Blood and Mucus in Stool: When to Seek Medical Help

Blood and mucus in the stool during bowel movements?

Hello Doctor: For a long time, I have been taking laxatives or probiotics every other day or every two days to have a bowel movement (after taking them, I have at least 3-5 bowel movements in a day).
If I don't take them, I cannot have a bowel movement (even though I feel the urge, I just can't pass it), and I also experience excessive gas, which is not foul-smelling, along with abdominal bloating and discomfort.
About a year ago, my stools started to become softer and stickier; sometimes they are long but no wider than 2.5 centimeters, and at times they are unformed, sticky, and slimy.
During bowel movements, I notice mucus (which can be yellow, white, sometimes pinkish-orange, or even have streaks of blood or dark red).
Occasionally, there is a significant amount of blood, mostly after my third trip to the bathroom.
Sometimes I experience anal pain, and sometimes I don't.
The area around the anus can be swollen and may have hard lumps, but these resolve after a warm sitz bath.
Am I at risk for colorectal cancer? However, I haven't experienced weight loss or loss of appetite, right? When I go to the hospital for an examination, should I see a gastroenterologist or a colorectal surgeon? What tests do I need to undergo?

Zhu, 30~39 year old female. Ask Date: 2016/01/16

Dr. Ke Fangxu reply Surgery

This situation may be due to poor gastrointestinal function combined with swollen hemorrhoids.
To rule out the possibility of colorectal cancer, it is advisable to have a gastroenterologist or colorectal surgeon arrange for a colonoscopy.
Weight loss and loss of appetite, while symptoms of malignant tumors, do not necessarily occur and may only appear in advanced stages.
Although 35 years old is not a common age group for colorectal cancer, it is still safer to undergo an examination if there are concerns.

Reply Date: 2016/01/16

More Info

When it comes to understanding the presence of blood and mucus in stool, it is essential to recognize that these symptoms can indicate a range of gastrointestinal issues, some of which may require immediate medical attention. Based on your description, it seems you have been experiencing several concerning symptoms, including changes in stool consistency, the presence of mucus and blood, abdominal discomfort, and rectal pain.
Firstly, the presence of blood in the stool, especially if it is bright red or dark red, can be indicative of various conditions, including hemorrhoids, anal fissures, diverticulosis, inflammatory bowel disease (IBD), or even colorectal cancer. Mucus in the stool can also be a sign of inflammation in the intestines, which may occur in conditions such as IBD or infections. The fact that you have been experiencing these symptoms for an extended period (over a year) and that they have progressively worsened is concerning and warrants further investigation.

It is important to note that while weight loss and decreased appetite are common symptoms associated with colorectal cancer, they are not the only indicators. Many patients with colorectal cancer may not exhibit these symptoms in the early stages of the disease. Therefore, the absence of weight loss or appetite changes does not rule out the possibility of a serious condition.

Given your symptoms, it is advisable to seek medical attention promptly. You should consider scheduling an appointment with a gastroenterologist, as they specialize in diagnosing and treating conditions related to the digestive system. During your visit, the doctor will likely perform a thorough evaluation, which may include a physical examination, a review of your medical history, and specific diagnostic tests.

The following tests may be recommended:
1. Colonoscopy: This is a key diagnostic tool that allows the doctor to visualize the inside of your colon and rectum. It can help identify any abnormalities, such as polyps, inflammation, or tumors. If necessary, biopsies can be taken during this procedure.

2. Stool Tests: These tests can help identify infections, blood, or other abnormalities in your stool.

3. Imaging Studies: Depending on your symptoms, the doctor may recommend imaging studies such as a CT scan or MRI to get a clearer picture of your gastrointestinal tract.

4. Blood Tests: These can help assess your overall health and check for signs of infection or anemia.

In terms of your symptoms, the abdominal discomfort and the presence of hard lumps around the anus could suggest hemorrhoids or anal fissures, especially if they improve with warm sitz baths. However, it is crucial to have a healthcare professional evaluate these symptoms to rule out more serious conditions.

In summary, while your symptoms may not definitively indicate colorectal cancer, they are concerning enough to warrant a thorough evaluation by a gastroenterologist. Early detection and diagnosis are key to managing any potential gastrointestinal issues effectively. Please do not hesitate to seek medical help, as timely intervention can significantly improve outcomes.

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