Should You Get a Colonoscopy After Experiencing Blood in Stool? - Gastroenterology and Hepatology

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Diarrhea with blood in the stool?


Recently, I experienced severe diarrhea due to food poisoning, and I noticed fresh red blood in my stool, along with mucus and blood streaks when wiping.
I've heard that this could be a warning sign for colorectal cancer, but it only happened once, and after the diarrhea resolved, it hasn't occurred again.
Should I undergo a colonoscopy in this situation?

Wei Ya, 40~49 year old female. Ask Date: 2014/09/23

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello: Severe enteritis can lead to anal fissures with bleeding or complications such as hemorrhoidal bleeding.
Therefore, it is advisable to continue monitoring.
If blood in the stool occurs again, further examination will be necessary.
Wishing you safety and health.
Dr.
Chen Chih-Feng, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2014/09/23

More Info


Experiencing blood in your stool can be alarming, and it’s understandable to be concerned about the implications, especially when considering the possibility of serious conditions like colorectal cancer. While it’s true that blood in the stool can be a warning sign, it’s important to evaluate the context and frequency of the symptoms before deciding on further action, such as a colonoscopy.

In your case, you mentioned that you had a severe episode of diarrhea, which was followed by the presence of bright red blood and mucus in your stool. This could potentially be related to several conditions, including hemorrhoids, anal fissures, or infections, especially if it occurred during a time of gastrointestinal distress. Bright red blood typically indicates that the source of bleeding is in the lower gastrointestinal tract, which includes the rectum and colon.

However, the fact that this was a one-time occurrence and that your diarrhea has since resolved is a positive sign. Many cases of blood in the stool can be benign, particularly if they are isolated incidents. Nevertheless, it’s crucial to monitor your symptoms. If the bleeding recurs, or if you experience other concerning symptoms such as significant abdominal pain, weight loss, changes in bowel habits, or if the blood becomes more frequent or severe, it would be prudent to seek medical evaluation.

A colonoscopy is a diagnostic procedure that allows doctors to examine the inner lining of the colon and rectum. It is often recommended for individuals over the age of 45 or those with risk factors for colorectal cancer, such as a family history of the disease, personal history of polyps, or inflammatory bowel disease. Given that you are experiencing blood in your stool, even if it was a one-time event, discussing the need for a colonoscopy with your healthcare provider is advisable, especially if you have any risk factors.

In summary, while a single episode of blood in the stool following diarrhea may not immediately necessitate a colonoscopy, it is essential to remain vigilant. If symptoms persist or worsen, or if you have any concerns about your gastrointestinal health, consulting with a healthcare professional is the best course of action. They can provide personalized advice based on your medical history and current symptoms, and determine whether a colonoscopy or other diagnostic tests are warranted. Remember, early detection and intervention are key in managing potential health issues effectively.

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