Blood in Stool: Symptoms and Potential Causes

Blood in the stool?

At the end of June, I had a bowel movement with blood, and when I saw a doctor, he said it was hemorrhoids.
However, for the next two weeks, I experienced mild pain in the upper left abdomen, and my bowel movements were irregular, with somewhat thin stools.
Recently, it has improved, but yesterday I noticed something red when wiping after a bowel movement, although it didn't seem like blood.
I have been eating kimchi and spices, and I'm unsure if this is related to my abdominal pain and irregular bowel movements.
I'm concerned whether this could be a sign of colorectal cancer or if it might be related to lifestyle or psychological factors.

Cai Tongxue, 10~19 year old female. Ask Date: 2015/09/04

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility of hemorrhoidal bleeding.
As long as there is no further bleeding, it should not be a concern.
It is recommended to avoid constipation during this period and to shorten the time spent on the toilet.
You may also consider purchasing over-the-counter hemorrhoid suppositories for use.
However, if bleeding persists, it is best to consult a physician for evaluation.

Reply Date: 2015/09/04

More Info

Blood in stool can be a concerning symptom, and understanding its potential causes is crucial for determining the appropriate course of action. Based on your description, it seems you have experienced blood in your stool previously, which was attributed to hemorrhoids. However, the recent symptoms of left upper abdominal pain, changes in bowel habits, and the presence of red material on toilet paper warrant further investigation.

First, let's address the potential causes of blood in the stool. Hemorrhoids are indeed a common cause of rectal bleeding, especially if the blood is bright red and appears on the surface of the stool or on toilet paper. They can result from straining during bowel movements, which is often associated with constipation or hard stools. However, other causes of blood in the stool can include anal fissures, diverticular disease, inflammatory bowel disease (IBD), polyps, and even colorectal cancer.

The presence of left upper abdominal pain and changes in bowel habits, such as the passage of thin stools, can be indicative of several gastrointestinal issues. While it is possible that these symptoms are related to dietary factors, such as the consumption of spicy foods or fermented products like kimchi, they could also suggest a more serious underlying condition. For instance, thin stools can sometimes indicate a narrowing of the bowel, which may be caused by inflammation, strictures, or tumors.

Given your symptoms, it is essential to consider the following steps:
1. Consult a Gastroenterologist: Since you have experienced blood in your stool and other gastrointestinal symptoms, it is advisable to see a specialist. A gastroenterologist can perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly diagnostic tests such as a colonoscopy or imaging studies.

2. Diagnostic Tests: A colonoscopy is a key diagnostic tool that allows direct visualization of the colon and rectum. It can help identify hemorrhoids, polyps, or any abnormal growths. Additionally, stool tests may be conducted to check for the presence of blood or other abnormalities.

3. Dietary Considerations: While certain foods can cause changes in stool color or consistency, it is essential to maintain a balanced diet rich in fiber to promote regular bowel movements. If you suspect that specific foods are causing your symptoms, consider keeping a food diary to track your intake and any associated symptoms.

4. Monitor Symptoms: Keep a close eye on your symptoms. If you experience worsening abdominal pain, significant changes in bowel habits, or if the blood in your stool persists, seek medical attention promptly.

5. Psychological Factors: Stress and anxiety can also impact gastrointestinal health. If you believe that psychological factors may be contributing to your symptoms, consider discussing this with your healthcare provider. They may recommend counseling or stress management techniques.

In conclusion, while hemorrhoids may explain some of your symptoms, the combination of blood in the stool, abdominal pain, and changes in bowel habits necessitates further evaluation to rule out more serious conditions. Early diagnosis and intervention are key to managing gastrointestinal health effectively. Please prioritize seeking medical advice to address your concerns comprehensively.

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