Blood in Stool: Causes and When to Seek Help - Surgery

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Rectal bleeding


Hello, today when I went to the bathroom, I noticed that there was blood in the toilet after having a bowel movement, and I have significant abdominal pain.
However, there was no blood on the toilet paper.
This pain and bleeding have been occurring for about 5 to 6 days, and during this time, I also had my menstrual period.
I didn't think much of it at first, but now the blood in my stool continues to happen, and I'm unsure what is going on.
Please help me understand what might be happening.

Zhu, 10~19 year old female. Ask Date: 2015/12/08

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 consider purchasing over-the-counter hemorrhoidal suppositories for use.
However, if bleeding persists, it is advisable to consult a physician for evaluation.

Reply Date: 2015/12/08

More Info


Blood in the stool can be alarming and may indicate a variety of underlying health issues. Given your symptoms of abdominal pain and the presence of blood in your stool for the past 5 to 6 days, it is important to seek medical attention promptly. Here’s a breakdown of potential causes and when you should seek help.


Possible Causes of Blood in Stool
1. Hemorrhoids: These are swollen veins in the lower rectum or anus that can cause bleeding during bowel movements. They are often associated with pain and discomfort but may not always result in blood in the stool itself.

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, viral, or parasitic infections can cause inflammation in the intestines, leading to bloody diarrhea.

4. Diverticular Disease: Diverticulosis, which involves the formation of small pouches in the colon, can lead to diverticulitis, causing inflammation and bleeding.

5. Inflammatory Bowel Disease (IBD): Conditions such as Crohn's disease or ulcerative colitis can cause significant inflammation in the gastrointestinal tract, leading to blood in the stool.

6. Polyps or Colorectal Cancer: Polyps are growths on the lining of the colon that can bleed. In some cases, they can be precursors to colorectal cancer, which can also present with blood in the stool.

7. Gastrointestinal Bleeding: This can originate from various sources, including the stomach (e.g., ulcers) or the upper gastrointestinal tract, and may present as dark, tarry stools.


When to Seek Help
You should seek immediate medical attention if you experience any of the following:
- Persistent Blood in Stool: Since you have noticed blood for several days, it is crucial to consult a healthcare professional.

- Severe Abdominal Pain: If the pain is severe and persistent, it may indicate a more serious condition.

- Changes in Bowel Habits: If you experience significant changes in your bowel habits, such as diarrhea or constipation, along with blood.

- Signs of Anemia: Symptoms such as fatigue, weakness, or dizziness can indicate significant blood loss.

- Fever or Chills: These symptoms may suggest an infection that requires treatment.


What to Expect at the Doctor's Office
When you visit a healthcare provider, they will likely perform a thorough evaluation, which may include:
- Medical History: Discussing your symptoms, duration, and any other relevant health issues.

- Physical Examination: A physical exam, including a rectal exam, may be performed to check for hemorrhoids or fissures.

- Diagnostic Tests: Blood tests, stool tests, and imaging studies (like a CT scan) may be ordered to determine the cause of the bleeding.


Conclusion
Blood in the stool is not something to ignore, especially when accompanied by abdominal pain. Given that you have experienced this symptom for several days, it is essential to seek medical evaluation as soon as possible. Early diagnosis and treatment can significantly improve outcomes and address any underlying issues effectively. Please prioritize your health and consult a healthcare professional without delay.

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