Blood-Stained Stool: When to Worry and When to Wait

Hemorrhoidal suppositories & blood-colored membrane

Doctor, I apologize for bothering you, but I recently noticed a small amount of blood on the surface of my stool when I went to the bathroom.
I bought a hemorrhoid suppository and after using it, there was no obvious blood in my stool.
However, there is still a slight film resembling blood on the surface of the middle part of my stool.
After stopping the suppository for a while, this symptom disappears, and my stool appears normal without any blood.
But whenever I resume using the suppository, the symptom of the blood-like film returns.
So, doctor, should I just let it go since the symptoms disappear when I stop using it, or should I investigate why the symptoms occur when I use the suppository?

Huang, 20~29 year old female. Ask Date: 2022/08/11

Dr. Chen Shidian reply Gastroenterology and Hepatology

It may be appropriate to suspend use and continue monitoring.

Reply Date: 2022/08/11

More Info

When it comes to blood-stained stool, it is essential to approach the situation with caution and a clear understanding of the potential causes and implications. The presence of blood in stool can be alarming, and while it may sometimes be attributed to benign conditions, it can also indicate more serious underlying issues that require medical attention.

In your case, you mentioned that you observed blood on the surface of your stool, which improved after using a hemorrhoid suppository but returned when you resumed its use. This pattern suggests that the suppository may be affecting your bowel movements in some way, possibly by causing irritation or altering the consistency of your stool. Hemorrhoids, which are swollen veins in the rectal area, can often lead to blood in the stool, especially if there is straining during bowel movements or if the stool is hard. The fact that your symptoms improved after using the suppository indicates that it may have provided some relief for hemorrhoidal symptoms.

However, it is crucial to consider other potential causes of blood in the stool. These can range from benign conditions such as hemorrhoids or anal fissures to more serious issues like gastrointestinal bleeding from ulcers, diverticulitis, or even colorectal cancer. The color and consistency of the blood can provide clues; for instance, bright red blood typically indicates bleeding from the lower gastrointestinal tract, while darker blood may suggest bleeding from higher up in the digestive system.

Given that your symptoms resolve when you stop using the suppository, it may be worthwhile to explore alternative treatments for your hemorrhoids or any underlying issues. However, it is essential not to dismiss the presence of blood entirely. If you experience any of the following symptoms, you should seek medical attention promptly:
1. Persistent Blood: If blood continues to appear in your stool, even intermittently, it is crucial to consult a healthcare provider.

2. Changes in Bowel Habits: Any significant changes in your bowel habits, such as diarrhea or constipation, should be evaluated.

3. Abdominal Pain: If you experience severe abdominal pain, cramping, or discomfort, this could indicate a more serious condition.

4. Weight Loss: Unexplained weight loss can be a sign of underlying health issues that need to be addressed.

5. Fatigue or Weakness: These symptoms could indicate anemia due to blood loss and should be investigated.

In conclusion, while your symptoms may seem manageable at the moment, it is essential to remain vigilant. If the blood returns or if you develop any new symptoms, it would be wise to consult a healthcare professional for a thorough evaluation. They may recommend tests such as a colonoscopy or imaging studies to determine the exact cause of the bleeding and to rule out any serious conditions. Taking proactive steps in addressing your symptoms can help ensure your overall health and well-being.

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