increasing dietary fiber intake can also be beneficial.
Warm sitz baths may help alleviate symptoms, and over-the-counter hemorrhoid suppositories can be used.
It is best to avoid taking stool softeners indiscriminately.
If bleeding persists, it is advisable to consult a physician.
If necessary, a colonoscopy can also be arranged.

Reply Date: 2020/07/21

More Info

When it comes to the presence of blood in stool, it can be concerning and warrants careful consideration. Blood in the stool can arise from various causes, ranging from benign to serious conditions. Given your description, it’s important to understand the potential reasons for this symptom and when to seek medical attention.

Possible Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of blood in the stool is hemorrhoids, which are swollen veins in the lower rectum or anus. They can cause bright red blood during bowel movements, especially if there is straining involved.

2. Anal Fissures: These are small tears in the lining of the anus, often resulting from passing hard stools. They can cause sharp pain and bleeding during bowel movements.

3. Gastrointestinal Bleeding: Blood can originate from anywhere in the gastrointestinal tract. Conditions such as diverticulosis, inflammatory bowel disease (IBD), or colorectal polyps can lead to bleeding. The color of the blood can help determine the source; bright red blood typically indicates a lower GI source, while darker blood may suggest an upper GI source.

4. Infections: Certain infections, particularly those affecting the intestines, can cause inflammation and bleeding. This can be associated with diarrhea, abdominal pain, and other gastrointestinal symptoms.

5. Colorectal Cancer: While less common, blood in the stool can be a sign of colorectal cancer, especially if it is accompanied by other symptoms such as changes in bowel habits, unexplained weight loss, or persistent abdominal discomfort.

When to Seek Medical Help
Given that you have noticed blood in your stool, it is advisable to seek medical attention, especially if:
- The bleeding persists or worsens.

- You experience significant abdominal pain or discomfort.

- You notice changes in your bowel habits, such as diarrhea or constipation.

- There is a change in the color or consistency of your stool.

- You experience symptoms such as dizziness, weakness, or fainting, which could indicate significant blood loss.

What to Expect at the Doctor's Office
When you visit a healthcare provider, they will likely perform a thorough evaluation, which may include:
- A detailed medical history and physical examination.

- Laboratory tests, including a complete blood count (CBC) to check for anemia.

- Stool tests to check for infections or blood.

- Imaging studies, such as a colonoscopy, to visualize the colon and rectum directly.

Conclusion
While occasional blood in the stool can be due to minor issues like hemorrhoids or anal fissures, it is crucial to take this symptom seriously. Given your recent experience of noticing blood, it is recommended to consult a healthcare professional promptly. They can provide a proper diagnosis and treatment plan tailored to your specific situation. Remember, early intervention is key in managing any potential underlying conditions effectively.

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