Blood in Stool: Causes and When to Seek Help

I have blood in my stool?

Dear Doctor,
I am very young, but I have had my period.
However, this time I noticed blood not because of menstruation.
I don't know what is happening.
Yesterday, I just went to the bathroom, and at first, it was a bit strained, but then it turned into watery stools.
I thought it was just diarrhea, but when I was about to flush, there was blood everywhere.
I initially thought my period had started, but aside from the blood after having a bowel movement, I haven't experienced any bleeding at other times.
I would like to know what these symptoms could mean.
After having a bowel movement, I still feel pain in my abdomen and intestines, and I have been in pain for a day or two.
I am really scared and don't know what is going on.

Yuan Yuan, 10~19 year old female. Ask Date: 2015/10/13

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 bowel movements.
You may also purchase over-the-counter hemorrhoidal suppositories for use.
However, if bleeding persists, it is advisable to consult a physician for evaluation.

Reply Date: 2015/10/13

More Info

Dear Patient,
I understand that you are experiencing a concerning situation with blood in your stool, and it’s completely normal to feel anxious about it. Let’s break down what could be happening and when you should seek medical help.

Possible Causes of Blood in Stool:
1. Hemorrhoids: These are swollen veins in your rectum or anus that can cause bleeding during bowel movements. They are often associated with straining, constipation, or prolonged sitting on the toilet.

2. Anal Fissures: Small tears in the lining of the anus can occur due to passing hard stools, leading to pain and bleeding.

3. Gastrointestinal Infections: Bacterial or viral infections can cause diarrhea, which may be accompanied by blood if there is inflammation or damage to the intestinal lining.

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

5. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause significant inflammation in the digestive tract, resulting in blood in the stool.

6. Polyps or Colorectal Cancer: While less common in younger individuals, polyps (growths on the colon) or colorectal cancer can also cause bleeding.

Given your symptoms of abdominal pain and the presence of blood in your stool, it is essential to take this seriously. The fact that you have experienced pain for a couple of days and that the blood was present during bowel movements warrants further investigation.

When to Seek Help:
- If you notice blood in your stool, especially if it is bright red or if it is mixed with mucus.

- If you experience severe abdominal pain or cramping.

- If you have accompanying symptoms such as fever, dizziness, or fainting.

- If the bleeding persists or worsens.

What to Do Next:
1. Consult a Healthcare Provider: It is crucial to see a doctor as soon as possible. They will likely perform a physical examination and may recommend tests such as a stool test, blood tests, or imaging studies (like a colonoscopy) to determine the cause of the bleeding.

2. Keep Track of Symptoms: Note any additional symptoms you experience, such as changes in bowel habits, weight loss, or changes in appetite, as this information can be helpful for your doctor.

3. Avoid Self-Diagnosis: While it’s tempting to search for answers online, it’s important to consult a healthcare professional who can provide a proper diagnosis and treatment plan.

Conclusion:
Blood in the stool can be caused by a variety of conditions, some of which may require immediate medical attention. Given your symptoms, I strongly encourage you to reach out to a healthcare provider as soon as possible to discuss your symptoms and get the appropriate care. Remember, early intervention can make a significant difference in outcomes, so don’t hesitate to seek help.

Take care, and I hope you find relief soon.

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