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

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Blood in the stool?


Hello doctor, I would like to ask about a concern.
For the past two days, I have noticed blood in my stool, and the amount of blood has been quite significant.
After using the toilet, I found that the bowl was filled with blood, and when I wiped, there was only blood.
What could be the issue? I have experienced this before, but it seems to be more severe this time, as there is blood every time I have a bowel movement.
Could this be related to my beverage consumption? I have been drinking at least 1000 to 2000 cc of green tea over the past two days, and I usually add milk to it.
Is the blood in my stool due to the green tea? (The green tea was made from leaves my father bought.) However, I have had similar issues in the past.
Doctor, what should I do?

Xiao K, 20~29 year old female. Ask Date: 2009/03/26

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello, the most common cause of bloody stools is hemorrhoids, which can occur without any other symptoms, just bleeding.
The amount of bleeding is not the main concern; the important issue is the reason for the bleeding.
Besides hemorrhoids, there are several other causes.
It is recommended to consult a gastroenterologist or a colorectal surgeon for further evaluation and examination.
Best wishes, Dr.
Chen Chih-Feng, Taoyuan General Hospital, Department of Health.

Reply Date: 2009/03/26

More Info


Blood in the stool can be a concerning symptom, and it is essential to understand the potential causes and when to seek medical help. The presence of blood in your stool can arise from various conditions, ranging from benign to serious. Here’s a comprehensive overview of the possible causes, the significance of your symptoms, and the appropriate steps to take.


Possible Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of blood in the stool, hemorrhoids are swollen blood vessels in the rectal area that can bleed during bowel movements. The blood is usually bright red and may be seen on the toilet paper or in the toilet bowl.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. Like hemorrhoids, anal fissures can cause bright red blood.

3. Gastrointestinal Bleeding: More serious causes of blood in the stool include bleeding from the gastrointestinal tract. This can occur due to conditions such as diverticulosis, inflammatory bowel disease (IBD), or colorectal cancer. The blood may appear dark red or black, indicating it has been digested.

4. Infections: Certain infections, particularly those affecting the intestines, can lead to bloody diarrhea. This may be accompanied by other symptoms such as fever, abdominal pain, and cramping.

5. Polyps or Tumors: Polyps are growths on the lining of the colon or rectum that can bleed. Some polyps can become cancerous over time, so it is crucial to monitor any changes.


When to Seek Help
Given that you have experienced blood in your stool for a couple of days and the amount seems to be increasing, it is crucial to seek medical attention promptly. Here are specific situations where you should seek immediate help:
- Persistent Blood: If blood continues to appear in your stool over several days.

- Large Amounts of Blood: If you notice a significant amount of blood, especially if it is accompanied by other symptoms like dizziness, weakness, or fainting.

- Accompanying Symptoms: If you experience abdominal pain, cramping, fever, or changes in bowel habits (such as diarrhea or constipation).

- History of Gastrointestinal Issues: If you have a history of gastrointestinal diseases or conditions that could predispose you to bleeding.


Lifestyle Factors
You mentioned that you have been consuming a significant amount of green tea and milk. While these beverages are generally safe, they can sometimes lead to gastrointestinal upset in sensitive individuals. However, it is unlikely that they are the direct cause of blood in your stool. It is essential to consider other dietary factors, medications, or underlying health conditions that may contribute to your symptoms.


Conclusion
In summary, blood in the stool is a symptom that should not be ignored, especially if it persists or worsens. While there are many potential causes, some can be serious and require immediate medical intervention. It is advisable to consult a healthcare professional who can perform a thorough evaluation, including a physical examination and possibly diagnostic tests like a colonoscopy, to determine the underlying cause of your symptoms. Early diagnosis and treatment are crucial for managing any potential health issues effectively. Please prioritize your health and seek medical attention as soon as possible.

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