Rectal Bleeding: When to Seek Medical Attention - Surgery

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Rectal bleeding


I noticed blood for the first time during a bowel movement, but I have never experienced this before.
I found the blood when wiping; it wasn't liquid but rather small dark red clots, very minimal, somewhat similar to dried nosebleed.
The bowel movements themselves are smooth and painless.
I sometimes spend a longer time in the restroom while using my phone, but this has never been an issue before.
Recently, due to school commitments, I've been going to bed later, and I usually have a bowel movement every two days.
My exercise routine hasn't been particularly consistent until recently, when I've started going to the gym for weight training once a week.
I'm wondering if I need to undergo a colonoscopy; I'm really worried about my health.

Xiao Chen, 10~19 year old female. Ask Date: 2023/03/23

Dr. Xu Kaixi reply Surgery


Hello: Based on your description, mild rectal bleeding is more likely caused by hemorrhoids, but other possibilities cannot be ruled out.
If it does not improve over time, it is recommended to seek further examination at a hospital.

Reply Date: 2023/03/23

More Info


Rectal bleeding can be a concerning symptom, and it's understandable to feel anxious about it, especially if it's a new occurrence for you. Based on your description, it sounds like you experienced some minor bleeding that was dark red and in small amounts, resembling dried blood. This could be indicative of several potential causes, some of which are benign, while others may require medical attention.

First, it's important to consider the context of your symptoms. You mentioned that you have been experiencing changes in your bowel habits, such as infrequent bowel movements and increased stress due to upcoming exams. These factors can contribute to constipation, which may lead to small tears in the rectal lining, known as anal fissures. These fissures can cause bleeding, especially when passing hard stools. The fact that you do not experience pain during bowel movements and that the bleeding is minimal is somewhat reassuring, but it does not completely rule out other conditions.

Other potential causes of rectal bleeding include hemorrhoids, which are swollen veins in the rectal area that can bleed, especially during bowel movements. They can be internal or external and may cause discomfort or itching. Additionally, conditions such as diverticulosis, polyps, or even more serious issues like colorectal cancer can also lead to rectal bleeding, although these are less common in younger individuals.

Given your situation, it is advisable to seek medical attention, particularly if the bleeding persists, increases in volume, or is accompanied by other symptoms such as abdominal pain, changes in bowel habits, or weight loss. A healthcare provider may recommend a physical examination and possibly a colonoscopy to evaluate the source of the bleeding. While the thought of a colonoscopy can be intimidating, it is a routine procedure that can provide valuable information about your gastrointestinal health.

In the meantime, there are several steps you can take to help manage your symptoms and promote bowel health. Increasing your fiber intake through fruits, vegetables, and whole grains can help soften your stools and reduce the risk of constipation. Staying well-hydrated is also crucial, as adequate fluid intake can facilitate smoother bowel movements. Regular physical activity, such as your recent gym workouts, can further support digestive health.

If you are experiencing stress related to your studies, consider incorporating relaxation techniques into your routine, such as deep breathing exercises, meditation, or light physical activity like walking or yoga. Stress can impact your digestive system, so finding ways to manage it may help alleviate some of your symptoms.

In summary, while your symptoms may not indicate a serious condition, it is essential to consult with a healthcare professional to rule out any underlying issues. Early intervention can lead to better outcomes and peace of mind. Take care of your health, and don't hesitate to reach out for medical advice when needed.

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