Abnormal Bowel Movements: When to Seek Medical Attention

Dripping or leaking water during or after a bowel movement?

Hello Doctor, I have been experiencing unstable bowel movements for a long time.
In recent years, I have had intermittent constipation, mostly passing small, pellet-like stools or sometimes formed stools, and occasionally loose stools.
After bowel movements, I often notice mucus at the anal area, and sometimes there is residual stool or nothing at all.
Last month, I had a severe episode of constipation where I struggled to have a bowel movement.
Before I could pass anything, I felt a yellowish liquid coming out, and for two or three days after finally having a bowel movement, I noticed quite a bit of blood and anal pain.
After that, I focused on drinking more water and exercising, which helped reduce the occurrences.
However, this month my gastrointestinal condition has not been very good.
While I haven't experienced the severe constipation like last month, my stools are still pellet-like or formed, occurring about every two to three days as usual.
In the past two days, I have experienced abdominal pain before bowel movements.
I might have consumed a lot of milk, especially today when I felt an urgent need to go.
I strained a bit during the bowel movement, and the front part of the stool was hard while the rest was normal.
However, after finishing, I noticed one or two drops of light dark red liquid.
I checked with toilet paper and confirmed it was coming from the anal area, mixed with light yellowish-brown mucus and dark red liquid.
I recalled that some of the foods I ate contained colorants, such as purple rice, eggplant, and colored snacks, but I'm not sure if that is related.
The stool itself looked fine, and the abdominal pain seemed to help me pass a normal, formed stool that was a mix of yellowish-brown.
I would like to know if the dripping liquid is a serious issue, as this phenomenon does not occur frequently in my experience.
I have also noticed an increase in mucus over the years and can feel some swelling in the anal area.
My recent exercise has decreased, and the occurrence of constipation seems to correlate with my activity level; prolonged sitting worsens the constipation.
I would like to ask the doctor if the dripping liquid is considered a serious and urgent issue.
Given my abdominal pain, can I still drink milk? In my experience, I feel uncomfortable after consuming too much, but can I consume yogurt or similar products? Thank you for taking the time to answer my questions amidst your busy schedule.

A Jin, 30~39 year old female. Ask Date: 2021/06/28

Dr. Chen Shidian reply Gastroenterology and Hepatology

Bleeding is likely due to anal fissures.
It is important to pay attention to hydration, consume fruits and vegetables, and engage in regular exercise.
If necessary, the use of stool softeners is recommended.
If concerned, a medical examination with an anoscope can be performed.

Reply Date: 2021/06/28

More Info

When it comes to abnormal bowel movements and associated symptoms, it is essential to understand the potential implications and when to seek medical attention. Based on your description, you have been experiencing irregular bowel habits, including constipation, varying stool consistency, and the presence of mucus and blood. These symptoms can be concerning, and it is crucial to address them appropriately.

Firstly, the presence of blood in your stool, even if it is just a few drops, should not be taken lightly. Blood can indicate several underlying issues, ranging from hemorrhoids to more serious conditions such as anal fissures or gastrointestinal bleeding. Given that you have also experienced significant constipation and pain during bowel movements, it is possible that you may have developed hemorrhoids or anal fissures as a result of straining. These conditions can cause bleeding and discomfort, particularly after a hard bowel movement.

The fact that you have noticed an increase in mucus and swelling around the anus may also suggest inflammation or irritation in the rectal area. This could be due to several factors, including dietary choices, dehydration, or inadequate fiber intake. You mentioned that your bowel movements have been irregular and that you have experienced pain and discomfort, which can further complicate the situation.

In terms of your dietary habits, it is important to consider how certain foods may affect your gastrointestinal health. Dairy products, such as milk, can sometimes exacerbate symptoms in individuals who are lactose intolerant or sensitive to dairy. If you notice that consuming milk leads to discomfort or exacerbates your bowel issues, it may be wise to limit or avoid it. On the other hand, yogurt and other fermented dairy products, like probiotics, can be beneficial for gut health and may help regulate bowel movements.

Regarding your question about whether the dripping of blood is a severe issue, it is advisable to err on the side of caution. While it may not always indicate a life-threatening condition, any instance of rectal bleeding warrants a medical evaluation. It is crucial to consult with a healthcare professional, preferably a gastroenterologist, who can perform a thorough examination and possibly recommend diagnostic tests such as a colonoscopy if necessary.

In summary, your symptoms, including irregular bowel movements, the presence of blood, and abdominal pain, suggest that you should seek medical attention. A healthcare provider can help determine the underlying cause of your symptoms and recommend appropriate treatment options. In the meantime, focus on maintaining a balanced diet rich in fiber, staying hydrated, and incorporating regular physical activity to help alleviate constipation. If you experience worsening symptoms or new concerns arise, do not hesitate to reach out to your doctor promptly.

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