Blood in Stool: Causes and When to Seek Help - Surgery

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Bowel Issues - Continued


Hello Doctor, I am the one who asked about #192075 yesterday.
Today, when I went to the bathroom, I noticed a small red object in my stool, which is more pronounced than yesterday (the link below has a picture).
I would like to know if this is related to the carrots and chili peppers I ate yesterday, or if it could be due to internal hemorrhoids or more serious bleeding in the colon.
I am 22 years old; should I go for a colonoscopy directly? Thank you for taking the time to respond.
https://upload.cc/i1/2023/02/01/wUomGl.jpg

Chen, 20~29 year old female. Ask Date: 2023/02/01

Dr. Zhang Shuhao reply Surgery


There are three common causes of rectal bleeding: 1.
Anal fissures or skin abrasions, characterized by a small amount of blood accompanied by a sharp pain at the site of the wound.
2.
Ruptured thrombosed hemorrhoids, which typically produce slightly more blood than the first cause, usually occurring after straining during bowel movements, and may be painless or cause only mild discomfort.
3.
Gastrointestinal bleeding related to conditions such as polyps, ulcers, or tumors, which is characterized by darker blood and may be associated with changes in bowel habits or abdominal symptoms, and is less common in younger individuals.
Based on your age and symptoms, causes 1 or 2 are more likely.
If you are genuinely concerned about gastrointestinal issues, you may discuss with a gastroenterologist or a colorectal surgeon the possibility of scheduling a colonoscopy.

Reply Date: 2023/02/01

More Info


When it comes to the presence of blood in stool, it can be a concerning symptom that warrants careful evaluation. The causes of blood in stool can vary widely, ranging from benign to serious conditions. In your case, given your age and the recent dietary intake of carrots and chili peppers, it is possible that the red coloration in your stool could be attributed to these foods. Carrots, especially when consumed in large quantities, can sometimes lead to a reddish tint in stool, while chili peppers can cause irritation in the gastrointestinal tract, potentially leading to minor bleeding, especially if there are pre-existing conditions like hemorrhoids.

However, it is also important to consider other potential causes of blood in stool, such as hemorrhoids (internal or external), anal fissures, diverticular disease, or more serious conditions like inflammatory bowel disease (IBD) or colorectal cancer. While hemorrhoids and fissures are common and often benign, they can still cause significant discomfort and bleeding.

Given that you are 22 years old, the likelihood of serious conditions like colorectal cancer is relatively low, but it is not impossible. If the blood in your stool persists, increases in quantity, or is accompanied by other symptoms such as abdominal pain, changes in bowel habits, weight loss, or fatigue, it would be prudent to seek medical attention. A healthcare provider may recommend a colonoscopy, which is a procedure that allows for direct visualization of the colon and rectum, and can help identify the source of bleeding.

In terms of immediate steps, if you notice only a small amount of bright red blood and it is consistent with your dietary intake, you might consider monitoring the situation for a short period. However, if you experience any worsening symptoms or if the blood does not resolve, it is advisable to consult a physician. They may perform a physical examination and possibly recommend further diagnostic tests, including blood tests or imaging studies, to rule out any serious underlying conditions.

In summary, while your dietary choices could explain the presence of blood in your stool, it is essential to remain vigilant. If the bleeding continues or if you have any concerns, do not hesitate to seek medical advice. Early intervention can often lead to better outcomes, especially if there are underlying issues that need to be addressed.

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