After acute non-infectious gastroenteritis, the stool appears abnormal, and there are fresh blood stains on the toilet paper?
Two weeks ago, after an episode of acute non-infectious gastroenteritis and the cessation of diarrhea, I started experiencing the following after taking medication: 1.
A small amount of bright red blood on the toilet paper after wiping; 2.
The shape of my stool is unusual—it feels like it is composed of small balls rather than the normal elongated shape.
Is this normal, or should I see a doctor?
Da Ke, 20~29 year old female. Ask Date: 2005/03/29
Dr. Chen Zhiping reply Gastroenterology and Hepatology
Response: Hello,
1.
Blood on toilet paper may indicate rectal bleeding.
If it persists or is significant in volume, you should seek medical attention (gastroenterology or colorectal surgery) for evaluation.
2.
It could also be due to hard stools, which may lead to the formation of hemorrhoids or rectal bleeding during straining.
It is recommended to increase fiber intake, drink plenty of water, and consider using a stool softener if necessary to aid in bowel movements.
Sincerely, Dr.
Chen Chih-Ping, Internal Medicine.
Reply Date: 2005/03/29
More Info
When experiencing unusual stool shapes and blood on toilet paper, it is essential to take these symptoms seriously and consider seeking medical attention. Based on your description, there are a few key points to address regarding your condition.
Firstly, the presence of bright red blood on toilet paper after wiping can indicate several potential issues, the most common being hemorrhoids or anal fissures. Hemorrhoids are swollen veins in the lower rectum or anus that can cause discomfort, itching, and bleeding, especially during bowel movements. Anal fissures, on the other hand, are small tears in the lining of the anus that can also lead to bleeding and pain. Both conditions can be exacerbated by constipation or straining during bowel movements, which may explain the unusual stool shape you described.
The unusual shape of your stool, resembling "balls" or "clumps," could suggest a few things. This type of stool is often associated with constipation, where the stool becomes hard and lumpy due to prolonged time in the intestines. In your case, since you mentioned having acute non-infectious gastroenteritis two weeks prior, it is possible that your bowel habits have been disrupted, leading to changes in stool consistency and shape. After a bout of diarrhea, it is not uncommon for the bowel to take some time to return to its normal function, which can result in irregular stool shapes.
Given these symptoms, it is advisable to consult a healthcare professional, especially if the bleeding persists or if you experience any additional symptoms such as severe abdominal pain, changes in bowel habits, or significant weight loss. A doctor can perform a thorough examination, which may include a digital rectal exam or other diagnostic tests, to determine the underlying cause of your symptoms.
In addition, if you have any risk factors for colorectal issues, such as a family history of colorectal cancer, it is even more critical to seek medical advice. While hemorrhoids and fissures are common and often benign, it is essential to rule out more serious conditions, including inflammatory bowel disease or colorectal cancer, particularly if you are experiencing significant changes in your bowel habits or stool appearance.
In summary, while your symptoms may be indicative of common conditions like hemorrhoids or constipation-related issues, it is always better to err on the side of caution. If you notice blood on toilet paper, especially if it is recurrent, or if your stool shape continues to be abnormal, please schedule an appointment with a healthcare provider. They can provide a proper diagnosis and recommend appropriate treatment options to alleviate your symptoms and address any underlying concerns.
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