Blood in Stool: Is It Hemorrhoids or Something Else?

Q: Blood in Stool: Is It Hemorrhoids or Something Else?

Hello Cindy： You reported that a week ago, after drinking a cup of milk tea, you experienced severe abdominal pain, followed by anal pain and blood in your stool for a week. <br>Considering your age and symptoms, it is indeed possible that hemorrhoids are the cause. <br>However,

Blood clots in stool?

Hello, Dr.
Chang.
Last week, after drinking a cup of milk tea, I experienced severe abdominal pain and subsequently had diarrhea, which resulted in passing blood in my stool.
My anus feels prickly and numb.
For the past week, I have been experiencing bloody stools, where the stool and blood are separate.
Initially, I had a solid bowel movement that started to bleed, but I have been constipated, and my stools are somewhat thick.
My anus also feels a bit prickly and numb.
Two days ago, I noticed a blood clot when wiping, and the next day I had blood dripping without any clots.
Could this be caused by hemorrhoids?

Cindy, 10~19 year old female. Ask Date: 2021/05/09

Dr. Zhang Kebin reply Gastroenterology and Hepatology

Hello Cindy: You reported that a week ago, after drinking a cup of milk tea, you experienced severe abdominal pain, followed by anal pain and blood in your stool for a week.
Considering your age and symptoms, it is indeed possible that hemorrhoids are the cause.
However, a definitive diagnosis may require a digital rectal examination and a sigmoidoscopy.
I recommend discussing this with your colorectal surgeon.
Thank you for your inquiry!

Reply Date: 2021/05/09

More Info

When it comes to the presence of blood in stool, it can be concerning and may indicate various underlying conditions. Based on your description, it seems that you are experiencing symptoms that could be related to hemorrhoids, but it is essential to consider other potential causes as well.

Hemorrhoids, which are swollen veins in the lower rectum or anus, can lead to bleeding during bowel movements, especially if there is straining involved. The fact that you mentioned having hard, bulky stools and experiencing pain or a "tingling" sensation around the anus suggests that you may indeed be dealing with hemorrhoids. The blood you observed could be bright red, indicating that it is coming from the lower gastrointestinal tract, which is typical for hemorrhoidal bleeding.

However, it is crucial to note that blood in the stool can also be a sign of other conditions, such as anal fissures, diverticular disease, or even more serious issues like colorectal polyps or cancer. Anal fissures, which are small tears in the lining of the anus, can also cause bleeding and pain, particularly during bowel movements. Given that you have experienced a week of blood in your stool, it is advisable to seek medical attention to rule out these other conditions.

In terms of your symptoms, the "tingling" or "numb" feeling around the anus could be due to irritation from the hemorrhoids or fissures, or it could be related to muscle spasms in the anal area. The presence of blood clots, as you mentioned, can also be indicative of a more significant issue, and it is essential to have this evaluated by a healthcare professional.

To address your concerns, I recommend the following steps:
1. Consult a Healthcare Provider: It is crucial to see a doctor, preferably a gastroenterologist or a colorectal surgeon, who can perform a thorough examination. They may recommend a physical examination, and possibly a colonoscopy, to visualize the colon and rectum and rule out any serious conditions.

2. Dietary Adjustments: To alleviate constipation and reduce straining during bowel movements, consider increasing your fiber intake. Foods rich in fiber, such as fruits, vegetables, whole grains, and legumes, can help soften stools and promote regularity. Additionally, staying well-hydrated is essential.

3. Over-the-Counter Treatments: If hemorrhoids are confirmed, over-the-counter treatments such as topical creams or ointments may provide relief from pain and inflammation. Warm sitz baths can also help soothe the area.

4. Avoid Straining: When using the bathroom, try to avoid straining, as this can exacerbate hemorrhoids and lead to further bleeding. If you find yourself straining frequently, it may be a sign that dietary changes are needed.

5. Monitor Symptoms: Keep track of your symptoms, including the frequency and amount of blood, any changes in bowel habits, and any new symptoms that may arise. This information will be helpful for your healthcare provider.

In conclusion, while hemorrhoids are a common cause of blood in the stool, it is essential to rule out other potential causes. Seeking medical advice is the best course of action to ensure proper diagnosis and treatment. Remember, early intervention can lead to better outcomes and peace of mind regarding your health.

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