Spotting Blood in Stool: Causes and Concerns - Surgery

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Spotting blood in stool can be a concerning symptom, and it’s understandable that you are worried about the potential causes. Based on your description, it seems that you have been diagnosed with hemorrhoids (痔瘡), which can indeed lead to the presence of blood in the stool or on toilet paper. Hemorrhoids are swollen veins in the lower rectum and anus that can cause bleeding, especially during bowel movements. The blood associated with hemorrhoids is typically bright red, indicating that it is coming from the lower gastrointestinal tract.

The fact that you are noticing small spots of bright red blood on your stool, particularly if it is not accompanied by pain, aligns with what is commonly seen in cases of hemorrhoids. However, it’s important to consider other potential causes of rectal bleeding, such as anal fissures, diverticular disease, or even polyps. While your doctor has reassured you that at your age, the likelihood of colorectal cancer is low, it is still essential to monitor your symptoms and communicate any changes to your healthcare provider.

Regarding your concern about whether internal hemorrhoids can cause the type of bleeding you are experiencing, the answer is yes. Internal hemorrhoids can bleed, and the blood may appear in the stool or on the surface of the stool. The bleeding is usually painless, which seems to match your experience. However, if the bleeding persists or worsens, or if you notice any other symptoms such as changes in bowel habits, weight loss, or abdominal pain, it would be prudent to seek further evaluation.

It’s also worth noting that maintaining good bowel habits can help manage hemorrhoids. This includes staying hydrated, consuming a high-fiber diet, and avoiding straining during bowel movements. Warm baths, as you mentioned you are doing, can also provide relief from discomfort associated with hemorrhoids.

If you are still feeling anxious about the possibility of polyps or other gastrointestinal issues, it may be beneficial to discuss this with your doctor. They might recommend a colonoscopy, which is a procedure that allows for a thorough examination of the colon and rectum. This can help rule out any serious conditions and provide peace of mind.

In summary, while your symptoms are likely related to hemorrhoids, it is essential to remain vigilant. Keep track of any changes in your symptoms, and don’t hesitate to reach out to your healthcare provider if you have concerns. Regular check-ups and open communication with your doctor are key to managing your health effectively.