Rectal Bleeding and Polyp-like Stool: When to Seek Help

Q: Rectal Bleeding and Polyp-like Stool: When to Seek Help

Hello： Theoretically, it is unlikely for polyps to spontaneously detach and be expelled. <br>As for bleeding, the likelihood is higher due to hard stools causing bleeding near the anal area, such as hemorrhoids or anal fissures. <br>You may consult a colorectal specialist. <br>Ch

Passing something that resembles a polyp during bowel movements?

Hello Dr.
Tsai, I have been frequently visiting the gastroenterology department due to gastrointestinal issues.
Initially, I experienced autonomic dysfunction of the stomach, which later progressed to bloating and constipation.
At first, the doctor prescribed a stool softener, one pill a day, but I still couldn't have a bowel movement.
After increasing to two pills a day, my bowel movements became regular.
However, recently I have noticed blood in my stool (initially I thought it was melena), but later realized it only occurs during bowel movements.
After about three instances, the blood gradually decreased, but I have also expelled something that looks like a polyp.
Could this be serious? Should I continue seeing a gastroenterologist or should I consult a proctologist? Thank you.

Jane, 20~29 year old female. Ask Date: 2015/11/25

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Theoretically, it is unlikely for polyps to spontaneously detach and be expelled.
As for bleeding, the likelihood is higher due to hard stools causing bleeding near the anal area, such as hemorrhoids or anal fissures.
You may consult a colorectal specialist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2015/11/25

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding your gastrointestinal issues, particularly the rectal bleeding and the appearance of stool that resembles polyps. It’s understandable to feel anxious about these symptoms, and I’m here to provide some guidance.

Firstly, the presence of blood in your stool, especially if it occurs during bowel movements, can be indicative of several conditions. The fact that you initially thought it was related to your menstrual cycle (MC) suggests that you may have been experiencing some confusion regarding the source of the bleeding. However, since you have confirmed that the blood appears only during bowel movements, it is crucial to consider other potential causes.

Common causes of rectal bleeding include hemorrhoids, anal fissures, diverticular disease, and polyps. Given your history of gastrointestinal issues, including constipation and the use of stool softeners, it is possible that you may have developed anal fissures, which can cause significant pain and bleeding during bowel movements. These fissures occur when the skin around the anus tears due to the passage of hard or large stools.

The appearance of stool that resembles polyps is also concerning. Polyps are growths on the lining of the colon or rectum that can vary in size and shape. While many polyps are benign, some can develop into colorectal cancer over time. It is essential to have any unusual findings, such as polyp-like stool, evaluated by a healthcare professional.

Given your symptoms, I recommend that you continue to see a gastroenterologist, as they specialize in disorders of the digestive system. They can perform necessary diagnostic tests, such as a colonoscopy, to visualize the colon and rectum directly. This procedure allows for the identification and potential removal of polyps, as well as the assessment of any other abnormalities that may be present.

In the meantime, it is essential to maintain a diet high in fiber to help prevent constipation and promote regular bowel movements. Staying hydrated is also crucial, as it can help soften stools and reduce the risk of anal fissures. If you experience significant pain, changes in bowel habits, or if the bleeding worsens, do not hesitate to seek immediate medical attention.

In summary, while rectal bleeding and the appearance of unusual stool can be alarming, they are often manageable with appropriate medical care. It is vital to follow up with your gastroenterologist for further evaluation and to discuss your symptoms in detail. They will be able to provide you with a tailored treatment plan based on their findings.

Take care, and I wish you the best in your recovery.

Sincerely,
Doctor Q&A Teams

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