Blood in Stool After Diarrhea: What You Need to Know - Surgery

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Diarrhea, with some stools having a bloody appearance?


I had diarrhea for three consecutive days, and on the second day, it was very watery, with the toilet paper showing a slightly orange-yellow color.
On the fourth day, after seeing the doctor, I noticed a small lump of stool that was a different color from the rest, and there was blood present.
However, earlier today, there was no blood in my stool.
PS: I did not feel nauseous, and before seeing the doctor, I was having bowel movements about 5-8 times a day.
I would like to ask what that bloody stool could be, as I was very scared when I saw it.
PPS: I have taken a photo of the stool.
Please help me, doctor.
><

Lun, 10~19 year old female. Ask Date: 2015/12/14

Dr. Ke Fangxu reply Surgery


Frequent bowel movements often lead to hemorrhoidal bleeding.
If this is caused by a temporary gastrointestinal issue, a light diet and waiting for recovery is recommended.
However, if there is a prolonged pattern of excessive bowel movements resulting in recurrent bleeding, it may indicate irritable bowel syndrome (IBS).
In such cases, it is advisable to consult a physician for evaluation and medication to manage the symptoms.
If the bleeding does not significantly impact daily life and occurs only occasionally, improving dietary habits and lifestyle may help alleviate the symptoms of IBS.

Reply Date: 2015/12/14

More Info


Understanding blood in stool, especially after experiencing diarrhea, can be concerning and warrants careful consideration. Based on your description, it seems you experienced a few days of diarrhea, followed by a stool that had a noticeable color difference and contained blood. Let's break down what this could mean and what steps you should take.

First, it’s important to understand that diarrhea can lead to various gastrointestinal issues, including irritation of the intestinal lining. This irritation can cause minor bleeding, which may result in blood appearing in your stool. The fact that you noticed a color change in your stool, particularly orange-yellow, could indicate the presence of bile, which is common in diarrhea. The subsequent appearance of blood in your stool, even if it was only once, is something that should be taken seriously.

Blood in the stool can manifest in different forms, such as bright red blood, which often indicates bleeding from the lower gastrointestinal tract (like the rectum or colon), or darker, tarry stools, which suggest bleeding from higher up in the digestive tract (like the stomach or small intestine). Since you mentioned that the blood appeared in a single instance and was not present in subsequent bowel movements, it could be a sign of a minor issue, such as hemorrhoids or anal fissures, especially if you experienced straining during your bowel movements.

However, given the context of your recent diarrhea, it’s also possible that the blood could be related to a more serious condition, such as an infection or inflammation of the intestines. Conditions like gastroenteritis, inflammatory bowel disease (IBD), or even diverticulitis can cause both diarrhea and blood in the stool.
Since you mentioned that you had a doctor's appointment and received medication, it’s crucial to follow up with your healthcare provider regarding the blood in your stool. They may recommend further evaluation, which could include a stool test to check for infections, a colonoscopy to visualize the colon, or other imaging studies to rule out more serious conditions.

In the meantime, here are some general recommendations:
1. Stay Hydrated: Diarrhea can lead to dehydration, so it’s essential to drink plenty of fluids. Oral rehydration solutions can be particularly helpful.

2. Monitor Symptoms: Keep track of any additional symptoms, such as fever, abdominal pain, or changes in bowel habits. If the blood reappears or if you experience worsening symptoms, seek medical attention promptly.

3. Dietary Adjustments: Consider a bland diet (like the BRAT diet: bananas, rice, applesauce, toast) until your symptoms improve. Avoid dairy, fatty foods, and high-fiber foods initially, as they can exacerbate diarrhea.

4. Follow Up: If the blood in your stool persists or if you have any new symptoms, return to your healthcare provider for further evaluation.

In conclusion, while the presence of blood in your stool can be alarming, it’s essential to consider the context of your recent diarrhea and any other symptoms you may have. It’s always best to consult with your healthcare provider for a thorough evaluation and appropriate management. They can provide the most accurate diagnosis and treatment plan based on your specific situation.

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