Should You See a Doctor for Gastrointestinal Concerns? - Gastroenterology and Hepatology

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Should I see a doctor?


About a month ago, I had a bowel movement where I had to strain more than usual.
The stool was in three segments, and one of them was red, but there was no blood spreading around it.
Since then, I haven't experienced similar symptoms, but occasionally I feel pain around the anal area.
I read online that hemorrhoids usually involve blood and separation from the stool, which has made me worry every day.
Doctor, should I get checked? If I go for an examination, will the process take a long time?

Miss Lin, 10~19 year old female. Ask Date: 2022/04/06

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: If you experience continuous bleeding, it is advisable to consult a gastroenterologist or a colorectal specialist.
As for the duration of the examination, it depends on the situation on the day of your visit; some can be done immediately, while others may require an appointment.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2022/04/06

More Info


When it comes to gastrointestinal concerns, especially those involving changes in bowel habits or the presence of blood in the stool, it is crucial to take these symptoms seriously. Based on your description, the presence of red-colored stool, even if it was a one-time occurrence, combined with occasional pain around the anus, warrants a visit to a healthcare professional.
Blood in the stool can arise from various sources, including hemorrhoids, anal fissures, diverticular disease, or more serious conditions like colorectal cancer. Hemorrhoids are indeed a common cause of rectal bleeding, and they can cause pain and discomfort, particularly during bowel movements. However, it is essential to rule out other potential causes, especially since you mentioned that the blood was not mixed with the stool but appeared separately.

Given your symptoms, I recommend scheduling an appointment with a gastroenterologist. They can perform a thorough evaluation, which may include a physical examination and possibly a digital rectal exam. Depending on their findings, they might suggest further diagnostic tests such as a colonoscopy or flexible sigmoidoscopy. These procedures allow for direct visualization of the colon and rectum, helping to identify any abnormalities or sources of bleeding.

As for the duration of the examination process, it can vary. The initial consultation may take about 30 minutes to an hour, during which the doctor will discuss your symptoms, medical history, and any necessary tests. If a colonoscopy is recommended, you will need to schedule that separately, as it often requires preparation, including dietary restrictions and bowel cleansing. The procedure itself typically lasts about 30 minutes to an hour, but you should also account for recovery time afterward, as sedation is usually involved.

In summary, given your symptoms and the potential seriousness of gastrointestinal issues, it is advisable to see a doctor. Early detection and diagnosis are key in managing any underlying conditions effectively. Don't let fear or anxiety prevent you from seeking the care you need; addressing these concerns promptly can lead to better outcomes and peace of mind.

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