Blood in the stool?
Hello doctor, recently whenever I have my menstrual cycle, I experience constipation, and when I go to the bathroom, I feel pain at the anal opening and notice some bleeding.
However, in the past few days (after consuming a large amount of pig's blood for two days), my stool has had a mixed appearance and this has persisted for several days (but the bowel movements themselves are not painful).
In the last couple of days, I have experienced slight pain at the anal opening during bowel movements, and I have noticed fresh blood as well.
I had a fecal occult blood test done last year, which was normal.
Should I go to the hospital for an examination?
11, 30~39 year old female. Ask Date: 2014/02/27
Dr. Ke Fangxu reply Surgery
In young women, the occurrence of blood in the stool is often more commonly associated with hemorrhoidal bleeding.
It is recommended to improve bowel habits and observe the situation.
If the bleeding recurs, it is advisable to consult a physician for a thorough examination.
Reply Date: 2014/02/27
More Info
When it comes to rectal pain and the presence of blood in stool, it is essential to take these symptoms seriously, especially if they persist or worsen over time. Based on your description, it seems that you are experiencing rectal pain and bleeding, particularly during bowel movements, which can be concerning. The fact that you have a history of constipation during your menstrual cycle and have recently consumed a significant amount of pig's blood may also play a role in your current symptoms.
Firstly, it is important to understand that rectal bleeding can arise from various causes, ranging from benign conditions such as hemorrhoids or anal fissures to more serious issues like gastrointestinal bleeding or inflammatory bowel disease. Given that you have experienced pain and fresh blood during bowel movements, it is advisable to seek medical attention, especially since the bleeding has persisted for several days.
The presence of blood in your stool, even if it is not accompanied by pain, warrants further investigation. While your previous fecal occult blood test was negative, this does not rule out the possibility of other underlying conditions. It is crucial to consider factors such as the amount of blood, the color (bright red typically indicates fresh bleeding), and any associated symptoms like changes in bowel habits, weight loss, or abdominal pain.
In your case, since you mentioned that the pain is mild but you are experiencing fresh blood, it is advisable to schedule an appointment with a healthcare provider. They may recommend a thorough evaluation, which could include a physical examination, a digital rectal exam, and possibly further diagnostic tests such as a colonoscopy or imaging studies to assess the condition of your gastrointestinal tract.
Additionally, you should monitor your symptoms closely. If you experience any of the following, you should seek immediate medical attention:
1. Severe or worsening abdominal pain: This could indicate a more serious condition that requires urgent care.
2. Large amounts of blood: If you notice significant bleeding, it is crucial to seek help right away.
3. Signs of anemia: Symptoms such as fatigue, weakness, or dizziness could suggest that you are losing blood and may need treatment.
4. Changes in bowel habits: If you notice a significant change in your bowel movements, such as diarrhea or constipation that lasts for more than a few days, it is important to consult a physician.
In summary, while some causes of rectal pain and bleeding may be benign, it is always best to err on the side of caution. Given your symptoms and recent history, I strongly recommend that you consult a healthcare professional for a thorough evaluation and appropriate management. Early intervention can help address any underlying issues and prevent potential complications.
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