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

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Blood in the stool?


This morning while I was using the restroom, I didn't feel any pain in my abdomen; it felt more like intestinal peristalsis.
Today is the first day, and I was wondering if it could be hemorrhoids...
Although I don't have daily bowel movements, I do go every two days.

Jiajia, 20~29 year old female. Ask Date: 2015/12/29

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 hemorrhoidal suppositories for use.
However, if bleeding persists, it is advisable to consult a physician for evaluation.

Reply Date: 2015/12/29

More Info


Blood in stool can be a concerning symptom and may arise from various causes, some of which are benign while others may indicate a more serious condition. Given your description of experiencing blood in your stool without accompanying pain, it is essential to consider several potential causes and when to seek medical attention.


Common 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 toilet paper or in the toilet bowl. Hemorrhoids can be internal or external and often result from straining during bowel movements, chronic constipation, or prolonged sitting.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can cause sharp pain during bowel movements and may also result in bright red blood.

3. Gastrointestinal Bleeding: Conditions such as diverticulosis, inflammatory bowel disease (IBD), or colorectal polyps can lead to bleeding in the gastrointestinal tract. The blood may appear dark red or maroon if it originates from higher up in the digestive system.

4. Infections: Certain infections, particularly those caused by bacteria like Salmonella or E. coli, can lead to bloody diarrhea. These infections may also be accompanied by other symptoms such as fever, abdominal cramps, and diarrhea.

5. Colorectal Cancer: While less common in younger individuals, blood in the stool can be a sign of colorectal cancer, especially if it is persistent and accompanied by other symptoms like unexplained weight loss, changes in bowel habits, or abdominal discomfort.


When to Seek Help
It is crucial to seek medical attention if you notice blood in your stool, especially if:
- The bleeding is persistent or recurrent.

- You experience significant changes in your bowel habits.

- You have accompanying symptoms such as abdominal pain, weight loss, or changes in appetite.

- You notice dark, tarry stools, which may indicate bleeding from the upper gastrointestinal tract.


Recommended Actions
1. Consult a Healthcare Provider: Given your symptoms, it would be wise to consult a healthcare provider. They may recommend diagnostic tests such as a stool test, colonoscopy, or imaging studies to determine the cause of the bleeding.

2. Keep a Record: Documenting the frequency, color, and consistency of your stools, as well as any other symptoms you experience, can provide valuable information to your healthcare provider.

3. Dietary Considerations: Maintaining a high-fiber diet can help prevent constipation and reduce the risk of hemorrhoids and anal fissures. Staying hydrated is also essential.

4. Avoid Straining: If you suspect hemorrhoids or anal fissures, try to avoid straining during bowel movements. Over-the-counter treatments may help alleviate symptoms.


Conclusion
While blood in the stool can be alarming, understanding the potential causes and knowing when to seek help is crucial. It is always better to err on the side of caution and consult a healthcare professional to rule out any serious conditions. Early diagnosis and treatment can significantly improve outcomes, especially in cases where underlying conditions may require intervention.

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