Discovering Blood in Stool: When to Seek Medical Advice

Q: Discovering Blood in Stool: When to Seek Medical Advice

Hello： If it occurs again, you can consult a gastroenterologist or a colorectal specialist. <br>There's no need to worry too much; the likelihood is mostly due to hemorrhoidal bleeding, with a smaller portion being anal fissures, polyps, or tumors. <br>Changhua Hospital cares abo

Blood in the stool?

A few days ago, I noticed that my stool had red, chili-like pieces in it.
When I used toilet paper to poke at it, I found that it was blood clots and streaks of blood.
Although the stool was formed, it was extremely loose and flat (about the size of my thumb or middle finger) and had a normal color (a darker shade of yellow-brown).
Over the past few days, the stool has remained flat, but there have been no red blood clots.
This has happened frequently for over two years, although sometimes the stool can be thicker.
This is the first time I've noticed blood clots, and I'm a bit worried.
Should I go to a clinic for a consultation, or should I just wait and see?

Nìmíng zhě, 10~19 year old female. Ask Date: 2022/06/23

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If it occurs again, you can consult a gastroenterologist or a colorectal specialist.
There's no need to worry too much; the likelihood is mostly due to hemorrhoidal bleeding, with a smaller portion being anal fissures, polyps, or tumors.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2022/06/23

More Info

When it comes to discovering blood in your stool, it is essential to take this symptom seriously and seek medical advice promptly. Blood in the stool can be indicative of various underlying conditions, some of which may require immediate attention. Here’s a detailed breakdown of what you should consider and the steps you should take.

Understanding the Symptoms
From your description, you mentioned finding red blood clots and streaks in your stool, which is concerning. The presence of blood can arise from several sources within the gastrointestinal tract, including:
1. Hemorrhoids: Swollen blood vessels in the rectum or anus that can bleed during bowel movements.

2. Anal fissures: Small tears in the lining of the anus, often caused by passing hard stools.

3. Diverticular disease: Small pouches that can form in the colon wall and may bleed.

4. Gastrointestinal infections: Certain infections can cause inflammation and bleeding.

5. Polyps or colorectal cancer: Abnormal growths in the colon or rectum can lead to bleeding.

When to Seek Medical Attention
Given that you have observed blood in your stool for the first time, it is advisable to consult a healthcare professional. Here are specific scenarios when you should seek medical advice:
- First-time occurrence of blood in stool: Since this is the first time you have noticed blood, it is crucial to get it evaluated.

- Persistent symptoms: If the blood reappears or if you experience other symptoms such as abdominal pain, changes in bowel habits, weight loss, or fatigue, you should see a doctor.

- Severe symptoms: If you experience significant pain, dizziness, or fainting, seek emergency care immediately.

Diagnostic Process
When you visit a healthcare provider, they will likely perform a thorough evaluation, which may include:
- Medical history: Discussing your symptoms, duration, and any other relevant health issues.

- Physical examination: A physical exam, including a rectal exam, may be performed to check for hemorrhoids or other abnormalities.

- Diagnostic tests: Depending on the findings, tests such as a stool test, colonoscopy, or imaging studies may be recommended to determine the cause of the bleeding.

Management and Treatment
The treatment for blood in the stool will depend on the underlying cause. For instance:
- Hemorrhoids or fissures: These may be managed with dietary changes, topical treatments, or procedures to reduce swelling.

- Diverticular disease: Treatment may include dietary modifications and, in some cases, surgery.

- Infections: Antibiotics may be prescribed if a bacterial infection is identified.

- Polyps or cancer: If polyps are found, they may be removed during a colonoscopy, and further treatment may be necessary if cancer is diagnosed.

Conclusion
In summary, discovering blood in your stool is a symptom that should not be ignored. Given that this is a new occurrence for you, it is wise to consult a healthcare professional for a thorough evaluation. Early diagnosis and treatment can significantly improve outcomes, especially if a serious condition is present. Do not hesitate to seek medical advice; your health is paramount.

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