Experiencing Blood in Stool? Here's What You Need to Know

Is it blood in the stool? What should I do?

Today, while I was using the restroom, I noticed a drop of bright red blood.
There was also a little bit when I wiped.
At first, I thought it was my menstrual period, but after calculating my cycle, it seems too early! I went to the restroom again and realized it wasn't menstrual blood; it was definitely coming from my rectum.
I think I experienced something similar several months ago, but it might have been almost six months ago! At that time, I thought it was due to an anal fissure because the amount was not significant.
I eat a lot of vegetables, but I occasionally experience constipation.
I can't remember if I had strained too much because I was startled.
Could you provide me with more information and advice on what to do? I would like to be mentally prepared.

mini, 10~19 year old female. Ask Date: 2007/10/08

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello Mini, if you notice blood when using the restroom, it is generally related to issues in the anal or rectal area.
Common causes include hemorrhoids, anal fissures, polyps, tumors, and inflammatory bowel disease.
In younger individuals, the most frequent causes are hemorrhoids, anal fissures, and inflammation, often exacerbated by straining during bowel movements, which can lead to bleeding from hemorrhoids or fissures.
It is advisable to reduce the intake of spicy foods, ensure adequate hydration, and increase fiber intake to help form stools and facilitate smooth bowel movements.

Hemorrhoids are varicosities of the anal veins, and prolonged sitting can worsen their condition, so regular exercise is important.
If you experience persistent bleeding from hemorrhoids, it is essential to consult a doctor, as chronic bleeding can lead to anemia.
If there is no improvement, seeking medical attention is recommended.
Wishing you good health.

Sincerely, Dr.
Lin Ming-Hui, Taoyuan Hospital.

Reply Date: 2007/10/08

More Info

Experiencing blood in the stool can be concerning, and it's important to understand the potential causes and what steps to take next. The presence of bright red blood typically indicates that the bleeding is coming from the lower gastrointestinal tract, which includes the rectum and anus. Here are some common causes and considerations regarding this symptom:
1. Hemorrhoids: One of the most common causes of bright red blood in the stool is hemorrhoids, which are swollen veins in the lower rectum or anus. They can cause bleeding, especially during bowel movements, and are often associated with straining, constipation, or prolonged sitting.

2. Anal Fissures: As you mentioned, anal fissures are small tears in the lining of the anus that can occur due to passing hard stools. They can cause sharp pain and bleeding during bowel movements.

3. Diverticular Disease: Diverticulosis, a condition where small pouches form in the colon wall, can lead to diverticulitis, which may cause bleeding.

4. Polyps or Colorectal Cancer: While less common, polyps (growths on the colon lining) or colorectal cancer can also cause bleeding. If you have a history of polyps or a family history of colorectal cancer, this is particularly important to consider.

5. Gastrointestinal Infections: Certain infections can cause inflammation and bleeding in the gastrointestinal tract.

Given your symptoms and history, here are some steps you should consider:
- Monitor Symptoms: Keep track of how often you see blood, the amount, and any accompanying symptoms such as pain, changes in bowel habits, or weight loss.

- Dietary Adjustments: Since you mentioned eating plenty of vegetables, ensure you are also drinking enough water and maintaining a balanced diet to prevent constipation. Increasing fiber intake can help soften stools and reduce straining.

- Avoid Straining: If you experience constipation, try to avoid straining during bowel movements, as this can exacerbate hemorrhoids or fissures.

- Consult a Healthcare Professional: It is crucial to seek medical advice, especially since you have experienced this symptom multiple times over several months. A healthcare provider may recommend a physical examination, and possibly a colonoscopy, to determine the underlying cause of the bleeding.

- Stay Informed: Understanding the potential causes of your symptoms can help you communicate effectively with your healthcare provider and make informed decisions about your health.

In summary, while occasional blood in the stool can be due to benign causes like hemorrhoids or anal fissures, it is essential to consult a healthcare professional to rule out more serious conditions, especially if the symptom persists or is accompanied by other concerning signs. Early diagnosis and treatment can significantly improve outcomes and alleviate anxiety regarding your health.

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