Concerns About Digestive Issues: What Your Symptoms Might Indicate - Surgery

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Issues related to the digestive system?


Hello doctor, I am a 21-year-old college student.
I have a history of peptic ulcer and diverticulitis, and I have also undergone an appendectomy.
I would like to ask you about something.
This morning, my stool was mushy and brown in color.
By the afternoon, my stool had a tubular shape and contained orange-red streaks that looked like blood.
I did not consume any red or orange foods today.
I would like to know if this could indicate a problem with my lower gastrointestinal system.

zico, 20~29 year old female. Ask Date: 2021/03/21

Dr. Xu Kaixi reply Surgery


There are many factors that can affect stool, including diet and lifestyle habits, which may lead to changes in stool characteristics.
If you visually suspect the presence of blood, it is considered an abnormal symptom, and it is recommended that you visit a hospital for further examination.

Reply Date: 2021/03/21

More Info


Hello! Thank you for reaching out with your concerns regarding your digestive health. Given your medical history of peptic ulcer disease, diverticulitis, and appendectomy, it's understandable that you might be worried about any new gastrointestinal symptoms.
The changes in your stool consistency and color can indeed be concerning, especially with the presence of what appears to be blood. The fact that your stool was initially mushy and then became more formed but with an orange-red tint raises a few possibilities.
Firstly, the presence of orange or red in your stool can sometimes be attributed to dietary factors, but since you mentioned that you haven't consumed any red or orange foods, we need to consider other explanations. Blood in the stool can appear in various forms; it can be bright red, indicating fresh bleeding from the lower gastrointestinal tract, or darker, indicating older blood from higher up in the digestive system. The color change you described could suggest bleeding, which might be coming from the lower part of your digestive tract, such as the colon or rectum.

Given your history of gastrointestinal issues, it is crucial to consider the possibility of complications related to your previous conditions. For example, diverticulitis can lead to diverticular bleeding or even perforation, which can present with changes in bowel habits and blood in the stool. Additionally, ulcers can sometimes lead to bleeding, particularly if they are located in the stomach or upper part of the small intestine.

Other potential causes of your symptoms could include infections, inflammatory bowel disease (IBD), or even benign conditions such as hemorrhoids, which can cause bright red blood on the stool or toilet paper. However, the presence of blood, especially if it is accompanied by other symptoms such as abdominal pain, changes in appetite, weight loss, or persistent diarrhea, warrants further investigation.

I recommend that you seek medical attention promptly. A healthcare provider will likely perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly some diagnostic tests such as blood tests, stool tests, or imaging studies. In some cases, a colonoscopy may be necessary to visualize the lower gastrointestinal tract directly and determine the source of the bleeding.

In the meantime, it’s essential to stay hydrated, especially if you experience any diarrhea. Avoid any over-the-counter medications that might mask symptoms without addressing the underlying issue, and keep track of any additional symptoms that may arise.

In summary, while your symptoms could be due to various factors, the presence of blood in your stool is a significant concern that should not be ignored. Please consult with a healthcare professional as soon as possible to ensure that you receive the appropriate care and treatment. Your health is paramount, and early intervention can often lead to better outcomes. Take care!

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