Blood in Stool: Causes and When to Seek Help - Gastroenterology and Hepatology

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Blood in the stool?


Hello, two nights ago (9/19), I ate an overripe banana that tasted fermented.
About an hour after eating it, I experienced intermittent abdominal cramps.
I sat on the toilet but couldn't have a bowel movement, and my stomach or intestines were making noises.
This cramping lasted for about an hour until I finally passed a large amount of watery stool, after which the cramping sensation decreased.
The next day (9/20), I still had mild abdominal pain, and when I had a bowel movement, I noticed that my stool was red.
There was also blood in the toilet and on the toilet paper.
I didn't eat much that day, only a slice of white toast and some eight-treasure porridge.
This morning (9/21), I still observed the same symptoms with blood in my stool, blood in the toilet, and blood on the toilet paper.
What should I do? Recently, I have started consuming high-protein products, and I usually have soft stools.

Dai bian you xue, 30~39 year old female. Ask Date: 2015/09/21

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Your description may indicate a more severe colitis.
It is advisable to maintain a light diet.
If you experience a significant amount of blood in your stool, it is recommended to refrain from eating and seek medical attention as soon as possible (gastroenterology specialist).
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2015/09/21

More Info


Blood in stool can be a concerning symptom and should not be ignored. There are several potential causes for this condition, ranging from benign to serious. Given your recent experience with abdominal pain and the presence of blood in your stool, it is important to understand the possible causes and when to seek medical help.


Possible Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of blood in the stool is hemorrhoids, which are swollen veins in the lower rectum or anus. They can cause bright red blood during bowel movements, especially if there is straining involved.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can also lead to bright red blood and significant pain during bowel movements.

3. Gastrointestinal Infections: Infections caused by bacteria, viruses, or parasites can lead to inflammation of the gastrointestinal tract, resulting in bloody diarrhea.

4. Diverticulosis: This condition involves the formation of small pouches in the colon wall, which can become inflamed or infected, leading to bleeding.

5. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease and ulcerative colitis can cause inflammation in the digestive tract, leading to symptoms such as abdominal pain and blood in the stool.

6. Polyps or Colorectal Cancer: Polyps are growths on the lining of the colon that can bleed. Some polyps can develop into cancer, which is why any blood in the stool should be evaluated by a healthcare professional.


When to Seek Help
You should seek medical attention if you experience any of the following:
- Persistent Blood in Stool: If the blood continues to appear in your stool over several days, it is essential to consult a doctor.

- Severe Abdominal Pain: If you experience significant pain that does not improve or worsens, it may indicate a more serious condition.

- Changes in Bowel Habits: If you notice a change in your bowel habits, such as diarrhea or constipation, especially if accompanied by blood.

- Other Symptoms: If you experience symptoms such as fever, chills, or unexplained weight loss, these could indicate a more serious underlying condition.


Recommended Actions
1. Consult a Healthcare Provider: Given your symptoms, it is advisable to see a doctor as soon as possible. They may perform a physical examination, ask about your medical history, and possibly order tests such as blood work, stool tests, or imaging studies to determine the cause of the bleeding.

2. Keep a Symptom Diary: Documenting your symptoms, including when the blood appears, the consistency of your stool, and any associated symptoms (like pain or changes in appetite), can help your healthcare provider in making a diagnosis.

3. Avoid Self-Diagnosis: While it can be tempting to search for answers online, it is crucial to rely on professional medical advice for accurate diagnosis and treatment.

4. Dietary Considerations: Since you mentioned starting a high-protein diet, consider discussing your dietary changes with your healthcare provider. Sometimes, dietary changes can affect bowel habits and gastrointestinal health.


Conclusion
Blood in the stool is a symptom that should be taken seriously. While there are many potential causes, some can be benign, others may require immediate medical intervention. Given your recent symptoms and dietary changes, it is important to consult a healthcare professional to rule out any serious conditions and to receive appropriate care.

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