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

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Blood in the stool?


Hello, I would like to ask about having red blood in the toilet after bowel movements for the past few days, but there is no bleeding when wiping.
What could be the possible issue? I have bowel movements 1 to 2 times a day.

Miss Zhang, 30~39 year old female. Ask Date: 2015/09/02

Dr. Yu Mingchang reply Surgery


Hello: Please schedule a colorectal examination at your convenience, and arrange for a colonoscopy if necessary.
The Ministry of Health and Welfare Changhua Hospital cares about you.

Reply Date: 2015/09/02

More Info


Blood in the stool can be a concerning symptom, and it is essential to understand the potential causes and when to seek medical attention. The presence of red blood in the toilet after a bowel movement can indicate several conditions, ranging from benign to serious.


Possible Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of bright red blood in the stool is hemorrhoids. These are swollen veins in the lower rectum or anus that can bleed during bowel movements, especially if there is straining involved. The blood is usually bright red and may be seen on the toilet paper or in the toilet bowl.

2. Anal Fissures: Small tears in the lining of the anus, known as anal fissures, can also cause bright red blood. This often occurs due to passing hard stools and can be accompanied by pain during bowel movements.

3. Diverticular Disease: Diverticulosis, a condition where small pouches form in the colon wall, can lead to diverticulitis, which may cause bleeding. This is more common in older adults.

4. Gastrointestinal Infections: Certain infections can cause inflammation and bleeding in the gastrointestinal tract. This can be accompanied by other symptoms such as diarrhea, abdominal pain, and fever.

5. Polyps or Colorectal Cancer: While less common, polyps (growths on the lining of the colon) and colorectal cancer can also cause blood in the stool. The blood may not always be bright red; it can also appear darker or mixed with the stool.

6. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease and ulcerative colitis can cause inflammation and bleeding in the digestive tract, leading to blood in the stool.


When to Seek Help
It is crucial to seek medical attention if you notice blood in your stool, especially if:
- The bleeding is persistent or increases in volume.

- You experience additional symptoms such as abdominal pain, cramping, diarrhea, or fever.

- You feel faint, dizzy, or have a rapid heartbeat, which may indicate significant blood loss.

- You have a family history of gastrointestinal diseases, including colorectal cancer.


Recommended Actions
1. Consult a Healthcare Provider: It is advisable to schedule an appointment with a healthcare provider, preferably a gastroenterologist, who can perform a thorough evaluation. This may include a physical examination, a review of your medical history, and possibly diagnostic tests such as a colonoscopy or imaging studies.

2. Keep a Record: Document the frequency and amount of blood, any accompanying symptoms, and any changes in your bowel habits. This information can be helpful for your healthcare provider.

3. Avoid Self-Diagnosis: While it may be tempting to search for answers online, it is essential to avoid self-diagnosing. Many conditions can present similarly, and only a healthcare professional can provide an accurate diagnosis and appropriate treatment.


Conclusion
Blood in the stool is a symptom that should not be ignored. While it can be caused by relatively benign conditions like hemorrhoids or anal fissures, it can also indicate more serious issues that require medical intervention. If you notice blood in your stool, especially if it persists or is accompanied by other concerning symptoms, it is crucial to seek medical advice promptly. Early diagnosis and treatment can significantly improve outcomes and address any underlying health issues effectively.

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