Bowel Issues: When to Seek Gastroenterology Help - Gastroenterology and Hepatology

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Bowel issues


Doctor, I would like to ask about my recent bowel movements, which have been very irregular.
I have not had any issues before, but for the past four days, I have been unable to have a proper bowel movement.
The amount is very small, and there is white mucus and blood present.
I am very worried that something might be wrong.
Today, the amount was still very small, and when I wiped, there was mucus and a small amount of blood.
Which department should I see at the hospital? I live in Taichung City.
Thank you.

Qiang, 30~39 year old female. Ask Date: 2021/04/16

Dr. Yang Zhichao reply Gastroenterology and Hepatology


Hello Mr.
Qiang, based on your description of having blood in your stool, it is recommended that you visit the gastroenterology outpatient department at a hospital for further evaluation and to arrange for tests.
Thank you for your inquiry.

Reply Date: 2021/04/16

More Info


When experiencing abnormal bowel movements, especially when accompanied by symptoms such as mucus and blood in the stool, it is crucial to seek medical attention promptly. In your case, the presence of white mucus and blood can indicate several potential gastrointestinal issues that require evaluation by a healthcare professional.
Given your symptoms, the first step is to visit a gastroenterologist. This specialist focuses on disorders of the digestive system, including the esophagus, stomach, intestines, liver, gallbladder, and pancreas. They are well-equipped to diagnose and manage conditions such as inflammatory bowel disease (IBD), infections, polyps, and even colorectal cancer, which can present with similar symptoms.

In your situation, the following steps are recommended:
1. Initial Consultation: Schedule an appointment with a gastroenterologist. During this visit, be prepared to discuss your symptoms in detail, including the duration, frequency, and any associated symptoms like abdominal pain, changes in appetite, or weight loss.

2. Diagnostic Tests: The doctor may recommend several diagnostic tests to determine the underlying cause of your symptoms. These could include:
- Stool Tests: To check for infections, parasites, or blood.

- Colonoscopy: This procedure allows the doctor to examine the lining of your colon and rectum for abnormalities. It can also enable them to take biopsies if necessary.

- Imaging Studies: Such as CT scans or ultrasounds, to visualize the abdominal organs and identify any structural issues.

3. Treatment Plan: Depending on the diagnosis, treatment may vary. If an infection is found, antibiotics may be prescribed. For inflammatory conditions like IBD, anti-inflammatory medications or immunosuppressants might be necessary. If polyps or other growths are discovered, further intervention may be required.

4. Lifestyle Modifications: In addition to medical treatment, dietary changes may help manage your symptoms. Keeping a food diary can help identify any triggers. A diet rich in fiber, adequate hydration, and avoiding irritants such as caffeine, alcohol, and spicy foods can be beneficial.

5. Follow-Up: Regular follow-up appointments may be necessary to monitor your condition and adjust treatment as needed. It's essential to communicate any changes in your symptoms or new concerns during these visits.

In summary, your symptoms warrant a thorough evaluation by a gastroenterologist. Early diagnosis and treatment are key to managing any potential gastrointestinal disorders effectively. Do not hesitate to seek help, as timely intervention can lead to better outcomes and improved quality of life. Remember, your health is paramount, and addressing these symptoms sooner rather than later is crucial.

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