Blood in Stool and Rapid Heartbeat: Gastrointestinal Concerns - Gastroenterology and Hepatology

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Blood in stool and increased heart rate?


I previously noticed blood when wiping after a bowel movement.
I consulted a doctor and took medication, which improved my condition for a while.
However, the medication was very strong and caused persistent diarrhea, so I stopped taking it.
Recently, I've been experiencing difficulty with bowel movements, and yesterday I even found a small spot of blood in my stool.
Today, my heart rate suddenly increased, and I'm unsure if it's just psychological.
I'm really worried about this.
I usually have a regular bowel movement every other day.

Sha Tu, 10~19 year old female. Ask Date: 2015/08/22

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello, the likelihood of constipation combined with hemorrhoidal bleeding is high.
It is recommended to increase water intake and consume more fruits and vegetables, while reducing meat, fried foods, and irritating foods.
Hemorrhoids can be managed with warm sitz baths.
If there is no improvement, you may consult a colorectal surgeon for a prescription of milder medications.
Sincerely, Dr.
Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/08/22

More Info


Experiencing blood in your stool and a rapid heartbeat can be concerning symptoms that warrant careful evaluation. Based on your description, it seems you have a history of rectal bleeding, which may have been temporarily alleviated by medication. However, the recurrence of blood in your stool, along with difficulty in bowel movements and an increased heart rate, raises several important considerations.

Firstly, the presence of blood in your stool can stem from various causes. Common reasons include hemorrhoids, anal fissures, diverticular disease, or more serious conditions like inflammatory bowel disease (IBD) or colorectal cancer. Given that you mentioned having seen a doctor previously and received treatment, it is possible that your symptoms are related to hemorrhoids or anal fissures, especially if the blood is bright red and appears on the toilet paper or mixed with the stool. These conditions can cause bleeding, particularly during bowel movements, and may be exacerbated by constipation or straining.

The difficulty in passing stool you mentioned could indicate constipation, which can lead to straining during bowel movements, further aggravating any existing hemorrhoids or fissures. It is important to maintain a healthy diet rich in fiber, drink plenty of fluids, and consider over-the-counter laxatives or stool softeners if necessary. However, be cautious with medications that cause diarrhea, as they can lead to dehydration and further complications.

Regarding the rapid heartbeat you are experiencing, it could be a physiological response to anxiety or stress, especially if you are worried about your symptoms. However, it is also essential to rule out any underlying medical conditions. Rapid heartbeat can occur due to various factors, including dehydration, anemia (which may result from blood loss), or even anxiety itself. If you have been experiencing significant blood loss, it could lead to a decrease in hemoglobin levels, causing your heart to work harder to supply oxygen to your body, resulting in a faster heartbeat.

Given your symptoms and concerns, it is crucial to seek medical attention promptly. A healthcare provider can perform a thorough evaluation, including a physical examination and possibly further diagnostic tests such as a colonoscopy or imaging studies, to determine the source of the bleeding and assess your overall gastrointestinal health. They can also evaluate your heart rate and any other symptoms you may be experiencing.

In the meantime, keep track of your bowel habits, the appearance of your stool, and any additional symptoms such as abdominal pain, changes in appetite, or weight loss. This information can be valuable for your healthcare provider in making a diagnosis.

In summary, while your symptoms may be related to benign conditions like hemorrhoids or fissures, it is essential to consult with a healthcare professional to rule out more serious issues. Early diagnosis and appropriate management can help alleviate your symptoms and address any underlying concerns effectively. Remember, your health is paramount, and seeking help is a proactive step towards ensuring your well-being.

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