Your 15-Year-Old's Digestive Issues: Which Specialist to See? - Family Medicine

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Which department should I see?


My daughter is 15 years old and has a habit of constipation.
She has been experiencing bright red blood in her stool for several months.
About two months ago, the bleeding did not occur at the anus; it resembled menstrual blood and had clots, but it was not during her menstrual period, although it happened about a week before her period.
Is this abnormal? Which specialist should we consult? Thank you!

ABC, 40~49 year old female. Ask Date: 2009/12/07

Dr. Cai Mengru reply Family Medicine


Dear Ms.
ABC,
Regarding your inquiry, there is indeed a concern.
It would be advisable to consider consulting either a colorectal surgeon or an obstetrician-gynecologist.
Based on the condition you have described, there is a higher likelihood that the former may be more relevant.
Therefore, you may want to take your daughter to see a colorectal specialist first, as this may yield more beneficial results.
If all examinations are normal, you can then proceed to investigate with an obstetrician-gynecologist.
Wishing you peace and health.
Sincerely,
Dr.
Tsai Meng-Ju
Attending Physician, Family Medicine
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2009/12/07

More Info


When it comes to your 15-year-old daughter's digestive issues, particularly the symptoms you've described—chronic constipation, bright red blood in her stool, and unusual bleeding that resembles menstrual blood—it's essential to take these concerns seriously. These symptoms can indicate underlying health issues that require prompt attention from a healthcare professional.

First and foremost, the presence of bright red blood in the stool can be alarming. It often suggests that there may be bleeding in the lower gastrointestinal tract, which could be due to various causes, including hemorrhoids, anal fissures, or more serious conditions like inflammatory bowel disease (IBD) or even polyps. Given that your daughter has also experienced unusual bleeding that is not associated with her menstrual cycle, this raises additional concerns that should not be overlooked.

In this situation, the best course of action is to consult a pediatric gastroenterologist. Pediatric gastroenterologists specialize in diagnosing and treating digestive system disorders in children and adolescents. They have the expertise to evaluate your daughter's symptoms comprehensively, perform necessary diagnostic tests (such as blood tests, stool tests, or imaging studies), and determine the underlying cause of her symptoms.

Here are some steps you should consider taking:
1. Schedule an Appointment: Contact a pediatric gastroenterologist as soon as possible. Given the symptoms you've described, it's important to have her evaluated promptly to rule out any serious conditions.

2. Document Symptoms: Before the appointment, keep a detailed record of your daughter's symptoms, including the frequency and consistency of her bowel movements, any associated pain or discomfort, the timing and nature of the bleeding, and any other relevant health changes. This information will be valuable for the doctor.

3. Discuss Medical History: Be prepared to discuss your daughter's medical history, including any previous gastrointestinal issues, family history of digestive disorders, and any medications she may be taking.

4. Follow-Up Tests: The gastroenterologist may recommend further tests, such as a colonoscopy, to visualize the colon and rectum directly. This can help identify any abnormalities that may be causing the bleeding.

5. Consider Dietary Changes: While waiting for the appointment, you might also consider discussing dietary changes that could help with her constipation. Increasing fiber intake through fruits, vegetables, and whole grains, along with ensuring adequate hydration, can sometimes alleviate constipation.

6. Mental Health Considerations: It's also important to consider the psychological impact of these symptoms on your daughter. Chronic digestive issues can lead to anxiety or stress, especially in adolescents. If you notice any changes in her mood or behavior, it might be beneficial to discuss these with her healthcare provider.

7. Emergency Signs: If your daughter experiences severe abdominal pain, persistent vomiting, or if the bleeding worsens, seek emergency medical attention immediately. These could be signs of a more serious condition that requires urgent care.

In conclusion, your daughter's symptoms warrant a thorough evaluation by a pediatric gastroenterologist. Early intervention is key to addressing any potential health issues and ensuring her overall well-being. Don't hesitate to seek help, as timely medical attention can make a significant difference in her health outcomes.

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