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

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Rectal bleeding


This morning, after having a bowel movement, I noticed that the toilet paper was completely stained with blood, and there was blood in the toilet as well.
This is the first time this has happened to me, but I did not experience any pain.
Later in the day, I went to the bathroom again, and this time my stool was watery and also contained blood.
The toilet paper was covered in blood and some small clots.
I felt a slight pain in my abdomen.
What could be happening to me?

weiwwiqin, 20~29 year old female. Ask Date: 2016/02/15

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.
Warm sitz baths may also help alleviate symptoms.
You can purchase over-the-counter hemorrhoidal suppositories for use.
It is best not to take stool softeners indiscriminately; at this age, increasing dietary fiber and hydration should be sufficient.
If bleeding persists, it is advisable to consult a physician for evaluation.

Reply Date: 2016/02/15

More Info


Experiencing blood in your stool can be alarming, and it's important to understand the potential causes and when to seek medical attention. Blood in the stool can manifest in various forms, including bright red blood, dark or tarry stools, or even blood mixed with the stool. The presence of blood can indicate a range of conditions, some of which may require immediate medical intervention.


Possible Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of bright red blood on toilet paper or in the toilet bowl is hemorrhoids. These are swollen blood vessels in the rectum or anus that can bleed during bowel movements, especially if you are straining.

2. Anal Fissures: Small tears in the lining of the anus can occur due to passing hard stools. This can lead to bright red blood and is often accompanied by pain during bowel movements.

3. Gastrointestinal Bleeding: Conditions such as diverticulosis, inflammatory bowel disease (IBD), or colorectal cancer can cause bleeding in the gastrointestinal tract. The blood may appear darker if it originates from higher up in the digestive system.

4. Infections: Certain infections, particularly those affecting the gastrointestinal tract, can lead to bloody diarrhea. This may be accompanied by other symptoms such as fever, abdominal pain, and cramping.

5. Polyps or Tumors: Benign polyps or malignant tumors in the colon or rectum can also cause bleeding. This is more common in older adults and may require screening through colonoscopy.


When to Seek Help
Given your symptoms, especially the presence of blood in your stool and the accompanying abdominal pain, it is crucial to seek medical attention promptly. Here are some guidelines on when to see a doctor:
- Immediate Attention: If you experience significant amounts of blood, especially if it is accompanied by dizziness, fainting, or severe abdominal pain, you should seek emergency medical care.

- Persistent Symptoms: If the bleeding continues or if you notice changes in your bowel habits, such as diarrhea or constipation, it is essential to consult a healthcare provider.

- Accompanying Symptoms: If you develop additional symptoms such as fever, weight loss, or changes in appetite, these could indicate a more serious underlying condition that requires evaluation.


Diagnostic Approach
When you visit a healthcare provider, they may perform a physical examination and ask about your medical history, including any medications you are taking, dietary habits, and family history of gastrointestinal diseases. Diagnostic tests may include:
- Blood Tests: To check for anemia or signs of infection.

- Stool Tests: To identify any infectious agents or blood.

- Imaging Studies: Such as a CT scan or ultrasound to visualize the abdominal organs.

- Endoscopy: A colonoscopy may be recommended to directly visualize the colon and rectum, allowing for biopsy or removal of any abnormal growths.


Conclusion
Blood in the stool is a symptom that should not be ignored, especially when accompanied by pain or other concerning symptoms. Early evaluation and diagnosis are key to managing any underlying conditions effectively. If you experience these symptoms, please consult a healthcare professional as soon as possible to ensure appropriate care and treatment.

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