Is Blood in Stool Due to Constipation? When to See a Doctor

Blood in the stool?

A few days ago, while having a bowel movement, I strained due to hard stools, and afterward, there was blood on the toilet paper.
My abdomen hurt after the bowel movement, and for two consecutive days, I took medication to help with gastrointestinal motility and facilitate smoother bowel movements.
Today, there has been no bleeding, but I am experiencing constipation.
Could the bleeding be caused by the hard stools? Should I actively seek medical attention?

Hello, 10~19 year old female. Ask Date: 2015/10/24

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, constipation and hard stools may lead to anal fissure bleeding.
Additionally, hemorrhoids may also cause bleeding.
Sincerely, Dr.
Chen Chi-Feng, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/10/24

More Info

Blood in the stool can indeed be a concerning symptom, and in your case, it appears that the bleeding may be related to constipation and straining during bowel movements. When stool is hard and dry, it can cause small tears in the lining of the anus, known as anal fissures, which can lead to bleeding. This is a common occurrence, especially if one is straining to pass a bowel movement.

In your situation, since you experienced blood on the toilet paper after straining, it is likely that the blood was due to a fissure or irritation caused by the hard stool. The abdominal pain you felt could also be attributed to the constipation and the straining involved in trying to have a bowel movement. It's good to hear that you have started taking medication to help with bowel regularity, and that the bleeding has stopped after your recent efforts to soften your stool.

However, there are a few important considerations to keep in mind:
1. Persistent Symptoms: If you continue to experience blood in your stool, even if it is just a small amount, or if you notice any changes in the color or consistency of your stool, it is essential to consult a healthcare professional. Blood can sometimes indicate more serious conditions, such as hemorrhoids, diverticular disease, or even gastrointestinal bleeding from other sources.

2. Associated Symptoms: If you experience additional symptoms such as severe abdominal pain, changes in bowel habits (like diarrhea or prolonged constipation), weight loss, or fatigue, these could be signs of a more serious underlying condition that requires medical evaluation.

3. Chronic Constipation: If constipation is a recurring issue for you, it is advisable to discuss this with your doctor. Chronic constipation can lead to complications such as hemorrhoids or anal fissures, and a healthcare provider can help determine the underlying cause and recommend appropriate treatments or lifestyle changes.

4. When to See a Doctor: You should seek medical attention if:
- You see blood in your stool that persists or recurs.

- You have severe abdominal pain or cramping.

- You experience significant changes in your bowel habits.

- You notice any signs of dehydration, such as dizziness, dry mouth, or decreased urination.

5. Preventive Measures: To prevent future episodes of constipation and associated bleeding, consider incorporating more fiber into your diet (fruits, vegetables, whole grains), staying well-hydrated, and engaging in regular physical activity. Over-the-counter stool softeners or fiber supplements may also be beneficial.

In summary, while it is possible that the blood you observed was due to constipation and straining, it is crucial to monitor your symptoms closely. If you have any doubts or if symptoms persist, do not hesitate to consult a healthcare professional for a thorough evaluation and personalized advice. Your health and well-being are paramount, and addressing these symptoms early can help prevent more serious issues down the line.

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