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

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When you notice blood in your stool, especially in the manner you described—bright red blood in the toilet water, painful bowel movements, and blood on toilet paper—it can be alarming. Based on your symptoms, there are a few potential causes to consider, and it's important to seek medical attention promptly.

One common cause of bright red blood in the stool is hemorrhoids or anal fissures. Hemorrhoids are swollen blood vessels in the rectal area that can bleed, especially during bowel movements. Anal fissures are small tears in the lining of the anus, often caused by passing hard stools, which can also lead to significant pain and bleeding. Given your history of constipation and not eating enough fiber, it is plausible that these conditions could be contributing to your symptoms.

However, while hemorrhoids and fissures are common and often benign, the presence of blood in the stool can also indicate more serious conditions, such as diverticular disease, inflammatory bowel disease (IBD), or even colorectal cancer, particularly if accompanied by other symptoms like weight loss, changes in bowel habits, or abdominal pain. Although you mentioned not having abdominal pain, the severity of your symptoms warrants further investigation.

Given your long-standing issues with constipation, it is crucial to address your dietary habits. A diet low in fiber can lead to harder stools, which can exacerbate hemorrhoids and fissures. Increasing your intake of fruits, vegetables, and whole grains can help improve your bowel movements and reduce the risk of further complications.

Regarding your question about the cost of examinations at Tzu Chi Hospital, the fees can vary depending on the specific tests required. A basic consultation with a gastroenterologist may range from $30 to $100, while additional tests such as a colonoscopy or imaging studies can significantly increase the total cost. It is advisable to contact the hospital directly for a more accurate estimate based on your specific needs.

In summary, while your symptoms could be due to relatively benign conditions like hemorrhoids or anal fissures, the presence of bright red blood in your stool is not something to ignore. It is essential to seek medical evaluation to rule out any serious underlying conditions. Additionally, addressing your dietary habits and ensuring adequate hydration can help manage your constipation and reduce the risk of recurrence. Please consider scheduling an appointment with a healthcare provider as soon as possible to discuss your symptoms and receive appropriate care.