Blood in Stool: Causes and When to Seek Help

Blood in the stool?

Hello Dr.
Ke: Last week I experienced pain around my navel, and after taking antacids twice, it improved.
This morning, I had a bowel movement (I usually have a bowel movement every morning, and sometimes I go a second time half an hour later).
I noticed a small amount of blood mixed in with my stool.
When I wiped with toilet paper, there was a spot of blood, but after wiping twice more, the toilet paper was normal without blood.
What could this issue be? Thank you.

Peipei, 30~39 year old female. Ask Date: 2015/11/13

Dr. Ke Fangxu reply Surgery

This situation is likely indicative of 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 consider purchasing over-the-counter hemorrhoid suppositories for use.
However, if bleeding persists, it is best to consult a physician for evaluation.

Reply Date: 2015/11/13

More Info

Blood in stool can be a concerning symptom and may indicate a variety of underlying issues, ranging from benign to serious conditions. It is essential to understand the potential causes and when to seek medical attention.

Possible Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of blood in the stool, especially if the blood is bright red and appears on the surface of the stool or on toilet paper. Hemorrhoids are swollen veins in the lower rectum or anus that can bleed during bowel movements.

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

3. Gastrointestinal Infections: Certain infections can cause inflammation and bleeding in the gastrointestinal tract. This can be due to bacteria, viruses, or parasites.

4. Diverticular Disease: Diverticulosis, which involves the formation of small pouches in the colon wall, can sometimes lead to diverticulitis, where these pouches become inflamed or infected, potentially causing bleeding.

5. Polyps or Colorectal Cancer: Polyps are growths on the inner lining of the colon that can bleed. Some polyps can develop into cancer over time, which is why any blood in the stool should be evaluated, especially in older adults.

6. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease and ulcerative colitis can cause inflammation and ulcers in the gastrointestinal tract, leading to bleeding.

7. Other Conditions: Other less common causes can include gastrointestinal tumors, vascular malformations, or systemic conditions affecting the blood vessels.

When to Seek Help
Given your description of blood in your stool, especially if it is a new symptom, it is advisable to consult a healthcare provider. Here are some specific situations where you should seek medical attention promptly:
- Persistent Bleeding: If the blood continues to appear in your stool or on toilet paper over several days.

- Increased Pain: If you experience significant abdominal pain or discomfort that does not improve.

- Changes in Bowel Habits: Any significant changes in your bowel habits, such as diarrhea or constipation, especially if accompanied by blood.

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

Conclusion
While occasional blood in the stool can be due to minor issues like hemorrhoids or anal fissures, it is crucial to take this symptom seriously. A healthcare professional can perform a thorough evaluation, which may include a physical examination, blood tests, or imaging studies, to determine the cause of the bleeding and recommend appropriate treatment. Early diagnosis and intervention can significantly improve outcomes, especially if a more serious condition is present.
In summary, while it may be tempting to attribute the blood in your stool to something minor, it is always best to err on the side of caution and consult with a healthcare provider to ensure your health and well-being.

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