Blood in Stool: What to Do When You Notice Fresh Blood?

Blood in stool!

I have blood in my stool every day, and it's bright red and in significant amounts.
What should I do, doctor? Thank you!

Gao, 10~19 year old female. Ask Date: 2001/09/16

Dr. Yang Guojun reply Gastroenterology and Hepatology

Constipation can often lead to the passage of hard stools, which may cause tearing of the anal mucosa and result in bleeding.
This type of bleeding is typically observed as a few drops of bright red blood in the toilet after a bowel movement.
You seem to be experiencing this situation.
However, since a sigmoidoscopy is an immediate, safe, and painless examination, I still recommend that you undergo this procedure.
Prioritizing your internal health is the best way to reduce such occurrences.
Please develop a habit of having a daily bowel movement, increase your intake of vegetables, drink more yogurt, and avoid staying up late or suffering from insomnia.
Frequent abdominal bloating and constipation may be caused by an overgrowth of harmful bacteria in the intestines, producing various toxins and gas, which could be the primary reason for your bloating.
You should consume high-fiber foods, as well as fruits and vegetables, while avoiding gas-producing foods such as milk, bread, and legumes.
Drinking yogurt, which contains probiotics, can help promote the dominance of beneficial bacteria like Bifidobacteria in the gut, inhibit the proliferation of harmful bacteria, and reduce the production of putrefactive substances or carcinogens.
Furthermore, research has shown that it can be effective in treating gastrointestinal discomfort.
If you have any questions, please visit a gastroenterology clinic.

Reply Date: 2001/09/16

More Info

When you notice fresh blood in your stool, it can be alarming and may indicate a variety of underlying health issues. It's essential to approach this situation with caution and seek medical attention promptly. Here’s a detailed overview of what to do when you encounter this symptom, along with potential causes, diagnostic procedures, and treatment options.

Immediate Steps to Take
1. Do Not Panic: While seeing blood in your stool can be distressing, it’s important to remain calm. Blood can result from various conditions, some of which are more serious than others.

2. Monitor Symptoms: Pay attention to any additional symptoms you may be experiencing. This includes abdominal pain, changes in bowel habits, weight loss, or any signs of anemia (such as fatigue or paleness).

3. Seek Medical Attention: Schedule an appointment with your healthcare provider as soon as possible. If the bleeding is significant or accompanied by severe pain, dizziness, or fainting, consider going to the emergency room.

Possible Causes of Blood in Stool
Fresh blood in the stool can arise from several conditions, including:
- Hemorrhoids: Swollen blood vessels in the rectum or anus that can bleed during bowel movements.

- Anal Fissures: Small tears in the lining of the anus, often caused by passing hard stools.

- Gastrointestinal Infections: Certain infections can cause inflammation and bleeding in the digestive tract.

- Diverticulosis: Small pouches that can form in the colon wall and may bleed.

- Polyps or Colorectal Cancer: Growths in the colon or rectum can lead to bleeding and should be evaluated by a healthcare professional.

Diagnostic Procedures
Your doctor may recommend several tests to determine the cause of the bleeding:
- Physical Examination: A thorough examination, including a digital rectal exam, to check for hemorrhoids or fissures.

- Blood Tests: To assess for anemia and check your overall health.

- Stool Tests: To look for infections or blood in the stool.

- Colonoscopy: A procedure that allows the doctor to view the inside of your colon and rectum, which can help identify polyps, tumors, or sources of bleeding.

Treatment Options
The treatment for blood in the stool will depend on the underlying cause:
- Hemorrhoids: Treatment may include dietary changes, topical treatments, or procedures to remove the hemorrhoids.

- Anal Fissures: These may heal with increased fiber intake, sitz baths, and topical medications.

- Infections: Antibiotics or other medications may be prescribed if an infection is identified.

- Polyps or Cancer: If polyps are found, they may be removed during a colonoscopy. If cancer is diagnosed, treatment options may include surgery, chemotherapy, or radiation therapy.

Follow-Up Care
After initial treatment, follow-up appointments may be necessary to monitor your condition and ensure that the bleeding has resolved. It’s also important to maintain a healthy diet rich in fiber, stay hydrated, and avoid straining during bowel movements to prevent recurrence.

Conclusion
In summary, fresh blood in your stool is a symptom that should not be ignored. Prompt medical evaluation is crucial to determine the cause and initiate appropriate treatment. By staying informed and proactive about your health, you can address potential issues early and maintain your overall well-being. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider for personalized advice and support.

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