Blood in Stool: When to Seek Medical Attention

Blood in the stool?

Hello doctor, two weeks ago I experienced pain during bowel movements and noticed blood when wiping, occurring about two to three times before it stopped.
It seemed like I had an anal fissure.
Until a few days ago, there were no more bleeding symptoms, but I still felt pain whenever I sat on a hard chair.
Today, however, I noticed blood again after using the restroom and had to wipe about five to six times before the bleeding stopped.
Interestingly, after finishing, the pain in my rectum went away, and my symptoms seemed to improve.
I had similar bleeding issues when I was younger, but it resolved on its own! If I need to see a doctor, should I go to a clinic or a larger hospital? Thank you ^^

Nìmíng, 10~19 year old female. Ask Date: 2015/12/20

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.
Anal fissures can also present with similar symptoms.
It is advisable 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: 2015/12/20

More Info

When it comes to blood in the stool, it is essential to understand the potential causes and when to seek medical attention. Based on your description, it seems that you may be experiencing symptoms consistent with anal fissures, which are small tears in the lining of the anus that can occur due to passing hard stools. This condition can lead to pain and bleeding during bowel movements, and it is not uncommon for individuals to experience this, especially if they have had similar issues in the past.

In your case, the fact that you experienced bleeding a couple of weeks ago, followed by a period without symptoms, and then had a recurrence of bleeding suggests that the fissure may have reopened or that there may be another underlying issue. The absence of pain after bowel movements is a positive sign, indicating that the fissure may be healing. However, the recurrence of blood is concerning and warrants further evaluation.

Here are some key points to consider regarding when to seek medical attention:
1. Persistent Symptoms: If you continue to experience blood in your stool, even if it is intermittent, it is advisable to consult a healthcare professional. While anal fissures are common and can heal on their own, persistent bleeding may indicate a more serious condition.

2. Severity of Bleeding: If the bleeding is significant (e.g., bright red blood, large amounts), or if you experience other symptoms such as dizziness, fainting, or severe abdominal pain, you should seek immediate medical attention.

3. Changes in Bowel Habits: If you notice changes in your bowel habits, such as diarrhea, constipation, or changes in the consistency of your stool, it is essential to discuss these changes with a doctor.

4. Family History: If you have a family history of gastrointestinal diseases, such as inflammatory bowel disease or colorectal cancer, it is prudent to seek medical advice sooner rather than later.

5. Age Considerations: If you are over the age of 50 or have risk factors for colorectal cancer, any occurrence of blood in the stool should be evaluated by a healthcare provider.

Regarding where to seek care, both a primary care physician at a clinic and a specialist at a larger hospital can provide appropriate evaluation. If you have a primary care doctor, starting there can be beneficial, as they can assess your symptoms and refer you to a gastroenterologist if necessary. If your symptoms are severe or if you feel more comfortable seeking care at a hospital, that is also a valid option.

In summary, while your symptoms may be related to a common issue like an anal fissure, the presence of blood in the stool should not be taken lightly. It is always better to err on the side of caution and consult a healthcare professional for a thorough evaluation and appropriate management. They may recommend dietary changes, stool softeners, topical treatments, or further diagnostic tests to ensure that there are no underlying issues that need to be addressed.

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