Constipation and Blood in Stool: Causes and Solutions - Surgery

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Constipation with blood in the stool?


I have been experiencing constipation issues, and in the past two weeks, I have noticed blood in the toilet after three bowel movements.
There is a slight pain in my anus during bowel movements, but the bleeding almost stops after wiping with toilet paper.
However, I was startled by the situation in the toilet.
I recently started a new job that requires prolonged sitting, and I wonder if stress might be a contributing factor.
I have heard that blood in the stool can be a symptom of cancer, which makes me a bit worried.
Aside from the mild pain during bowel movements, I do not have any other discomfort, and there is no ongoing bleeding after I finish.
I would like to ask the doctor if I should first improve my diet or lifestyle, and how serious this issue of blood in the stool might be.

Niming, 10~19 year old female. Ask Date: 2014/09/07

Dr. Ke Fangxu reply Surgery


More than 90% of rectal bleeding is due to hemorrhoids, and at the age of 19, the likelihood of colorectal cancer is extremely low.
It is advisable to improve your lifestyle and bowel habits, which should help resolve the bleeding.
If the bleeding persists, it would be wise to consult a physician for further evaluation.

Reply Date: 2014/09/07

More Info


Constipation and blood in the stool can be concerning symptoms, and it's understandable that you're feeling anxious about them, especially with the recent changes in your work and lifestyle. Let's break down the potential causes and solutions for your situation.


Understanding the Symptoms
1. Constipation: This is often characterized by infrequent bowel movements, difficulty passing stools, or hard stools. It can be caused by various factors, including a low-fiber diet, inadequate fluid intake, lack of physical activity, and stress. In your case, the recent change to a new job that requires prolonged sitting may have contributed to your constipation.

2. Blood in Stool: The presence of blood in the toilet after a bowel movement can be alarming. The blood may appear bright red or dark, depending on where it originates in the gastrointestinal tract. Bright red blood typically indicates that the bleeding is from the lower gastrointestinal tract, such as the rectum or anus, while darker blood may suggest a source higher up in the digestive system.

3. Pain During Bowel Movements: The pain you're experiencing during bowel movements could be due to anal fissures, which are small tears in the lining of the anus often caused by passing hard stools. This can lead to bleeding and discomfort.


Potential Causes
Given your symptoms, several potential causes could be at play:
- Hemorrhoids: Swollen blood vessels in the rectal area can cause bleeding, especially during bowel movements. They can be internal or external and may cause pain and discomfort.


- Anal Fissures: As mentioned, these can occur due to straining during bowel movements and can lead to bleeding and pain.

- Diverticular Disease: This involves the formation of small pouches in the colon wall, which can become inflamed or infected, leading to bleeding.

- Colorectal Polyps or Cancer: While less common, polyps can bleed, and cancer can also present with blood in the stool. However, this is usually accompanied by other symptoms, such as significant changes in bowel habits, weight loss, or persistent abdominal pain.


Recommendations
1. Dietary Changes: Increasing your fiber intake can help alleviate constipation. Aim for a diet rich in fruits, vegetables, whole grains, and legumes. Fiber helps to bulk up the stool and makes it easier to pass. Additionally, ensure you are drinking plenty of water to stay hydrated.

2. Physical Activity: Regular exercise can help stimulate bowel movements. Even short walks during breaks at work can be beneficial.

3. Stress Management: Since you mentioned that your new job may be causing stress, consider incorporating stress-relief techniques such as deep breathing exercises, meditation, or yoga into your routine.

4. Monitor Symptoms: Keep track of your bowel habits, the presence of blood, and any associated symptoms. If the bleeding persists, worsens, or if you experience significant pain, weight loss, or changes in your bowel habits, it’s crucial to seek medical attention.

5. Consult a Healthcare Provider: Given your concerns about cancer and the presence of blood in your stool, it’s advisable to consult a healthcare provider. They may recommend a physical examination, and possibly a colonoscopy, to rule out any serious conditions.


Conclusion
While your symptoms may be related to constipation and minor issues like hemorrhoids or anal fissures, it’s essential to take them seriously, especially with the presence of blood. Making dietary and lifestyle changes can significantly improve your symptoms, but do not hesitate to seek medical advice for a thorough evaluation and peace of mind. Early intervention is key in addressing any potential underlying issues effectively.

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