Blood in Stool: Is It Hemorrhoids or Something More Serious?

Hello, there is blood in the stool!

Hello Doctor: Since I gave birth last year, I have been experiencing issues with hemorrhoids.
Sometimes there is bleeding during bowel movements or anal fissures! I had an examination three to four months ago, and the doctor diagnosed me with internal and external hemorrhoids.
Yesterday morning, there was no blood in my stool, but I noticed bright red blood when wiping.
In the afternoon, I found blood on the surface of my stool.
The first and third pieces of stool had blood on them, and there was also blood when I wiped.
I used the suppository the doctor prescribed yesterday morning, and later had a bowel movement, but it was only one or two small pieces.
However, there was a transparent film on top! I'm a bit scared...
Could this be colon cancer?

Miss A, 30~39 year old female. Ask Date: 2015/09/10

Dr. Cai Xingzhi reply Surgery

Hello, rectal bleeding can be classified into upper gastrointestinal bleeding and lower gastrointestinal bleeding.
If the blood is bright red, it is primarily indicative of lower gastrointestinal bleeding.
Please visit a colorectal surgery or gastroenterology clinic for evaluation.

Reply Date: 2015/09/10

More Info

When it comes to blood in the stool, it can indeed be a concerning symptom, and it's understandable to feel anxious about it, especially after experiencing hemorrhoids and anal fissures postpartum. The presence of bright red blood on toilet paper or on the surface of the stool often indicates bleeding from the lower gastrointestinal tract, which can be due to several reasons, including hemorrhoids, anal fissures, or more serious conditions like colorectal cancer.

In your case, since you have a history of hemorrhoids and anal fissures, it is quite possible that the blood you are seeing is related to these conditions. Hemorrhoids can cause bright red blood due to the strain during bowel movements, and anal fissures can also lead to bleeding when the skin around the anus tears. The fact that you have been prescribed a suppository suggests that your healthcare provider is aware of your hemorrhoid condition and is treating it accordingly.

However, the presence of blood in the stool, especially if it is recurrent or accompanied by other symptoms such as changes in bowel habits, weight loss, or abdominal pain, should not be ignored. The appearance of a transparent membrane on the stool could be mucus, which can occur with various gastrointestinal conditions, including inflammatory bowel disease (IBD) or infections, but it is not specific to any one condition.

While hemorrhoids and fissures are common causes of rectal bleeding, it is essential to rule out more serious conditions, including colorectal cancer, particularly if you are experiencing new symptoms or changes in your bowel habits. Colorectal cancer can present with symptoms such as blood in the stool, changes in stool consistency or shape, unexplained weight loss, and abdominal discomfort.
Given your concerns, it is advisable to follow up with your healthcare provider for further evaluation. They may recommend a colonoscopy, which is a procedure that allows for direct visualization of the colon and rectum, and can help identify any abnormalities, including polyps or tumors. This procedure is generally safe and can provide peace of mind or allow for early intervention if necessary.

In summary, while your symptoms may be related to hemorrhoids or anal fissures, it is crucial to consult with a healthcare professional to rule out any serious conditions. Early detection and treatment are key in managing any potential issues effectively. Please ensure that you communicate all your symptoms clearly to your doctor, and do not hesitate to seek a second opinion if you feel it is necessary. Your health and peace of mind are paramount.

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