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

Rectal bleeding

Hello Doctor, I had a bowel movement yesterday and today, and both times there was blood.
I can see red blood in the toilet and on the toilet paper, but after wiping a couple of times, it stopped.
I'm not sure if the blood is only at the end of the stool or if it's throughout, but the stool is dark in color and has a smell that is not typical for a bowel movement, and it doesn't quite smell like blood.
Since it's currently finals week, I haven't been able to find time to go to the hospital for an examination, and I don't have any other issues like pain.
Therefore, I would like to ask if I can continue to observe this situation for about two weeks.
If the symptoms persist, would it be okay to seek medical attention then? Also, if I need to get checked, which specialty would be more appropriate: colorectal surgery or gastroenterology and hepatology, or can I just start with a family medicine appointment? Additionally, I am really afraid of pain; will the related examinations be very uncomfortable? Thank you, Doctor.

ching, 20~29 year old female. Ask Date: 2023/12/11

Dr. Chen Shidian reply Gastroenterology and Hepatology

It is advisable to observe, reduce prolonged sitting, and increase water intake along with fruits and vegetables.
If necessary, a visit to a gastroenterology clinic may be warranted.

Reply Date: 2023/12/11

More Info

When it comes to the presence of blood in your stool, it is essential to take this symptom seriously, as it can indicate a range of underlying health issues, some of which may require prompt medical attention. The fact that you have observed bright red blood in the toilet and on toilet paper, along with dark-colored stool, raises several important considerations.

Firstly, the bright red blood could suggest bleeding from the lower gastrointestinal tract, such as the rectum or colon, while the dark stool may indicate bleeding from higher up in the gastrointestinal tract, such as the stomach or small intestine. The combination of these symptoms warrants a thorough evaluation by a healthcare professional. Even if you are not experiencing pain or other symptoms, the presence of blood in your stool is not something to ignore.

In terms of timing, while it may be tempting to wait for a couple of weeks to see if the symptoms resolve on their own, it is generally advisable to seek medical attention sooner rather than later. Blood in the stool can be caused by various conditions, including hemorrhoids, diverticulosis, inflammatory bowel disease (IBD), or even more serious conditions like colorectal cancer. Early diagnosis and treatment can significantly improve outcomes, especially if a serious condition is present.

Regarding which specialist to see, both a gastroenterologist (who specializes in the gastrointestinal tract) and a colorectal surgeon (who focuses on the rectum and colon) would be appropriate. You could start with a visit to your primary care physician, who can assess your symptoms and refer you to the appropriate specialist based on their findings. If you are particularly concerned about the nature of the bleeding, a gastroenterologist may be the best first step, as they can perform diagnostic tests such as a colonoscopy to evaluate the source of the bleeding.

As for your concerns about pain during examinations, it is understandable to feel apprehensive. Many diagnostic procedures, such as a colonoscopy, are performed under sedation or anesthesia, which can minimize discomfort. Your healthcare provider will discuss pain management options with you before any procedure, ensuring that you are as comfortable as possible.

In summary, while it may be tempting to wait and see, I strongly recommend that you seek medical evaluation sooner rather than later due to the presence of blood in your stool. Early intervention can lead to better outcomes and peace of mind. Don't hesitate to reach out to a healthcare provider to discuss your symptoms and get the appropriate care. Your health is important, and addressing these symptoms promptly is the best course of action.

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