Blood in Stool: Causes and When to Seek Help - Surgery

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Rectal bleeding


Recently, I have noticed blood in my stool (I have seen it twice).
When I wipe, there is no blood on the tissue, but I see blood at the bottom of the toilet when I flush.
Is there something wrong with my body?

789, 20~29 year old female. Ask Date: 2015/07/26

Dr. Cai Xingzhi reply Surgery


For anal problems, please consult a colorectal surgeon or a gastroenterologist nearby.
(At this age, the most common issues are hemorrhoids or anal fissures.)

Reply Date: 2015/07/26

More Info


Blood in stool can be concerning and may indicate various underlying health issues. It is essential to understand the potential causes and when to seek medical attention.
Firstly, the presence of blood in the stool can arise from several sources within the gastrointestinal tract. The blood may appear bright red, indicating it is fresh and likely from the lower gastrointestinal tract, such as the rectum or colon. Alternatively, darker blood may suggest a source higher up in the digestive system, such as the stomach or small intestine. Common causes of blood in the stool include:
1. Hemorrhoids: Swollen veins in the rectum or anus can cause bright red blood during bowel movements. This is often accompanied by discomfort or itching.

2. Anal fissures: Small tears in the lining of the anus can lead to bleeding, especially during painful bowel movements.

3. Diverticular disease: Diverticulosis, which involves small pouches forming in the colon, can sometimes bleed.

4. Gastrointestinal infections: Certain infections can cause inflammation and bleeding in the intestines.

5. Polyps or colorectal cancer: Abnormal growths in the colon can lead to bleeding and are a significant concern, especially in individuals over 50 or with a family history of colorectal cancer.

6. Inflammatory bowel disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause inflammation and bleeding in the digestive tract.

Given that you have noticed blood in your stool on two occasions, it is crucial to take this seriously. While some causes, like hemorrhoids, may be benign, others can be more serious and require prompt medical evaluation.

When to Seek Help
You should seek medical attention if you experience any of the following:
- Persistent bleeding: If the bleeding continues or worsens.

- Accompanying symptoms: If you have additional symptoms such as abdominal pain, changes in bowel habits, weight loss, or fatigue.

- Signs of anemia: Symptoms like dizziness, weakness, or shortness of breath could indicate significant blood loss.

- Age and risk factors: If you are over 50 or have a family history of gastrointestinal diseases, it is advisable to consult a healthcare provider sooner rather than later.


What to Expect at the Doctor's Office
When you visit a healthcare provider, they will likely perform a thorough history and physical examination. They may ask about your symptoms, dietary habits, and any medications you are taking. Depending on the findings, they may recommend further tests, such as:
- Blood tests: To check for anemia or infection.

- Stool tests: To identify the presence of blood or pathogens.

- Colonoscopy: A procedure to visualize the colon and possibly take biopsies if necessary.


Conclusion
In summary, while blood in the stool can be caused by various conditions, it is essential to approach this symptom with caution. Given your situation, it is advisable to consult a healthcare professional for a proper evaluation and diagnosis. Early intervention can lead to better outcomes, especially if a more serious condition is present. Remember, your health is paramount, and seeking help is a crucial step in addressing any potential issues.

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