Blood in Stool: Symptoms and When to See a Doctor - Gastroenterology and Hepatology

Q: Blood in Stool: Symptoms and When to See a Doctor

Hello： Please visit the colorectal surgery department. <br>Best regards, Dr. <br>Chi-Feng Chen, Taoyuan General Hospital, Department of Health.

Hematochezia

Recently, I have been experiencing frequent bloody stools, and I am concerned it might be colon cancer.
What are the symptoms of colon cancer, and which department should I register with for an appointment?

check3218, 30~39 year old female. Ask Date: 2012/04/18

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: Please visit the colorectal surgery department.
Best regards, Dr.
Chi-Feng Chen, Taoyuan General Hospital, Department of Health.

Reply Date: 2012/04/18

More Info

Understanding blood in stool can be alarming, and it is essential to approach this symptom with caution. Blood in the stool can manifest in various forms, such as bright red blood, dark red blood, or even black, tarry stools. Each of these appearances can indicate different underlying issues, some of which may require immediate medical attention.

Possible Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of bright red blood in the stool is hemorrhoids, which are swollen veins in the rectum or anus. They can cause pain, itching, and bleeding 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.

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

4. Polyps or Colorectal Cancer: Polyps are growths on the lining of the colon or rectum that can bleed. Some polyps can develop into cancer over time. Colorectal cancer can present with blood in the stool, changes in bowel habits, unexplained weight loss, and abdominal discomfort.

5. Peptic Ulcers: Ulcers in the stomach or the first part of the small intestine can cause bleeding, leading to dark, tarry stools.

Symptoms to Watch For
In addition to blood in the stool, other symptoms that may accompany gastrointestinal issues include:
- Abdominal pain or cramping
- Changes in bowel habits (diarrhea or constipation)
- Unexplained weight loss
- Fatigue or weakness
- Nausea or vomiting
- Changes in appetite

When to See a Doctor
It is crucial to seek medical attention if you experience any of the following:
- Persistent blood in your stool
- Severe abdominal pain
- Symptoms of anemia (such as fatigue, weakness, or pale skin)
- Unexplained weight loss
- Changes in bowel habits that last more than a few days
Given your concern about colorectal cancer, it is advisable to consult a healthcare professional as soon as possible. You should schedule an appointment with a gastroenterologist, a doctor who specializes in digestive system disorders. They can perform necessary tests, such as a colonoscopy, to determine the cause of the bleeding.

Diagnostic Procedures
During your visit, the doctor may recommend several diagnostic tests, including:
- Colonoscopy: A procedure that allows the doctor to view the inside of your colon and rectum using a flexible tube with a camera.

- Blood Tests: To check for anemia or other underlying conditions.

- Stool Tests: To check for the presence of blood or infections.

Conclusion
Blood in the stool is a symptom that should not be ignored, especially if it is persistent or accompanied by other concerning symptoms. Early diagnosis and treatment are crucial for conditions like colorectal cancer and other gastrointestinal disorders. Make sure to communicate openly with your healthcare provider about your symptoms and any concerns you may have. Taking prompt action can lead to better outcomes and peace of mind.

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