Blood in Stool: Causes and Treatment Options - Gastroenterology and Hepatology

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Blood in the stool?


Hello, Doctor Lin: I would like to ask you about my previous issue of having blood in my stool.
I went for an examination at the clinic, and the doctor mentioned that I have both internal and external hemorrhoids, which could be causing the occasional blood in my stool.
However, even after taking medication for over a month, I still notice a small amount of blood in my stool from time to time, and this has been ongoing for two months.
Could you please explain what this situation might be? Will the internal and external hemorrhoids improve? Also, could my job, which requires me to sit for long periods, be contributing to this recurring issue?

Xiao Ai, 20~29 year old female. Ask Date: 2012/04/23

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello: Hemorrhoids are caused by increased pressure in the venous area of the anus.
Generally, medication is used to alleviate symptoms.
It is important to avoid prolonged sitting, engage in regular exercise, and consume a diet rich in fiber and fluids to facilitate smooth bowel movements and well-formed stools.
If hemorrhoids frequently bleed, they can lead to chronic anemia.
In severe cases, ligation or surgical treatment may be necessary.
Wishing you good health, Dr.
Lin Ming-Hui, Taoyuan Hospital, Department of Health.

Reply Date: 2012/04/23

More Info


Understanding blood in stool can be concerning, and it is essential to approach this issue with a comprehensive understanding of potential causes and treatment options. Blood in the stool can arise from various conditions, some benign and others more serious.
In your case, the presence of blood in your stool has been attributed to internal and external hemorrhoids, which are swollen veins in the lower rectum and anus. Hemorrhoids can cause bleeding during bowel movements, especially if there is straining involved, which can be exacerbated by prolonged sitting, as you mentioned. This is particularly common in individuals with sedentary jobs or lifestyles.
The fact that you have been experiencing this issue for two months, even after treatment, suggests that while the hemorrhoids may be a contributing factor, there could be other underlying issues that need to be addressed. It is important to note that hemorrhoids can be managed effectively with lifestyle changes, dietary modifications, and medical treatments. Increasing fiber intake, staying hydrated, and avoiding straining during bowel movements can help alleviate symptoms. Over-the-counter treatments, such as topical creams or suppositories, may also provide relief.

However, if the bleeding persists despite these measures, it is crucial to follow up with your healthcare provider. They may recommend further evaluation, such as a colonoscopy, to rule out other potential causes of rectal bleeding, including anal fissures, diverticular disease, or even more serious conditions like colorectal cancer. While hemorrhoids are a common cause of blood in the stool, it is essential to ensure that there are no other underlying issues contributing to your symptoms.

Regarding the healing of internal and external hemorrhoids, they can improve with appropriate treatment and lifestyle changes. In some cases, if conservative measures fail, more invasive procedures, such as rubber band ligation or surgical removal, may be necessary.
In summary, while hemorrhoids are a likely cause of your symptoms, it is essential to monitor the situation closely. If you continue to experience blood in your stool, or if you notice any changes in your bowel habits, abdominal pain, or other concerning symptoms, it is vital to seek further medical evaluation. Your healthcare provider can help determine the best course of action and ensure that any serious conditions are ruled out. Remember, early intervention can lead to better outcomes, so do not hesitate to reach out for further assistance.

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