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

Q: Blood in Stool: Causes and When to Seek Help

Hello： Based on the symptoms, there is a high possibility of hemorrhoidal bleeding. <br>It is recommended to avoid fried foods, spicy foods, and foods that may cause heat in the body. <br>Ensure that stools are not too hard by increasing the intake of fruits and vegetables, drink

Blood in the stool?

I have occasionally noticed blood on the toilet paper after wiping, but just now I felt stomach pain and noticed something that looked like blood in my stool, which was dark red.
At first, I thought it might be my menstrual period, but later I realized it probably wasn't.
Sometimes after using the bathroom, I feel pain in my anus, and at times there is a sensation of swelling.
My daily routine is not very regular; I usually go to bed around 2 or 3 AM (this has been ongoing for a semester), but my appetite is fairly good, and I enjoy spicy food.
What could be wrong with me? Do I need to undergo any tests?

Dàxuéshēng, 10~19 year old female. Ask Date: 2012/01/11

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: Based on the symptoms, there is a high possibility of hemorrhoidal bleeding.
It is recommended to avoid fried foods, spicy foods, and foods that may cause heat in the body.
Ensure that stools are not too hard by increasing the intake of fruits and vegetables, drinking plenty of water, and getting adequate sleep.
If bleeding persists, please visit a colorectal surgeon for further examination.
Sincerely, Dr.
Chi-Feng Chen, Taoyuan Hospital, Department of Health.

Reply Date: 2012/01/11

More Info

When it comes to blood in the stool, it is essential to understand that this symptom can arise from various causes, some of which may require immediate medical attention. The presence of dark red blood in your stool, especially if accompanied by abdominal pain and discomfort around the anus, can indicate several potential issues.

Possible Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of blood in the stool, particularly if you experience pain around the anus. Hemorrhoids are swollen veins in the lower rectum or anus that can bleed during bowel movements.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to sharp pain and bleeding during or after bowel movements.

3. Gastrointestinal Bleeding: Conditions such as diverticulosis, inflammatory bowel disease (IBD), or colorectal cancer can also cause bleeding. The blood may appear bright red or dark red, depending on where the bleeding is occurring in the gastrointestinal tract.

4. Infections: Certain infections, particularly those affecting the gastrointestinal tract, can lead to bloody diarrhea. This can be accompanied by other symptoms such as fever and abdominal cramps.

5. Dietary Factors: Consuming spicy foods or certain medications can irritate the gastrointestinal tract, potentially leading to bleeding.

When to Seek Medical Help
Given your symptoms, it is advisable to seek medical attention, especially if:
- The bleeding persists or worsens.

- You experience significant abdominal pain.

- You notice changes in your bowel habits, such as diarrhea or constipation.

- You have accompanying symptoms like fever, weight loss, or fatigue.

Recommended Actions
1. Consult a Healthcare Provider: Schedule an appointment with a healthcare professional, preferably a gastroenterologist. They can perform a thorough evaluation, which may include a physical examination, blood tests, and possibly imaging studies or a colonoscopy to determine the cause of the bleeding.

2. Keep a Symptom Diary: Document your symptoms, including the frequency and appearance of the blood, any associated pain, and dietary habits. This information can be valuable for your healthcare provider.

3. Avoid Self-Diagnosis: While it may be tempting to search for answers online, self-diagnosing can lead to unnecessary anxiety or misinterpretation of symptoms. Rely on professional medical advice.

4. Lifestyle Adjustments: Consider making dietary changes, such as reducing spicy foods and increasing fiber intake, which can help alleviate some gastrointestinal issues. Additionally, try to establish a regular sleep schedule, as poor sleep can impact overall health.

Conclusion
Blood in the stool is a symptom that should not be ignored, especially when accompanied by pain and other gastrointestinal symptoms. While there are many potential causes, some may require urgent medical intervention. It is crucial to consult with a healthcare professional to receive a proper diagnosis and treatment plan. Early intervention can lead to better outcomes and peace of mind.

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