Which Specialist Should I Consult for Blood in Stool? - Family Medicine

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Hello Dr.
Chen, I have noticed blood in my stool recently.
Which specialist should I consult? Also, if I want to seek medical attention, which department should I make an appointment with? Thank you, Tony.

TONY, 40~49 year old female. Ask Date: 2010/11/26

Dr. Chen Bozhang reply Family Medicine


Hello: In response to your question, I recommend that you schedule an appointment with a general surgery outpatient clinic.
Thank you!

Reply Date: 2010/11/26

More Info


Hello Tony,
If you have noticed blood in your stool, it is important to seek medical attention promptly. The presence of blood in the stool can be indicative of various conditions, some of which may require immediate evaluation and treatment. The appropriate specialist to consult for this issue is a gastroenterologist. Gastroenterologists specialize in diagnosing and treating disorders of the gastrointestinal (GI) tract, which includes the esophagus, stomach, intestines, liver, gallbladder, and pancreas.

When you visit a gastroenterologist, they will likely perform a thorough evaluation, which may include a detailed medical history, a physical examination, and possibly some diagnostic tests. These tests could include blood tests, stool tests, imaging studies (like an abdominal ultrasound or CT scan), or endoscopic procedures (like a colonoscopy or upper endoscopy) to visualize the GI tract directly.

Blood in the stool can arise from various sources, including:
1. Hemorrhoids: Swollen blood vessels in the rectum or anus that can bleed during bowel movements.

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

3. Gastrointestinal bleeding: This can occur from conditions such as diverticulosis, inflammatory bowel disease (IBD) like Crohn's disease or ulcerative colitis, peptic ulcers, or even colorectal cancer.

4. Infections: Certain infections can cause inflammation and bleeding in the intestines.

Given the potential seriousness of some of these conditions, it is crucial not to delay seeking medical advice. If you experience additional symptoms such as abdominal pain, changes in bowel habits, weight loss, or fatigue, be sure to mention these to your doctor, as they can provide important clues regarding the underlying cause of the bleeding.

In summary, I recommend that you schedule an appointment with a gastroenterologist as soon as possible to discuss your symptoms and undergo any necessary evaluations. Early diagnosis and treatment can significantly improve outcomes, especially if a serious condition is present.

Take care, and I hope you find the answers and relief you need soon.

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