Gastroenteritis with blood in the stool?
Hello Doctor, a few days ago I started experiencing diarrhea and fever.
I had diarrhea about 5-7 times a day and my fever reached around 39.1 degrees Celsius.
I went to a clinic, and the doctor diagnosed me with a gastroenteritis and prescribed medication.
After taking the medication for three days, I no longer have a fever, and my temperature is around 36 to 37.8 degrees Celsius.
My stools have also formed and are no longer loose, but I still feel some soreness in my lower abdomen.
This morning, when I went to the bathroom, I noticed very slight streaks of blood on the toilet paper, and there were also some traces of blood mixed in with the mucus in my stool.
I returned to the clinic to consult the doctor, who suggested that this could be due to irritation from wiping after diarrhea.
However, I paid special attention when I had a bowel movement before bed and noticed that there were still traces of blood mixed in with my stool.
A few years ago, I was diagnosed with a few small hemorrhoids, and I'm unsure if the blood in my stool is a normal occurrence related to gastroenteritis or if it is connected to the hemorrhoids.
I am really worried, so I would like to ask if I need to undergo a colonoscopy as soon as possible.
Thank you, Doctor.
Mr. Huang, 20~29 year old female. Ask Date: 2022/07/09
Dr. Chen Shidian reply Gastroenterology and Hepatology
Further observation is recommended.
Maintain cleanliness and dryness after bowel movements.
If symptoms persist, seek medical attention.
Reply Date: 2022/07/09
More Info
When experiencing blood in the stool, especially after a recent episode of gastroenteritis, it is essential to understand the potential causes and when to seek further medical evaluation. Gastroenteritis, often caused by viral or bacterial infections, can lead to various gastrointestinal symptoms, including diarrhea, abdominal pain, and fever. In some cases, the inflammation and irritation of the intestinal lining can result in minor bleeding, which may manifest as blood streaks in the stool or on toilet paper.
In your situation, the presence of blood in the stool following a bout of gastroenteritis could be attributed to several factors. One possibility is that the frequent bowel movements and straining during diarrhea may have caused minor anal fissures or exacerbated existing hemorrhoids, leading to the observed bleeding. This is particularly plausible given your history of hemorrhoids, which can easily become irritated during episodes of diarrhea or constipation.
However, while minor bleeding from hemorrhoids or anal fissures is generally not a cause for alarm, it is crucial to monitor the situation closely. If the bleeding persists, increases in volume, or is accompanied by other concerning symptoms such as severe abdominal pain, significant changes in bowel habits, or signs of dehydration, it would be prudent to seek medical attention promptly.
In terms of whether this is a normal occurrence following gastroenteritis, it can be considered relatively common for individuals with a history of hemorrhoids or anal fissures. However, it is essential to differentiate between benign causes of bleeding and more serious conditions. For instance, while gastroenteritis typically does not cause significant bleeding, other gastrointestinal issues, such as inflammatory bowel disease (IBD), diverticulosis, or even colorectal cancer, could present with similar symptoms.
Given your concerns and the persistence of blood in your stool, it would be advisable to consult with a gastroenterologist for further evaluation. A colonoscopy may be warranted to rule out any underlying conditions, especially if the bleeding continues or if you experience other gastrointestinal symptoms. A colonoscopy is a safe and effective procedure that allows for direct visualization of the colon and rectum, enabling the physician to identify any abnormalities, such as polyps, inflammation, or lesions.
In summary, while the blood in your stool could be related to your recent gastroenteritis and existing hemorrhoids, it is essential to remain vigilant. If the bleeding persists or worsens, or if you experience any alarming symptoms, do not hesitate to seek medical evaluation. Early intervention can help address any underlying issues and provide peace of mind regarding your gastrointestinal health.
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