Blood in Diarrhea with Bloating: When to Seek Medical Help? - Surgery

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Diarrhea with blood, but no pain, accompanied by frequent belching and flatulence?


My dad is 56 years old and often experiences hiccups and flatulence, along with diarrhea.
He has trouble sleeping at night and gets up to use the bathroom.
Today, he even had blood in his stool! He ate hot pot yesterday, and he didn't eat dragon fruit.
I'm wondering if it could be hemorrhoids or something like a tumor? Which specialist should he see? Should he get a colonoscopy? I don't want to lose my dad before the 88th festival.

Wo ba liu xue le, 50~59 year old female. Ask Date: 2020/08/04

Dr. Xu Kaixi reply Surgery


Excessive flatulence may be caused by swallowing too much air and is also related to the production of excessive gas in the digestive tract.
If you notice that, in addition to burping, bloating, or constant flatulence, you also experience frequent diarrhea, persistent abdominal pain, sudden severe abdominal pain, blood in your stool, changes in bowel habits, chest pain, or unexplained weight loss, it is important to seek medical evaluation.

Reply Date: 2020/08/04

More Info


When it comes to the symptoms your father is experiencing, particularly the presence of blood in his diarrhea, it is crucial to seek medical attention promptly. Blood in the stool can be indicative of several conditions, some of which may require immediate intervention. Given that your father is 56 years old and has been experiencing bloating, frequent gas, and diarrhea, these symptoms combined with the presence of blood raise concerns that should not be ignored.


Possible Causes of Blood in Diarrhea
1. Hemorrhoids: This is a common cause of blood in the stool, especially if the blood is bright red and appears on the surface of the stool or on toilet paper. Hemorrhoids can cause discomfort and may lead to bleeding during bowel movements.

2. Diverticulosis: This condition involves the formation of small pouches in the colon wall, which can become inflamed or infected, leading to diverticulitis. This can cause abdominal pain, bloating, and changes in bowel habits, including diarrhea and blood in the stool.

3. Colorectal Polyps or Cancer: Given your father's age, it is important to consider the possibility of colorectal polyps or cancer. These can present with symptoms such as blood in the stool, changes in bowel habits, and abdominal discomfort.

4. Infections: Certain gastrointestinal infections can lead to diarrhea with blood, often accompanied by fever and abdominal cramps. These infections can be caused by bacteria, viruses, or parasites.

5. Inflammatory Bowel Disease (IBD): Conditions such as Crohn's disease or ulcerative colitis can cause inflammation of the gastrointestinal tract, leading to symptoms like diarrhea, abdominal pain, and blood in the stool.


When to Seek Medical Help
Given the seriousness of the symptoms, especially the presence of blood, it is advisable to seek medical help immediately. You should consider taking your father to a healthcare provider who specializes in gastrointestinal issues, such as a gastroenterologist. They will be able to conduct a thorough evaluation, which may include:
- Physical Examination: This will help assess any abdominal tenderness or other physical signs of gastrointestinal distress.

- Laboratory Tests: Blood tests may be conducted to check for signs of infection, anemia, or other underlying conditions.

- Imaging Studies: Depending on the findings, imaging studies such as a CT scan may be recommended to visualize the intestines.

- Colonoscopy: This is a key diagnostic tool for evaluating the colon and rectum. A colonoscopy allows the doctor to directly visualize the lining of the colon and can also be used to take biopsies if necessary.


Conclusion
In summary, your father's symptoms warrant immediate medical attention. Blood in the stool, especially in conjunction with diarrhea and other gastrointestinal symptoms, should be evaluated by a healthcare professional as soon as possible. It is better to err on the side of caution, as early diagnosis and treatment can significantly improve outcomes for many gastrointestinal conditions. Please ensure that he sees a doctor without delay, and do not hesitate to express your concerns about his health to the medical team.

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