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

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I have symptoms of significant bleeding?


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 don't.
Previously, I had episodes without blood in my stool for about 2 to 3 weeks, which was quite frightening, as the toilet bowl would be filled with bright red blood.
However, I am hesitant to seek medical attention.
The color of my stool does not differ significantly from when there is no blood, and I do not experience any pain in my anus, so I don't think it could be hemorrhoids.
The abdominal pain only occurs when I need to have a bowel movement.
What could be the cause of this? Thank you.

Haipa jiu yi, 10~19 year old female. Ask Date: 2004/10/30

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 could lead to severe anemia and delay in treatment.

Reply Date: 2004/10/30

More Info


Blood in stool can be a concerning symptom, especially for a young adult like yourself. It's important to understand that there are several potential causes for this condition, and while some may be benign, others could indicate a more serious health issue.
Firstly, the presence of blood in your stool can be categorized into two types: bright red blood and dark, tarry stools. Bright red blood typically indicates that the bleeding is occurring in the lower gastrointestinal tract, such as the rectum or anus. This could be due to conditions like hemorrhoids (which are swollen veins in the rectal area), anal fissures (small tears in the lining of the anus), or diverticular disease. On the other hand, dark, tarry stools often suggest bleeding from higher up in the gastrointestinal tract, such as the stomach or small intestine, and could be indicative of ulcers or other serious conditions.

Given your description of the blood being present during bowel movements, and the fact that you do not experience pain, hemorrhoids or anal fissures could be likely culprits. However, the intermittent nature of your symptoms and the significant amount of blood you describe (comparable to urination at times) warrant further investigation.
It's also worth noting that while you may not feel pain, the presence of blood in stool should never be ignored. Even if you suspect it might be something minor, such as hemorrhoids, it is crucial to consult a healthcare professional. They can perform a thorough evaluation, which may include a physical examination and possibly a colonoscopy, to determine the exact cause of the bleeding.

In terms of when to seek help, you should definitely consider making an appointment with a doctor if:
1. The bleeding persists or worsens.

2. You experience any other symptoms, such as significant abdominal pain, changes in bowel habits, or unexplained weight loss.

3. You notice any signs of anemia, such as fatigue, weakness, or pale skin.

As a young adult, it’s understandable to feel apprehensive about seeking medical help, but addressing these symptoms early can lead to better outcomes. Many conditions that cause blood in the stool are treatable, especially when caught early.
In summary, while it may be tempting to dismiss the blood in your stool as a minor issue, it is essential to take it seriously. Schedule an appointment with a healthcare provider to discuss your symptoms in detail. They can provide you with the appropriate tests and treatments based on their findings. Remember, your health is paramount, and seeking help is a proactive step towards ensuring your well-being.

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