Mucus and Blood in Stool: When to Seek Medical Attention

Mucus in stool with blood?

Hello, Doctor.
Three months ago, I experienced pain in my lower left abdomen and noticed mucus in my stool, so I went to the hospital for a colonoscopy.
The results showed two areas of redness and inflammation in the rectum, which the doctor diagnosed as rectal inflammation.
Additionally, some mild hemorrhoids were found.
The day after the colonoscopy, I had rectal bleeding during a bowel movement, and the doctor prescribed anti-inflammatory and hemostatic medications, as well as rectal suppositories (Abel hemorrhoid suppositories).
Everything was normal for the next three months, but today I noticed a significant amount of mucus in my stool again, accompanied by streaks of bright red blood.
Since I am currently abroad, I would like to ask whether I should continue to observe this situation or take more proactive measures.
The medications I have on hand are: Abel hemorrhoid suppositories, Danxueyan, and Mesalamine suppositories.
Thank you!

Terry, 40~49 year old female. Ask Date: 2021/04/08

Dr. Chen Shidian reply Gastroenterology and Hepatology

You can start with medication, and if the rectal bleeding persists, schedule a time for a colonoscopy.

Reply Date: 2021/04/08

More Info

When it comes to understanding mucus and blood in stool, especially in the context of a previous diagnosis of rectal inflammation and hemorrhoids, it's essential to approach the situation with caution. Given your history of rectal inflammation and the recent appearance of mucus with fresh red blood in your stool, there are several factors to consider.

Firstly, the presence of mucus in stool can be a normal occurrence, as mucus is produced by the intestines to help with the passage of stool. However, when it is accompanied by blood, especially fresh red blood, it raises concerns that warrant further investigation. Fresh red blood typically indicates that the bleeding is occurring in the lower gastrointestinal tract, which includes the rectum and colon.

In your case, since you have a history of rectal inflammation and hemorrhoids, the blood could potentially be related to these conditions. Hemorrhoids can cause bleeding during bowel movements, especially if there is straining or if the stool is hard. On the other hand, rectal inflammation could also lead to bleeding, particularly if there is irritation or ulceration in the rectal lining.

Given that you have been prescribed anti-inflammatory and hemostatic medications, as well as mesalamine suppositories, it is crucial to evaluate how well these treatments have been managing your symptoms. The fact that you experienced a period of normalcy for three months is a positive sign, but the recurrence of symptoms suggests that there may still be underlying issues that need to be addressed.

Since you are currently abroad, it is advisable to seek medical attention promptly. While it may be tempting to continue observing the situation, the presence of fresh blood in your stool, particularly after a period of stability, should not be taken lightly. Here are some steps you can consider:
1. Consult a Healthcare Professional: If possible, find a local healthcare provider who can evaluate your symptoms. They may recommend further diagnostic tests, such as a repeat colonoscopy or imaging studies, to assess the state of your rectal inflammation and rule out any other potential causes of bleeding.

2. Monitor Symptoms: Keep track of any additional symptoms you may experience, such as changes in bowel habits, abdominal pain, or any signs of systemic illness (fever, weight loss, etc.). This information will be valuable for your healthcare provider.

3. Medication Review: Discuss your current medications with a healthcare professional. They may need to adjust your treatment plan based on your current symptoms and any new findings.

4. Diet and Hydration: Ensure you are maintaining a diet that supports bowel health, including adequate fiber intake and hydration. This can help prevent constipation and reduce strain during bowel movements, which may alleviate some of the bleeding associated with hemorrhoids.

5. Emergency Care: If you experience significant bleeding, severe abdominal pain, or any other alarming symptoms, seek emergency medical care immediately.

In summary, while the recurrence of mucus and blood in your stool may relate to your previous conditions, it is essential to take this symptom seriously and seek medical evaluation. Early intervention can help prevent complications and ensure that any underlying issues are appropriately managed.

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