Blood in Stool: Causes and When to Seek Help - Gastroenterology and Hepatology

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Passing fresh blood in the stool?


Since starting college, I have been having bowel movements approximately once a week, and this has been the case for about half a semester.
However, I haven't felt constipated during this time.
Last week, when I had a bowel movement, I noticed some dark red blood.
At that moment, I thought it might be due to not eating enough vegetables and didn't think much of it.
But this week, when I had a bowel movement, I was really shocked to see a large amount of bright red blood.
When I wiped, the entire piece of toilet paper was covered in blood.
I also felt a slight tightness in my anus, but there was no pain.
I would like to know what might be happening.

Chen Tongxue, 20~29 year old female. Ask Date: 2015/06/16

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello, rectal bleeding, regardless of age, is most commonly caused by hemorrhoids.
However, as one gets older, the likelihood of other causes also increases.
In addition to hemorrhoids, there are conditions such as inflammation, diverticula, polyps, and tumors, but the bleeding must originate from the anal or rectal area.
Wishing you peace and health.
Sincerely, Dr.
Chi-Feng Chen, Attending Physician, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/06/16

More Info


Experiencing blood in your stool can be alarming, and it's important to understand the potential causes and when to seek medical attention. Based on your description, it seems you have been experiencing infrequent bowel movements, and recently you noticed blood in your stool, which has changed from dark to bright red. This change can indicate different underlying issues, and it’s crucial to address them promptly.


Potential Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of bright red blood in the stool is hemorrhoids, which are swollen veins in the lower rectum or anus. They can cause bleeding during bowel movements, especially if you are straining or have hard stools.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to sharp pain and bleeding during bowel movements.

3. Diverticular Disease: Diverticulosis, which involves the formation of small pouches in the colon wall, can lead to diverticulitis if these pouches become inflamed or infected. This condition can cause bleeding.

4. Gastrointestinal Conditions: Conditions such as inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis, can cause inflammation and bleeding in the digestive tract.

5. Polyps or Colorectal Cancer: While less common, polyps (growths on the colon lining) can bleed, and in some cases, they can be precursors to colorectal cancer. Bright red blood can be a sign of more serious conditions, especially if it is persistent.


When to Seek Medical Help
Given the symptoms you described—especially the presence of bright red blood and the fact that you have been experiencing infrequent bowel movements—it is essential to seek medical attention. Here are some guidelines on when to see a doctor:
- Persistent Bleeding: If you notice blood in your stool consistently over a few days, you should consult a healthcare professional.

- Accompanying Symptoms: If you experience other symptoms such as abdominal pain, changes in bowel habits, weight loss, or fatigue, these could indicate a more serious condition.

- Severe Symptoms: If you experience significant pain, dizziness, or fainting, you should seek emergency medical care immediately.


What to Expect at the Doctor's Office
When you visit a healthcare provider, they will likely perform a physical examination and may recommend further tests, such as:
- Blood Tests: To check for anemia or infection.

- Stool Tests: To look for blood or pathogens.

- Colonoscopy: A procedure that allows the doctor to examine the inside of your colon and rectum for abnormalities.


Lifestyle Considerations
In the meantime, consider making some dietary changes to help with your bowel movements. Increasing your fiber intake through fruits, vegetables, and whole grains can help soften your stool and promote regularity. Staying hydrated is also crucial. If you suspect that your bowel habits are related to your diet or lifestyle, addressing these factors may help alleviate some symptoms.


Conclusion
Blood in the stool is not something to take lightly, and while it can be caused by relatively benign conditions like hemorrhoids, it can also indicate more serious health issues. Given your symptoms, it is advisable to consult a healthcare professional as soon as possible for a thorough evaluation and appropriate management. Early diagnosis and treatment are key to addressing any underlying conditions effectively.

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