Blood in Stool and Abdominal Pain: Causes and Solutions - Surgery

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Blood in the stool accompanied by abdominal pain?


Recently, I've noticed a small amount of blood on the tissue after having a bowel movement.
I experience abdominal pain daily, and sometimes I still feel the urge to go after finishing.
What could this indicate? Thank you for your help.

An, 30~39 year old female. Ask Date: 2016/01/02

Dr. Xu Kaixi reply Surgery


Blood in the stool is an abnormal phenomenon, with hemorrhoidal bleeding being the most likely cause.
However, there are many potential reasons for rectal bleeding, and the entire gastrointestinal tract could be the source.
Additionally, having a persistent urge to defecate after a bowel movement is also considered an abnormal symptom.
It is recommended that you visit a surgical or internal medicine outpatient clinic for further evaluation.

Reply Date: 2016/01/02

More Info


Blood in the stool, accompanied by abdominal pain, can be concerning and may indicate various underlying conditions. It's essential to understand the potential causes and seek appropriate medical evaluation. Here’s a breakdown of possible reasons for your symptoms and some recommendations for addressing them.


Possible Causes
1. Hemorrhoids: One of the most common causes of blood on toilet paper is hemorrhoids, which are swollen veins in the 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 during and after bowel movements, along with bleeding.

3. Gastrointestinal Infections: Infections caused by bacteria, viruses, or parasites can lead to inflammation of the intestines, resulting in abdominal pain and bloody stools.

4. Diverticulitis: This condition occurs when small pouches (diverticula) in the colon become inflamed or infected. Symptoms can include abdominal pain, fever, and changes in bowel habits, including blood in the stool.

5. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause chronic inflammation in the gastrointestinal tract, leading to abdominal pain, diarrhea, and blood in the stool.

6. Polyps or Colorectal Cancer: Although less common, polyps (growths on the colon lining) can bleed and may be precursors to colorectal cancer. Symptoms may include changes in bowel habits, abdominal pain, and blood in the stool.


Recommended Actions
1. Seek Medical Attention: Given the presence of blood in your stool and persistent abdominal pain, it is crucial to consult a healthcare professional. They may recommend a physical examination, blood tests, stool tests, or imaging studies (like a colonoscopy) to determine the underlying cause.

2. Monitor Symptoms: Keep track of your symptoms, including the frequency and amount of blood, the nature of your abdominal pain, and any changes in your bowel habits. This information can be valuable for your healthcare provider.

3. Dietary Adjustments: If hemorrhoids or anal fissures are suspected, increasing fiber intake can help soften stools and reduce straining during bowel movements. Staying hydrated is also essential.

4. Avoid Self-Diagnosis: While it’s tempting to search for answers online, self-diagnosing can lead to unnecessary anxiety or misinterpretation of symptoms. A healthcare provider can offer a more accurate diagnosis and tailored treatment plan.

5. Follow-Up Care: If you receive a diagnosis, adhere to your treatment plan and attend follow-up appointments to monitor your condition. Some gastrointestinal issues may require ongoing management.


Conclusion
Blood in the stool and abdominal pain are symptoms that should not be ignored. They can arise from various conditions, ranging from benign to serious. Early evaluation and intervention are key to addressing any underlying issues effectively. Remember, your health is paramount, and seeking professional medical advice is the best course of action.

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