Blood in Stool: When to Seek Medical Attention - Gastroenterology and Hepatology

Q: Blood in Stool: When to Seek Medical Attention

Hello： Bleeding is not the only symptom of colorectal cancer; it is more likely to be caused by hemorrhoids or anal fissures. <br>You can continue to monitor the situation, but if the bleeding persists, you should consult a gastroenterologist or a colorectal specialist. <br>Chang

Rectal bleeding

Hello, doctor.
Last month, after having a bowel movement, I never felt completely empty.
I don't have a daily bowel movement habit, but I always feel the urge to go again after finishing, and I experience a mild discomfort in my abdomen.
When I do go, I usually have to go two or three times to feel better.
The day before yesterday, my stool was ribbon-like at the front and mushy at the back, with a small amount of blood at the end of the mushy part.
I just went to the bathroom again, but only a little came out, and it seemed like there might be some bleeding, but I couldn't see clearly due to the dim lighting.
I'm wondering if this could be colon cancer.
Should I get checked immediately, or should I wait and observe for a few days? However, I feel unsafe going for a check-up during the pandemic.
Should I wait until the situation improves, or could it worsen rapidly?

Xiao Yan, 40~49 year old female. Ask Date: 2021/06/16

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Bleeding is not the only symptom of colorectal cancer; it is more likely to be caused by hemorrhoids or anal fissures.
You can continue to monitor the situation, but if the bleeding persists, you should consult a gastroenterologist or a colorectal specialist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2021/06/16

More Info

When it comes to blood in the stool, it is essential to take the situation seriously and seek medical attention promptly. The symptoms you describe, including the feeling of incomplete bowel movements, abdominal discomfort, and the presence of blood in your stool, warrant a thorough evaluation by a healthcare professional.

Firstly, let's address the concern about colorectal cancer. While the presence of blood in the stool can be alarming and is often associated with serious conditions, it is not the only possible cause. Blood in the stool can result from various issues, including hemorrhoids, anal fissures, diverticular disease, or inflammatory bowel disease (IBD), among others. However, it is crucial to rule out colorectal cancer, especially if you have risk factors such as a family history of the disease, age over 50, or changes in bowel habits.

The fact that you are experiencing a change in your bowel habits, such as needing to go multiple times to feel relief, along with the presence of blood, suggests that a medical evaluation is necessary. Delaying a visit to the doctor could lead to a worsening of your condition, especially if it is something that requires treatment. While concerns about safety during the pandemic are valid, many healthcare facilities have implemented strict protocols to ensure patient safety, including social distancing, mask-wearing, and enhanced sanitation measures. It is advisable to contact your healthcare provider to discuss your symptoms and determine the best course of action.

In terms of what to expect during a medical evaluation, your doctor may recommend a physical examination, a digital rectal exam, and possibly a colonoscopy to visualize the inside of your colon and rectum. A colonoscopy is a common procedure that allows for direct examination and can also facilitate biopsy if any suspicious lesions are found. Additionally, stool tests may be conducted to check for infections or other abnormalities.

It is important to communicate all your symptoms clearly to your healthcare provider, including the frequency of your bowel movements, the consistency of your stool, any associated pain, and the characteristics of the blood you observed. This information will help your doctor make an informed decision regarding the necessary tests and potential diagnoses.

In conclusion, while it is natural to feel apprehensive about seeking medical care during a pandemic, your health should be the priority. Blood in the stool, especially accompanied by other gastrointestinal symptoms, should not be ignored. Schedule an appointment with your healthcare provider as soon as possible to discuss your symptoms and undergo the necessary evaluations. Early detection and intervention can significantly improve outcomes for any underlying conditions.

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