Blood in Stool: Causes and Concerns for Your Health - Gastroenterology and Hepatology

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Rectal bleeding


Hello: I occasionally experience constipation, and recently I've felt some pain in my anus during bowel movements.
There was blood on the toilet paper when I wiped, but it hasn't occurred again.
After using the restroom, I also feel some discomfort in my anus.
I researched the causes of blood in the stool, and most sources mention hemorrhoids and colorectal cancer.
I would appreciate your insights on this matter.
Thank you for your help.

Gao, 20~29 year old female. Ask Date: 2021/08/15

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Due to constipation, the likelihood of hemorrhoids or anal fissures bleeding is higher.
However, if the bleeding occurs frequently or worsens, it is advisable to consult a gastroenterologist or a colorectal specialist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2021/08/15

More Info


Understanding blood in stool can be a concerning issue, and it’s important to approach it with a clear understanding of potential causes and the necessary steps to address it. Based on your description, it seems you are experiencing some discomfort during bowel movements, along with the presence of blood on the toilet paper. This can understandably lead to anxiety, especially with the common associations of blood in stool with conditions such as hemorrhoids and colorectal cancer.

Firstly, let’s discuss some common causes of blood in the stool:
1. Hemorrhoids: These are swollen veins in the lower rectum or anus that can cause pain, itching, and bleeding during bowel movements. The blood is typically bright red and may be seen on the toilet paper or in the toilet bowl. Given your symptoms of pain and blood, hemorrhoids could be a likely cause.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to sharp pain during and after bowel movements, and you may notice bright red blood on the toilet paper.

3. Diverticular Disease: This condition involves the formation of small pouches in the colon wall, which can become inflamed or infected, leading to bleeding.

4. Gastrointestinal Infections: Certain infections can cause inflammation and bleeding in the gastrointestinal tract, leading to blood in the stool.

5. Polyps or Colorectal Cancer: While less common, especially in younger individuals, polyps can bleed and may be a precursor to colorectal cancer. If you have a family history of colorectal cancer or other risk factors, this is something to consider.

Given your symptoms of occasional constipation and discomfort, it is crucial to monitor your condition closely. Here are some steps you can take:
- Dietary Adjustments: Increasing your fiber intake can help alleviate constipation. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying hydrated is also essential.

- Over-the-Counter Treatments: If hemorrhoids are suspected, topical treatments or suppositories may provide relief. However, consult with a healthcare provider before starting any new medications.

- Avoid Straining: When having a bowel movement, try to avoid straining, as this can exacerbate hemorrhoids and fissures.

- Consult a Healthcare Provider: Since you are experiencing blood in your stool, it is advisable to consult with a healthcare professional. They may recommend a physical examination, and possibly a colonoscopy, to rule out more serious conditions such as polyps or cancer, especially if the bleeding persists or worsens.

- Monitor Symptoms: Keep track of any changes in your bowel habits, the amount and appearance of blood, and any associated symptoms such as weight loss, changes in appetite, or abdominal pain.

In summary, while hemorrhoids and anal fissures are common causes of blood in the stool, it is essential to rule out more serious conditions. Seeking medical advice is the best course of action to ensure your health and peace of mind. Early intervention can lead to better outcomes, so do not hesitate to reach out to a healthcare provider for a thorough evaluation.

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