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

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Blood in the stool?


Hello, doctor.
Last night, after using the restroom, I checked the stool as usual and noticed fresh red blood at the bottom of the toilet without any abnormal sensations.
The stool itself appeared completely normal, so I thought it might be related to my menstrual cycle, but upon wiping, there was no evidence of that.
I only found a small amount of blood when wiping the anal area.
The water in the toilet was completely clear until I flushed, which stirred up the blood accumulation and turned the water red, indicating a significant amount of blood.
I was worried, so I tried to use the restroom again immediately, but there was no further bleeding, and I haven't experienced any this morning.
This has never happened before, and I'm unsure what might have caused this situation.
Should I continue to monitor it? Thank you!

Wen, 40~49 year old female. Ask Date: 2015/12/31

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: 2015/12/31

More Info


When it comes to the presence of blood in stool, it can be a concerning symptom that warrants careful evaluation. The bright red blood you observed in the toilet bowl can originate from various sources within the gastrointestinal tract, and understanding these potential causes is crucial for determining the appropriate next steps.


Possible Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of bright red blood in the stool is hemorrhoids, which are swollen veins in the lower rectum or anus. They can cause pain, itching, and bleeding, especially during bowel movements.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to sharp pain and bleeding during or after bowel movements.

3. Diverticular Disease: Diverticulosis, which involves the formation of small pouches in the colon wall, can lead to diverticulitis if these pouches become inflamed. This condition can cause bleeding, often presenting as bright red blood.

4. Colorectal Polyps or Cancer: Polyps are growths on the inner lining of the colon or rectum that can bleed. While most polyps are benign, some can develop into colorectal cancer, which can also present with blood in the stool.

5. Gastrointestinal Infections: Certain infections can cause inflammation and bleeding in the gastrointestinal tract, leading to blood in the stool.

6. Other Conditions: Conditions such as inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis, can also cause rectal bleeding.


When to Seek Medical Attention
While you mentioned that you did not experience any pain or further bleeding after the initial incident, it is essential to monitor your symptoms closely. Here are some guidelines on when to seek medical help:
- Persistent Bleeding: If you notice blood in your stool again, especially if it becomes a recurring issue, you should consult a healthcare professional.


- Associated Symptoms: If you experience additional symptoms such as abdominal pain, changes in bowel habits, weight loss, or fatigue, it is crucial to seek medical attention promptly.

- Volume of Blood: If the amount of blood increases or if you experience significant bleeding, you should seek emergency care.

- Family History: If you have a family history of colorectal cancer or other gastrointestinal diseases, it is advisable to discuss your symptoms with a doctor sooner rather than later.


Conclusion
In summary, while the presence of bright red blood in the stool can be alarming, it is not always indicative of a severe condition. However, given that this is your first experience with such a symptom, it is wise to remain vigilant. Observing your body for any changes and seeking medical advice if symptoms persist or worsen is the best course of action. A healthcare provider may recommend diagnostic tests, such as a colonoscopy, to determine the underlying cause of the bleeding and to rule out any serious conditions. Remember, early detection and intervention are key to managing any potential health issues effectively.

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