Blood in Stool: Should You Be Concerned About Your Health? - Gastroenterology and Hepatology

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Blood in the stool?


Hello Dr.
Chen: Today, I noticed blood while wiping after a bowel movement, and during another bowel movement, I felt that there was blood on the stool (I ate red dragon fruit around noon, but it was only about six or seven hours before the bowel movement, so I'm not sure if I consumed any other red foods).
I'm wondering if this could be related to my recent low intake of fruits and vegetables.
Should I see a doctor, or if this doesn't happen again, is it unnecessary? I'm also concerned about the possibility of colon cancer; perhaps I'm overthinking it, but it does make me a bit anxious.
Thank you, doctor.

LUO, 10~19 year old female. Ask Date: 2011/08/20

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello: A 19-year-old female initially suspected of having colon cancer may have been overthinking.
It is recommended that if there are still intermittent episodes of blood in the stool or bleeding from the anus, she should consult a colorectal surgeon.
Wishing you good health.
Sincerely, Dr.
Chi-Feng Chen, Taoyuan General Hospital, Department of Health.

Reply Date: 2011/08/20

More Info


When it comes to noticing blood in your stool, it's understandable to feel concerned. Blood in the stool can be alarming, and while it may not always indicate a serious condition, it is essential to take it seriously and seek medical advice.
Firstly, let's address the potential causes of blood in the stool. There are several reasons why you might see blood, ranging from benign to serious conditions. Common causes include:
1. Hemorrhoids: Swollen veins in the lower rectum or anus can cause bleeding, especially during bowel movements. This is often accompanied by pain or discomfort.

2. Anal fissures: Small tears in the lining of the anus can occur, often due to passing hard stools. This can lead to bleeding and pain.

3. Diverticular disease: Diverticula are small pouches that can form in the walls of the colon. If they become inflamed or infected, they can bleed.

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

5. Polyps or colorectal cancer: While less common, polyps (growths on the colon lining) can bleed, and some can develop into cancer. Blood in the stool can be a sign of colorectal cancer, especially if it is persistent.

Given that you mentioned eating red dragon fruit, it's worth noting that certain foods can sometimes cause a reddish tint in the stool, which may be mistaken for blood. However, if you have observed blood on multiple occasions or if it is accompanied by other symptoms such as abdominal pain, changes in bowel habits, or weight loss, it is crucial to consult a healthcare professional.

In your case, since you have seen blood during bowel movements, it is advisable to schedule an appointment with your doctor. They may recommend a physical examination, and possibly further tests such as a colonoscopy, especially if you have risk factors for colorectal cancer or if the bleeding continues.

It is also important to consider your diet. You mentioned that you have been consuming fewer fruits and vegetables. A diet low in fiber can lead to constipation and straining during bowel movements, which can contribute to conditions like hemorrhoids or anal fissures. Increasing your intake of fiber-rich foods, such as fruits, vegetables, whole grains, and legumes, can help promote regular bowel movements and reduce the risk of bleeding.

In summary, while occasional blood in the stool can be due to minor issues like hemorrhoids or dietary factors, it is essential to take it seriously, especially if it persists. Consulting a healthcare provider is the best course of action to rule out any serious conditions and to receive appropriate guidance on managing your health. Remember, early detection and intervention are key in addressing any potential health concerns.

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