Blood in Stool: When to Seek Medical Attention - Surgery

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Blood in the stool?


Hello, Dr.
Ke.
I would like to ask: Recently, I have been feeling bloated, whether I have eaten or not.
I feel very bloated.
The day before yesterday, I had diarrhea, and after holding it in for a while, when I finally went to the bathroom, it was quite forceful.
In the end, I noticed fresh blood.
The next day, when I went to the bathroom, I found blood mixed with mucus when I wiped.
Is this situation simply a ruptured hemorrhoid, or do I need to seek medical attention?

Huang, 20~29 year old female. Ask Date: 2016/01/22

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

Reply Date: 2016/01/22

More Info


When it comes to the presence of blood in stool, it is essential to approach the situation with caution, as it can be indicative of various underlying health issues. Based on your description, you are experiencing symptoms such as bloating, diarrhea, and the presence of blood in your stool, which raises several important considerations.

Firstly, the presence of bright red blood in the stool can often be associated with conditions affecting the lower gastrointestinal tract, such as hemorrhoids (commonly known as piles), anal fissures, or diverticular disease. Hemorrhoids are swollen veins in the lower rectum or anus that can bleed, especially during bowel movements. If the blood is bright red and appears on the surface of the stool or on toilet paper, it is often a sign that the bleeding is coming from the lower part of the gastrointestinal tract, which is typically less serious than bleeding from higher up in the digestive system.

However, it is crucial to note that while hemorrhoids and anal fissures are common causes of rectal bleeding, other more serious conditions could also be responsible. These include colorectal polyps, inflammatory bowel disease (IBD) such as Crohn's disease or ulcerative colitis, and even colorectal cancer. Therefore, it is essential to consider the following factors:
1. Duration and Frequency: If this is a one-time occurrence and you have a history of hemorrhoids, it may not be a cause for alarm. However, if the bleeding persists, recurs, or is accompanied by other symptoms such as severe abdominal pain, weight loss, or changes in bowel habits, it is crucial to seek medical attention.

2. Associated Symptoms: You mentioned experiencing bloating and diarrhea. If these symptoms are severe or worsening, or if you experience fever, chills, or significant abdominal pain, it is advisable to consult a healthcare professional promptly.

3. Age and Risk Factors: Your age and any personal or family history of gastrointestinal diseases can also influence the urgency of seeking medical care. Individuals over the age of 50 or those with a family history of colorectal cancer should be particularly vigilant about any changes in bowel habits or the presence of blood.

4. Self-Care Measures: While waiting for a medical appointment, you can manage mild symptoms by increasing fiber intake, staying hydrated, and avoiding straining during bowel movements. Over-the-counter treatments for hemorrhoids may also provide relief if that is the suspected cause.

In summary, while your symptoms may suggest a benign condition such as hemorrhoids, the presence of blood in stool should not be ignored. It is always better to err on the side of caution. If the bleeding continues, worsens, or is accompanied by concerning symptoms, I strongly recommend that you seek medical evaluation. A healthcare provider may perform a physical examination, discuss your symptoms in detail, and possibly recommend further diagnostic tests, such as a colonoscopy, to rule out any serious conditions. Early detection and treatment are key to managing any potential health issues effectively.

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