Blood in Stool: When to Seek Medical Attention - Gastroenterology and Hepatology

Q: Blood in Stool: When to Seek Medical Attention

Hello： If you notice obvious blood streaks, you can first take a photo with your phone and then consult a gastroenterologist to arrange for appropriate examinations. <br>Changhua Hospital cares about your health. <br>Dr. <br>Tsai An-Shun.

There are small traces of blood in the stool?

Hello, Doctor! Occasionally in the morning, I experience stomach discomfort and diarrhea, but it usually resolves immediately after using the restroom.
At other times, my bowel movements are normal without diarrhea.
A few months ago, I had symptoms of fever and diarrhea, and after consulting a doctor, I inquired about the need for a colonoscopy.
The doctor felt that I am still quite young, so it wasn't necessary.
The doctor performed an abdominal ultrasound, which showed no abnormalities, and it was speculated that it might have been inflammation.
After taking medication, I no longer had symptoms.

A few days ago, I had severe abdominal pain in the morning, and after using the restroom, I noticed a small amount of bright red blood.
For the next few days, I had no unusual symptoms, and my stool was normal in shape, well-formed, and without any foul odor.
This morning, I experienced some abdominal pain again, and after using the restroom, I found a small amount of bright red blood mixed with my stool.
Currently, aside from the blood in my stool, I have no other symptoms, no fever, and my weight is normal.
My sleep schedule has not been good these past few months, usually going to bed around 2 to 3 AM.

In high school, I was diagnosed with hemorrhoids, but after researching online, I found that hemorrhoid bleeding typically does not mix with stool.
I am very concerned that this could be cancer or chronic colitis.
I would like to ask for your opinion, and whether a colonoscopy is necessary.
Thank you, Doctor.

Nìmíng, 20~29 year old female. Ask Date: 2022/11/01

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If you notice obvious blood streaks, you can first take a photo with your phone and then consult a gastroenterologist to arrange for appropriate examinations.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2022/11/01

More Info

When it comes to the presence of blood in stool, it is essential to approach the situation with caution and awareness of the potential underlying causes. Blood in stool can manifest in various forms, including bright red blood, which often indicates bleeding from the lower gastrointestinal tract, such as the rectum or colon. Given your history of occasional abdominal discomfort and previous diagnoses, it is understandable that you might be concerned about the possibility of more serious conditions, such as cancer or chronic inflammatory bowel disease.

Based on your description, the presence of small amounts of bright red blood mixed with stool could indeed be related to hemorrhoids, especially considering your past diagnosis of hemorrhoids during high school. Hemorrhoids can cause bleeding, and it is not uncommon for the blood to appear bright red and sometimes mix with stool. However, it is also important to rule out other potential causes of gastrointestinal bleeding, such as diverticulosis, polyps, or inflammatory bowel diseases like ulcerative colitis or Crohn's disease.

Given that you have experienced abdominal pain and the presence of blood in your stool, it is advisable to seek medical attention. While your doctor previously suggested that a colonoscopy might not be necessary due to your young age, the presence of blood in stool is a significant symptom that warrants further investigation. A colonoscopy is a valuable diagnostic tool that allows for direct visualization of the colon and rectum, enabling the identification of any abnormalities, such as polyps, inflammation, or tumors.

In addition to a colonoscopy, your healthcare provider may recommend other diagnostic tests, such as blood tests to check for anemia or signs of infection, and imaging studies if necessary. It is also essential to discuss your recent symptoms, including the abdominal pain and changes in bowel habits, with your doctor, as these factors can provide crucial information for diagnosis.

While it is understandable to be concerned about serious conditions like cancer, it is important to remember that many causes of blood in stool are benign and treatable. However, early detection and intervention are key to managing any potential issues effectively.
In summary, I recommend that you schedule an appointment with your healthcare provider to discuss your symptoms in detail. Be sure to mention your history of hemorrhoids, the recent abdominal pain, and the presence of blood in your stool. Your doctor will be able to assess your situation and determine whether a colonoscopy or other diagnostic tests are necessary. Taking proactive steps in addressing your health concerns is crucial, and seeking medical advice is the best course of action.

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