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

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What are the causes of bloody stools?


I have noticed blood clots in my stool over the past two days, but the color of the stool is not black; it is yellow-brown and has a strip-like appearance.
There are some blood clots present, and the stool is not very hard, more like a moderate consistency.
The blood clots are distributed in a straight line, and there is also a bit of bright red blood on the toilet paper.
On the first day, I thought it was related to my menstrual cycle, so I didn't pay much attention to it.
Later, I realized it wasn't that, but today I experienced the same situation in the bathroom.
However, I did not have this issue in the days prior, and I haven't noticed any other unusual symptoms in my body.
I often stay up late and have a somewhat reversed day-night cycle.
My fluid intake doesn't seem to be very high, as I tend to drink more beverages.
If I change my lifestyle habits, will this resolve on its own? Is it necessary to see a doctor? If I do see a doctor, will medication be sufficient, or will I need other treatments?

Hao Di, 10~19 year old female. Ask Date: 2012/06/29

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello: Generally speaking, blood in the stool often indicates bleeding near the anus.
It is recommended to consult a colorectal surgeon.
Wishing you good health.
Sincerely, Dr.
Chi-Feng Chen, Taoyuan General Hospital, Department of Health.

Reply Date: 2012/06/29

More Info


When it comes to the presence of blood in stool, it is essential to approach the situation with caution and seek medical advice. The symptoms you describe—blood clots in your stool, bright red blood on toilet paper, and the stool being yellow-brown—can indicate various underlying issues, some of which may require prompt medical intervention.

Firstly, the bright red blood typically suggests that the bleeding is occurring in the lower gastrointestinal tract, such as the rectum or colon. This could be due to several reasons, including hemorrhoids, anal fissures, diverticular disease, or more serious conditions like inflammatory bowel disease (IBD) or colorectal cancer. The fact that you mentioned the blood is in a linear distribution could be indicative of a fissure or hemorrhoids, but it is not definitive.

Your lifestyle factors, such as irregular sleep patterns and inadequate hydration, can contribute to gastrointestinal issues. Chronic dehydration can lead to constipation, which may cause straining during bowel movements, potentially resulting in anal fissures or exacerbating hemorrhoids. Improving your hydration by drinking more water and reducing the intake of sugary drinks could help alleviate some of these symptoms. Additionally, a balanced diet rich in fiber can promote regular bowel movements and reduce the risk of straining.

However, while lifestyle changes may help, it is crucial not to dismiss the presence of blood in your stool. Even if you feel fine otherwise, blood in the stool can be a sign of a significant health issue that requires evaluation. It is advisable to consult a healthcare professional as soon as possible. They may recommend a physical examination, a review of your medical history, and possibly further diagnostic tests such as a colonoscopy or imaging studies to determine the cause of the bleeding.

In terms of treatment, it will depend on the underlying cause identified by your physician. If the cause is something benign, such as hemorrhoids or a fissure, treatment may involve dietary changes, topical medications, or over-the-counter remedies. However, if a more serious condition is diagnosed, such as IBD or cancer, a more comprehensive treatment plan will be necessary, which may include prescription medications, lifestyle modifications, or even surgical interventions.

In summary, while lifestyle changes may help improve your gastrointestinal health, the presence of blood in your stool is not something to ignore. It is essential to seek medical attention to rule out any serious conditions and receive appropriate treatment. Your health is paramount, and early intervention can lead to better outcomes.

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