Blood in Stool: Causes and When to Seek Help

Blood in the stool?

Recently, I have been experiencing blood in my stool.
Two days ago, I went for an examination, and after the doctor performed a digital rectal exam, he said there was no bleeding from the rectum and proceeded to perform a rubber band ligation for my internal hemorrhoids.
However, for the past two days after returning home, I am still noticing blood in my stool.
Is this normal? I do not have a habit of smoking or drinking alcohol.

vc, 30~39 year old female. Ask Date: 2024/07/10

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility of hemorrhoidal bleeding.
As long as there is no further bleeding, it should not be a concern.
It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements.
Spicy and irritating foods should be temporarily avoided, and increasing dietary fiber intake can be beneficial.
Warm sitz baths may help alleviate symptoms, and over-the-counter hemorrhoid suppositories can be used.
It is best not to take stool softeners indiscriminately.
If bleeding persists, it is advisable to consult a physician for evaluation.
If necessary, a colonoscopy can also be arranged.

Reply Date: 2024/07/10

More Info

Blood in stool can be a concerning symptom and should always be taken seriously. It can arise from various causes, ranging from benign conditions to more serious health issues. In your case, since you mentioned that you recently had a procedure to ligate hemorrhoids (internal hemorrhoids), it is important to consider a few factors regarding your ongoing symptoms.

Firstly, after a hemorrhoid ligation, it is not uncommon to experience some bleeding. The procedure can cause irritation and inflammation in the rectal area, which might lead to minor bleeding during bowel movements. However, if the bleeding persists or worsens, it is essential to consult your healthcare provider again. Persistent blood in the stool, even after a procedure, may indicate that there are other underlying issues that need to be addressed.

Some potential causes of blood in the stool include:
1. Hemorrhoids: While you have already had treatment for internal hemorrhoids, external hemorrhoids or residual issues could still be a source of bleeding.

2. Anal fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can cause sharp pain and bleeding during bowel movements.

3. Diverticular disease: Diverticulosis and diverticulitis can lead to bleeding in the digestive tract.

4. Polyps or colorectal cancer: Although less common, polyps can bleed, and in some cases, they can be precursors to colorectal cancer. It is crucial to rule out these possibilities, especially if you have risk factors or a family history of colorectal issues.

5. Gastrointestinal infections: Certain infections can cause inflammation and bleeding in the intestines.

6. Inflammatory bowel disease (IBD): Conditions like Crohn's disease or ulcerative colitis can lead to blood in the stool.

Given that you have no history of smoking or alcohol consumption, these lifestyle factors are less likely to contribute to your symptoms. However, it is still essential to monitor your condition closely. If you notice any of the following, you should seek medical attention promptly:
- Increased volume of blood in the stool
- Blood that is bright red or maroon, which may indicate a more significant source of bleeding
- Accompanying symptoms such as severe abdominal pain, dizziness, or fainting
- Changes in bowel habits, such as diarrhea or constipation that lasts for more than a few days
In summary, while some bleeding may be expected after your recent procedure, ongoing blood in the stool should not be ignored. It is advisable to follow up with your healthcare provider to discuss your symptoms and possibly undergo further evaluation, such as a colonoscopy, to ensure that there are no other underlying issues. Early detection and treatment of any potential problems are key to maintaining your health and well-being.

Similar Q&A

Understanding Blood in Stool: Causes and When to Seek Help

Finding blood in your stool, especially if it is not bright red, can be indicative of several potential issues. It may suggest the presence of conditions such as hemorrhoids, diverticular disease, inflammatory bowel disease (IBD), or even more serious conditions like colorectal c...

Dr. Ke Fangxu reply Surgery
If the stool is dark red, it does not necessarily indicate bleeding. To determine whether it is bleeding, a stool test is required. At the age of 23, it is mostly likely hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended ...

Understanding Blood in Stool: Causes and When to Seek Help

Hello, doctor. I am a 19-year-old college student. Recently, I have been experiencing blood in my stool frequently, sometimes a lot, resembling urine in flow, and at other times just a small amount on the toilet paper. Sometimes I see blood during bowel movements, and sometimes I...

Dr. Su Baojia reply Gastroenterology and Hepatology
If there is blood in the stool and significant bleeding, it is important to see a gastroenterologist for an examination as soon as possible. The causes may include hemorrhoids, colorectal cancer, or colonic ulcers, among others, and should not be taken lightly. Otherwise, it coul...

Understanding Blood in Stool: Causes and When to Seek Help

Hello doctor, I have a question. Today when I went to the bathroom, there was no blood in my stool, but after straining a bit, I noticed fresh red blood on the edge of the stool. The first time I wiped, there was blood, but the second time there was none. I had a stool test done ...

Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, it is advisable to investigate the cause of blood in the stool in order to provide appropriate treatment. Common causes of blood in the stool include anal fissures, hemorrhoids, rectal or colon polyps, tumors, or inflammation. It is recommended to increase fiber and fluid ...

Blood in Stool: What You Need to Know and Do

Dear Doctor, Yesterday, I noticed blood in my stool and also found blood on the toilet paper after wiping. Could you please advise me on how to proceed? I would be very grateful.

Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, the presence of blood in the stool may be caused by hemorrhoids, anal fissures, inflammatory bowel disease, tumors, polyps, or diverticular bleeding, with hemorrhoidal bleeding being the most common. It is advisable to consume more fruits, vegetables, and fluids to maintai...