Blood and Mucus in Stool: Causes and Home Remedies - Gastroenterology and Hepatology

Q: Blood and Mucus in Stool: Causes and Home Remedies

Hello： It may be necessary to differentiate whether the stool is of normal color before it has mixed with water. <br>If the stool is of normal color and has blood mixed in, it could indicate hemorrhoids or bleeding in the lower part of the colon. <br>If the stool is entirely blac

Having several consecutive days of bowel movements that consist of blood accompanied by mucus?

Hello Doctor, my bowel movements have always been normal, but three days ago I suddenly noticed that the toilet paper after wiping was a lump of red (not bright red) mucus and stool.
The stool that day was about the size and length of a finger.
I felt fine after using the restroom that day, with no abdominal pain or discomfort.
The next day, the stool was similar, but there was more mucus and stool when wiping, and the stool was looser, turning the toilet water a dark red color, without any bright red blood.
For the past two days, I've been passing gas with a slightly bloody smell, but there has been no pain or discomfort, and I continue to have bowel movements every morning after breakfast.
Since I am in the United States and cannot afford high medical costs, what tests or dietary measures can I take to control this situation? I hope to plan a trip back to Taiwan soon.
Thank you.

Mr. Shi, 40~49 year old female. Ask Date: 2022/02/15

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: It may be necessary to differentiate whether the stool is of normal color before it has mixed with water.
If the stool is of normal color and has blood mixed in, it could indicate hemorrhoids or bleeding in the lower part of the colon.
If the stool is entirely black or red (like strawberry jam or pig's blood cake), it may suggest bleeding in the upper gastrointestinal tract or the upper part of the colon.
Additionally, avoid consuming red or purple foods.
If there is a strong suspicion of hemorrhoidal bleeding (where most of the stool remains normal in color), you can purchase hemorrhoid ointment for use.
If there is suspicion of bleeding in the upper gastrointestinal tract or the upper part of the colon, it is strongly recommended to seek medical attention.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2022/02/15

More Info

When it comes to the presence of blood and mucus in your stool, it is essential to understand that this symptom can arise from various causes, some of which may require medical attention. Based on your description, you have experienced changes in your bowel movements, including the presence of red mucus and dark red coloration in the toilet water, without accompanying pain or discomfort. This situation can be concerning, and while I cannot provide a definitive diagnosis, I can offer insights into potential causes and home remedies.

Possible Causes
1. Hemorrhoids: One of the most common causes of blood in the stool is hemorrhoids, which are swollen veins in the rectum or anus. They can cause bleeding, especially during bowel movements, and may lead to mucus discharge. Given your description of the blood being mixed with mucus, this could be a plausible explanation.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to bleeding and discomfort but may not always present with pain, especially if the fissure is not acute.

3. Gastrointestinal Infections: Certain infections can cause inflammation in the intestines, leading to symptoms like diarrhea, mucus, and blood in the stool. This is often accompanied by other symptoms such as fever or abdominal pain, which you have not reported.

4. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can lead to blood and mucus in the stool. These conditions are typically chronic and may present with other symptoms over time.

5. Diverticular Disease: Diverticulitis can cause bleeding and changes in bowel habits. It is characterized by the formation of pouches in the colon wall that can become inflamed.

6. Polyps or Colorectal Cancer: While less common, polyps can cause bleeding, and in some cases, they may be precursors to colorectal cancer. Given your age and the absence of significant risk factors, this is less likely but still a consideration.

Home Remedies and Dietary Adjustments
While it is crucial to seek medical attention for a proper diagnosis, especially if symptoms persist or worsen, there are some home remedies and dietary changes you can consider to help manage your symptoms:
1. Increase Fiber Intake: Consuming more fruits, vegetables, and whole grains can help soften stools and reduce straining during bowel movements. This can alleviate pressure on hemorrhoids or fissures.

2. Stay Hydrated: Drinking plenty of water is essential for maintaining healthy bowel movements. Aim for at least 8-10 glasses of water daily.

3. Warm Sitz Baths: Taking warm baths can help soothe the anal area and may provide relief if you are experiencing discomfort from hemorrhoids or fissures.

4. Avoid Straining: When using the bathroom, try to relax and avoid straining. If you feel the urge to go, do so without delay.

5. Over-the-Counter Treatments: If you suspect hemorrhoids, topical treatments such as creams or suppositories designed for hemorrhoid relief may provide temporary relief.

6. Monitor Symptoms: Keep track of your bowel movements, noting any changes in color, consistency, or accompanying symptoms. This information will be valuable for your healthcare provider.

When to Seek Medical Attention
It is essential to consult a healthcare professional if you notice any of the following:
- Persistent blood in the stool
- Significant changes in bowel habits
- Abdominal pain or discomfort
- Unexplained weight loss
- Symptoms that worsen over time
Given your current situation in the U.S. and concerns about medical costs, consider seeking care at community health clinics or urgent care facilities that may offer services at a lower cost. Additionally, if you plan to return to Taiwan, you may want to schedule an appointment with a healthcare provider there for a thorough evaluation.

In summary, while there are several potential causes for blood and mucus in your stool, it is crucial to approach this symptom with caution. Dietary adjustments and home remedies may provide some relief, but a professional evaluation is necessary to rule out more serious conditions.

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