Mucous mixed with blood in stool?
Hello Dr.
Hong, I am currently abroad and it's not very suitable to go out due to COVID-19.
I would like to ask about a concern I've been having.
For the past few months, after having a bowel movement, I have noticed a mixture of clear mucus that requires two or three wipes to clean up.
Recently, during a few bowel movements, if I exert myself a bit more, I have also seen some blood streaks.
Should I consult an internist, a proctologist, or a gastroenterologist? Or should I not worry too much about it? I am also concerned about possible issues with my gynecological secretions, and I'm afraid it could be a lesion or a viral infection.
I would greatly appreciate your response.
Thank you!
Iri, 30~39 year old female. Ask Date: 2021/01/11
Dr. Hong Yuanbin reply Internal Medicine
Hello, based on your description of the mucus, I'm not sure if you've recently consumed foods that are higher in mucus content.
If there are no other symptoms, it usually isn't a cause for concern.
Regarding the blood streaks, I'm curious if you observed this on toilet paper.
If so, it may be due to constipation causing anal fissures.
If you see blood on the stool, it could indicate hemorrhoids, and you might need to consult a gastroenterologist or a colorectal surgeon for examination.
If you are worried about any lesions, it would be advisable to see a gastroenterologist.
Thank you for your inquiry.
Reply Date: 2021/01/11
More Info
When it comes to the presence of mucus and blood in stool, it is essential to understand the potential implications and when to seek medical help. The symptoms you describe—transparent mucus mixed with blood—can be concerning and warrant further evaluation.
Mucus in the stool can be a normal finding, as the intestines produce mucus to help with the passage of stool. However, an increase in mucus production, especially when accompanied by blood, can indicate underlying gastrointestinal issues. Conditions such as inflammatory bowel disease (IBD), which includes Crohn's disease and ulcerative colitis, can lead to increased mucus and blood in the stool. Other potential causes include infections, hemorrhoids, anal fissures, or colorectal polyps.
Given your symptoms, it is advisable to seek medical attention. The type of specialist you should consult depends on the severity and duration of your symptoms. Here are some recommendations:
1. Gastroenterologist: This is the most appropriate specialist for gastrointestinal issues. A gastroenterologist can perform a thorough evaluation, including a physical examination and possibly recommend diagnostic tests such as a colonoscopy or stool tests to determine the underlying cause of your symptoms.
2. Colorectal Surgeon: If there are concerns about structural issues, such as hemorrhoids or fissures, a colorectal surgeon may be involved in your care. They can assess and treat conditions that may require surgical intervention.
3. Primary Care Physician: If you are unsure where to start, your primary care physician can provide an initial evaluation and refer you to the appropriate specialist based on your symptoms.
In terms of urgency, if you experience significant blood in your stool, severe abdominal pain, or other alarming symptoms such as weight loss or changes in bowel habits, you should seek medical attention promptly. While it is understandable to be concerned about potential infections or malignancies, many causes of mucus and blood in the stool are treatable, especially when addressed early.
Additionally, considering your concerns about gynecological issues, it may be beneficial to consult a gynecologist if you have symptoms related to that area as well. It is essential to address all your health concerns comprehensively.
In summary, while mucus in stool can be normal, the presence of blood, especially if it is recurrent or associated with other symptoms, should not be ignored. Consulting a gastroenterologist is the best course of action to ensure a thorough evaluation and appropriate management of your symptoms. Remember, early diagnosis and treatment can significantly improve outcomes for many gastrointestinal conditions.
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