Blood in the stool?
Hello doctor, I have bowel movements every day, but for the past week or two, my stools have been hard, and I've noticed blood when wiping.
Recently, there has been a significant amount of blood, and I've also seen traces of blood in my urine.
Could you please tell me what might be wrong? What kind of tests should I undergo?
Youzi, 20~29 year old female. Ask Date: 2016/02/05
Dr. Yu Mingchang reply Surgery
Hello; it is possible that there is an issue with your moles.
Please take some time to consult the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare.
We care about your health.
Reply Date: 2016/02/05
More Info
Blood in stool can be a concerning symptom, and it is essential to understand its potential causes and when to seek medical help. The presence of blood in your stool, especially if it has been occurring frequently and is accompanied by hard stools, can indicate several underlying issues.
One of the most common causes of blood in the stool is hemorrhoids, which are swollen veins in the lower rectum or anus. They can cause bleeding during bowel movements, especially if you are experiencing constipation and straining to pass hard stools. Another possibility is anal fissures, which are small tears in the lining of the anus that can occur due to passing hard stools, leading to pain and bleeding.
However, blood in the stool can also be a sign of more serious conditions, such as diverticular disease, inflammatory bowel disease (IBD) like Crohn's disease or ulcerative colitis, or even colorectal cancer. The fact that you mentioned seeing blood in the toilet bowl and that it has been occurring frequently raises the need for further evaluation.
Given your symptoms, it is crucial to seek medical attention promptly. A healthcare provider will likely recommend a thorough evaluation, which may include:
1. Physical Examination: A doctor will perform a physical exam, including a digital rectal exam, to check for hemorrhoids or fissures.
2. Blood Tests: These can help assess your overall health and check for anemia, which can occur if there is significant blood loss.
3. Stool Tests: A stool sample may be tested for the presence of blood or pathogens.
4. Colonoscopy: This is a procedure where a flexible tube with a camera is inserted into the rectum to examine the colon. It is often the best way to identify the source of bleeding and can also allow for biopsies or removal of polyps if necessary.
5. Imaging Studies: In some cases, imaging studies such as a CT scan may be ordered to look for abnormalities in the gastrointestinal tract.
It is essential not to ignore these symptoms, especially if the bleeding persists or worsens. Early diagnosis and treatment can significantly improve outcomes, particularly if a more serious condition is identified.
In summary, while there are common and less serious causes of blood in the stool, the presence of blood, especially if it is significant or accompanied by other symptoms, warrants a thorough medical evaluation. Do not hesitate to contact your healthcare provider to discuss your symptoms and get the appropriate tests done. Your health and well-being are paramount, and timely intervention can make a significant difference.
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