There are blood spots after wiping following a bowel movement, and the stools have become thinner compared to 2-3 years ago?
In the past month, I have occasionally noticed small blood spots on the toilet paper after wiping, with a diameter of approximately 0.1-0.2 cm.
Sometimes there is one spot, and at other times there are about 3-4 spots.
Usually, after wiping once, I don't see them again the second time.
I also feel some mucus during wiping, and the blood is bright red, resembling a scratch.
My stool color tends to be yellowish-green, and there are no blood clots visible.
The thickness of my stool used to be about 3-4 cm, but recently it has been more like 1.5-2 cm.
I do not experience urgency or a heavy feeling, nor do I have abdominal pain.
My bowel movements are regular; I usually go once in the morning and again at work.
Although my stools are not always formed, they can be somewhat irregular, the presence of blood spots during wiping has made me quite worried.
For the past two years, I have maintained a habit of exercising, walking briskly about 13,000 to 15,000 steps daily, covering a distance of around 5 km in about 40 minutes.
My diet primarily consists of takeout, but I have been more careful with my food intake since my health check two years ago indicated high blood pressure, high cholesterol, and high blood sugar.
I am considering whether I should undergo a colonoscopy because I am concerned about the possibility of colon cancer.
I would appreciate your guidance on this matter.
Thank you.
rch, 30~39 year old female. Ask Date: 2022/09/11
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Mr.
RCH, regarding the blood in your stool, you should arrange for a colonoscopy.
You can find a gastroenterologist at a nearby hospital to schedule further examination.
Thank you for your inquiry.
Reply Date: 2022/09/11
More Info
Experiencing blood spots on toilet paper after bowel movements can understandably cause concern, especially for someone with a history of colon cancer. However, it's important to approach this situation with a clear understanding of potential causes and the appropriate steps to take.
From your description, the blood spots you observe are small, bright red, and accompanied by some mucus. This presentation is often indicative of issues related to the anal region rather than the colon itself. Common causes of bright red blood on toilet paper include hemorrhoids (internal or external), anal fissures, or even minor trauma to the anal area. Hemorrhoids, in particular, are swollen blood vessels in the rectal area that can bleed during bowel movements, especially if there is straining or constipation involved. Anal fissures are small tears in the lining of the anus that can also result in bright red blood, often accompanied by pain during bowel movements.
The fact that you do not experience abdominal pain, urgency, or significant changes in your bowel habits is reassuring. Additionally, the absence of larger blood clots and the relatively small amount of blood you describe further suggest that the issue may not be related to a more serious condition like colon cancer. However, the change in the consistency and size of your stools, along with the presence of mucus, warrants further investigation.
Given your history of high blood pressure and other health concerns, it is wise to be proactive about your health. While your symptoms may not immediately suggest colon cancer, it is essential to rule out any serious conditions. A colonoscopy is a valuable diagnostic tool that can help identify any abnormalities in the colon, such as polyps, inflammation, or tumors. Since you have a family history of colon cancer, it is particularly prudent to discuss your symptoms with a healthcare provider and consider scheduling a colonoscopy.
In addition to a colonoscopy, your healthcare provider may recommend other tests, such as a flexible sigmoidoscopy or a rectal examination, to assess the anal region more closely. These examinations can help determine the source of the bleeding and guide appropriate treatment.
In the meantime, there are several self-care measures you can take to alleviate symptoms and promote bowel health. Ensure you maintain a high-fiber diet to prevent constipation, which can exacerbate hemorrhoids and fissures. Staying hydrated and incorporating regular physical activity, as you are already doing, can also help maintain healthy bowel movements. Warm sitz baths may provide relief if you are experiencing discomfort.
In summary, while the presence of blood spots on toilet paper can be alarming, it is often related to benign conditions such as hemorrhoids or anal fissures. However, given your medical history and the changes in your bowel habits, it is advisable to consult with a healthcare provider for a thorough evaluation and to discuss the need for a colonoscopy. Taking these steps will help ensure your peace of mind and address any potential health concerns effectively.
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