Blood in Stool: Causes and When to Seek Help - Surgery

More Info

---

Blood in stool can be a concerning symptom, and it's understandable to feel anxious about it. However, the presence of blood in stool can have various causes, and not all of them are serious. Given your description, where the blood is not visible on the surface of the stool but rather underneath, and you are not experiencing any pain or significant discomfort, there are several potential explanations.

1. Hemorrhoids: One of the most common causes of blood in the stool, especially if it is bright red, is hemorrhoids. These are swollen blood vessels in the rectal area that can bleed during bowel movements, often without causing pain.

2. Anal Fissures: Similar to hemorrhoids, anal fissures are small tears in the lining of the anus that can occur during bowel movements, especially if the stool is hard or large. They can cause bleeding but are usually associated with pain during bowel movements.

3. Diverticular Disease: Diverticula are small pouches that can form in the walls of the colon. If these pouches become inflamed or infected (a condition known as diverticulitis), they can bleed, leading to blood in the stool.

4. Gastrointestinal Conditions: Other gastrointestinal conditions, such as inflammatory bowel disease (IBD), polyps, or even colorectal cancer, can also cause blood in the stool. However, these conditions often present with additional symptoms, such as abdominal pain, changes in bowel habits, or weight loss.

5. Dietary Factors: Sometimes, certain foods or medications can cause changes in stool color or lead to minor bleeding. For example, beets can cause red-colored stools, and certain medications can irritate the gastrointestinal tract.

While the presence of blood in the stool can be alarming, it is essential to consider the context. Since you mentioned that the blood is not visible on the surface and you are not experiencing pain or other significant symptoms, it may not be an immediate cause for concern. However, it is crucial to monitor the situation closely.


When to Seek Help
You should seek medical attention if:
- The bleeding persists or worsens.

- You notice a significant change in your bowel habits.

- You experience abdominal pain, weight loss, or other concerning symptoms.

- You see larger amounts of blood or if the blood is bright red or dark and tarry.


Diagnostic Steps
If you decide to see a healthcare provider, they may recommend several diagnostic steps, including:
- Physical Examination: A thorough examination to check for hemorrhoids or other visible issues.

- Stool Tests: To check for hidden blood or other abnormalities.

- Colonoscopy: If there is a concern for more serious conditions, a colonoscopy may be performed to visualize the colon and rectum directly.


Conclusion
In summary, while blood in the stool can be a symptom of serious conditions, many cases are related to benign issues like hemorrhoids or anal fissures. Given your current symptoms, it is advisable to monitor the situation and consult a healthcare provider if the bleeding continues or if you develop any new symptoms. Early evaluation can help rule out serious conditions and provide peace of mind. Remember, it’s always better to err on the side of caution when it comes to health concerns.