Blood in Stool: Hemorrhoids, Anal Fissures, or Cancer?

Rectal bleeding

I have been working in an office for about six months now, and prolonged sitting has recently led to blood in my stool.
Sometimes the amount of blood is a bit more than just a little, and I experience slight pain in the anus during bowel movements, with a small amount of blood on the stool.
Could this be hemorrhoids or an anal fissure? Is there a possibility that it could be colon cancer? Should I seek medical evaluation, or should I first increase my fluid intake and consume more fruits and vegetables to see if there is any improvement? Thank you.

Coco, 20~29 year old female. Ask Date: 2020/09/13

Dr. Ke Fangxu reply Surgery

Based on your description, it seems more like typical symptoms of an anal fissure, which include pain during bowel movements accompanied by slight bleeding.
The common causes are usually constipation or diarrhea.
The fundamental treatment is to improve bowel habits, along with warm sitz baths.
Warm sitz baths can help relieve pain, maintain cleanliness, and promote blood circulation.
You can also purchase hemorrhoid suppositories over the counter.
Although the likelihood of developing colorectal cancer at the age of 22 is not zero, it is generally very low.
It is advisable to start with a light diet and maintain a good lifestyle.
Spicy, irritating, and greasy foods should be avoided, and increasing dietary fiber can also be beneficial.
If symptoms persist without improvement, you may consult a physician for medication or to undergo a colonoscopy.

Reply Date: 2020/09/13

More Info

When it comes to the presence of blood in stool, it is essential to approach the situation with caution and seek a thorough understanding of the potential causes. The symptoms you describe—blood in the stool, slight pain during bowel movements, and the context of a sedentary lifestyle—could indeed suggest several conditions, including hemorrhoids, anal fissures, or more serious issues such as colorectal cancer.

Common Causes of Blood in Stool
1. Hemorrhoids: These are swollen blood vessels in the rectal area that can cause bleeding during bowel movements. The blood is usually bright red and may appear on the toilet paper or in the toilet bowl. Hemorrhoids can be caused by straining during bowel movements, prolonged sitting, or increased pressure due to pregnancy or obesity.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to sharp pain during bowel movements and may also result in bright red blood. The pain can be quite significant, often described as a burning sensation.

3. Colorectal Cancer: While less common, blood in the stool can also be a symptom of colorectal cancer, especially if accompanied by other symptoms such as changes in bowel habits, unexplained weight loss, or persistent abdominal discomfort. The blood may appear darker or mixed with stool, indicating a more serious issue.

When to Seek Medical Attention
Given your symptoms and the duration of your condition, it is advisable to consult a healthcare professional. While lifestyle changes such as increasing water intake and consuming more fruits and vegetables can help alleviate constipation and reduce strain during bowel movements, they should not replace a medical evaluation, especially when there is blood involved.

Recommended Actions
1. Consult a Doctor: A healthcare provider can perform a physical examination and may recommend further tests, such as a colonoscopy, to rule out serious conditions. Early detection is crucial, especially for conditions like colorectal cancer.

2. Dietary Changes: While waiting for your appointment, focus on a high-fiber diet, stay hydrated, and consider over-the-counter stool softeners if necessary. These measures can help reduce straining during bowel movements.

3. Monitor Symptoms: Keep track of any changes in your symptoms, such as the amount of blood, changes in bowel habits, or any new symptoms like weight loss or abdominal pain. This information will be helpful for your healthcare provider.

Conclusion
In summary, while hemorrhoids and anal fissures are common causes of blood in the stool, the presence of blood should always be taken seriously. Given your symptoms and lifestyle factors, it is prudent to seek medical advice to ensure proper diagnosis and treatment. Early intervention can lead to better outcomes, particularly if a more serious condition is present. Don’t hesitate to reach out to a healthcare professional for peace of mind and appropriate care.

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