Occasional Blood in Stool: Symptoms and Concerns

Occasional blood in the stool?

Hello: I have been experiencing rectal bleeding during bowel movements for some time now, but the bleeding occurs inconsistently—sometimes there is blood, and sometimes there isn't.
The intervals can vary from a couple of days to a few months or even longer, and the blood is separate from the stool.
About a month ago, I started experiencing pain in my upper abdomen.
After seeing a physician, I was diagnosed with gastroesophageal reflux disease (GERD).
Although I experienced some improvement after taking medication, I began to feel like my bowel movements were incomplete.
Additionally, I have noticed some weight loss, and I'm unsure if it is related to my recent dietary changes.
I have lost about 2 to 3 kilograms over the past month.
I am concerned that this may be related to my colon, so I wanted to inquire further.
Thank you.

Shuangshuang, 20~29 year old female. Ask Date: 2022/07/26

Dr. Zhang Shuhao reply Surgery

The incidence of colorectal cancer in young people is lower than in older adults, and there is no need for excessive concern unless there is a specific family history.
It is recommended to visit an outpatient clinic to check for obvious causes of bleeding, such as hemorrhoids.
If no source of bleeding is found and abdominal symptoms persist, a colonoscopy should be performed.

Reply Date: 2022/07/26

More Info

Experiencing occasional blood in your stool can be concerning, and it is important to understand the potential causes and implications of this symptom. Blood in the stool can arise from various sources within the gastrointestinal tract, and it is crucial to differentiate between these sources to determine the appropriate course of action.

Firstly, the presence of blood in the stool can indicate issues ranging from benign conditions to more serious gastrointestinal disorders. Common causes of blood in the stool include hemorrhoids, anal fissures, diverticular disease, and inflammatory bowel diseases such as Crohn's disease or ulcerative colitis. In more severe cases, it could be indicative of colorectal polyps or cancer, especially if accompanied by other symptoms such as weight loss, changes in bowel habits, or abdominal pain.

In your case, you mentioned that the blood appears intermittently and is separate from the stool, which could suggest that the bleeding might be originating from the lower gastrointestinal tract, such as the rectum or anus. Hemorrhoids or anal fissures are common culprits for this type of bleeding, especially if you have experienced any straining during bowel movements. However, the presence of abdominal pain and the sensation of incomplete evacuation after a bowel movement raises additional concerns that warrant further investigation.

The weight loss you mentioned—2 to 3 kilograms over a month—could be related to dietary changes, but it is also a symptom that should not be overlooked. Unintentional weight loss can be a sign of underlying health issues, particularly if it occurs alongside gastrointestinal symptoms.
Given your symptoms, it is advisable to seek a thorough evaluation from a healthcare professional, preferably a gastroenterologist. They may recommend several diagnostic tests, including a colonoscopy, which allows for direct visualization of the colon and rectum, and can help identify any abnormalities such as polyps, inflammation, or lesions. Additionally, stool tests may be performed to check for the presence of blood or other markers of gastrointestinal disease.

In the meantime, it is essential to monitor your symptoms closely. Keep track of any changes in your bowel habits, the appearance of the blood (e.g., bright red vs. dark), and any associated symptoms such as pain, changes in appetite, or further weight loss. This information will be valuable for your healthcare provider in determining the next steps for diagnosis and treatment.

Lastly, while it is understandable to seek information online, be cautious about self-diagnosing based on internet research. The gastrointestinal tract is complex, and symptoms can overlap between various conditions. A healthcare professional can provide a more accurate diagnosis and tailored treatment plan based on a comprehensive evaluation of your symptoms and medical history.

In summary, while occasional blood in the stool can be due to benign causes, the combination of your symptoms—intermittent bleeding, abdominal pain, and weight loss—warrants a thorough medical evaluation to rule out any serious underlying conditions. Prompt attention to these symptoms is crucial for ensuring your health and well-being.

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