Blood in Stool: Is It Hemorrhoids or Colon Cancer? - Gastroenterology and Hepatology

Q: Blood in Stool: Is It Hemorrhoids or Colon Cancer?

Hello： The recurrent bleeding condition is significant, and you may consider consulting a colorectal surgeon. <br>If necessary, a colonoscopy should be performed. <br>Wishing you safety and health. <br>Sincerely, Dr. <br>Chi-Feng Chen, Gastroenterology Department, Taoyuan General

Blood in stool

Last Friday to this Monday, I noticed bright red blood in my stool, and there was also dripping blood when I wiped with toilet paper.
I experienced a similar situation around May of this year, and I underwent X-rays and a colonoscopy.
At that time, I had difficulty emptying my bowels, and the doctor said that the colonoscopy showed no significant issues but suspected the presence of polyps, attributing the bleeding to internal hemorrhoids.
However, I did not follow up with the doctor after that; the doctor prescribed a rectal medication, and after three days, my condition returned to normal.
Since then, I have had one or two similar episodes of bleeding but did not seek medical attention, only using the previous medication, and after two days, it returned to normal.
Now, after using the medication on Sunday, I had significant bleeding on Monday morning, but there was no bleeding on Tuesday and Wednesday.
However, I am experiencing abdominal pain, and I am unsure if it is in the upper or lower abdomen.
Today (Wednesday), the main pain is in the upper abdomen, with a feeling of bloating and nausea, and I feel a bit dizzy, but there has been no blood in my stool.
I am very worried and concerned if this could be colon cancer.
Is bleeding from colon cancer persistent? After using the hemorrhoid rectal cream, there has been no bleeding, but I still have abdominal pain and nausea.
Could this be cancer? Recently, I have been looking up colon cancer symptoms, and I feel that they are similar to my situation, which makes me increasingly anxious.
I hope the doctor can provide some clarity.

Gūdú, 30~39 year old female. Ask Date: 2013/12/11

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: The recurrent bleeding condition is significant, and you may consider consulting a colorectal surgeon.
If necessary, a colonoscopy should be performed.
Wishing you safety and health.
Sincerely, Dr.
Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2013/12/11

More Info

When it comes to the presence of blood in stool, it can understandably cause significant concern, especially given your family history of colon cancer. However, it's important to approach this situation with a clear understanding of the potential causes and the appropriate steps to take.

First, let's discuss the characteristics of the blood you've observed. Bright red blood on the surface of the stool or on toilet paper typically indicates that the source of the bleeding is in the lower gastrointestinal tract, such as the rectum or anus. This is often associated with conditions like hemorrhoids or anal fissures, especially if the blood is fresh and not mixed with the stool. On the other hand, darker blood or black stools (melena) suggest that the bleeding may originate from higher up in the gastrointestinal tract, such as the stomach or small intestine.

In your case, given that you have experienced bright red blood and have a history of internal hemorrhoids, it is quite possible that the bleeding is related to hemorrhoids. These can cause intermittent bleeding, especially if there is straining during bowel movements or if the stool is hard. The fact that you have had periods of normal bowel movements after using medication for hemorrhoids further supports this possibility.

However, the presence of blood in the stool should not be dismissed, especially considering your family history of colon cancer. While your previous colonoscopy indicated no significant issues, including polyps, it is crucial to remain vigilant. Colon cancer can present with intermittent bleeding, and while it is less common in younger individuals, it is not impossible. Symptoms such as abdominal pain, changes in bowel habits, or unexplained weight loss should prompt further evaluation.

Regarding your abdominal pain and nausea, these symptoms could be related to a variety of factors, including gastrointestinal distress, dietary choices, or even anxiety stemming from your concerns about cancer. It is essential to monitor these symptoms closely. If the abdominal pain persists or worsens, or if you experience any new symptoms such as significant weight loss, changes in appetite, or persistent nausea, you should seek medical attention promptly.

In terms of your specific questions about colon cancer, it is important to note that blood in the stool can be intermittent. Some patients may experience bleeding only occasionally, while others may have more persistent symptoms. The key is to identify the underlying cause through appropriate diagnostic measures. If you have not had a colonoscopy in the last few years and are experiencing concerning symptoms, it may be advisable to discuss the possibility of a repeat colonoscopy with your healthcare provider.

In conclusion, while hemorrhoids are a likely cause of your symptoms, it is essential to remain cautious and proactive about your health. Regular screenings and consultations with your healthcare provider are crucial, especially given your family history. If you continue to experience blood in your stool or any concerning symptoms, do not hesitate to seek medical advice. Early detection and intervention are key in managing any potential gastrointestinal issues effectively.

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