Blood in Stool and Persistent Urge to Defecate

It seems that there is blood in the stool, and there is still a feeling of needing to have a bowel movement after finishing?

Hello Doctor: Recently, I have been passing yellowish stools, and it seems that there is blood in the stool when I look at the cross-section in the toilet.
However, I do not see any blood when wiping.
Additionally, I still feel the urge to have a bowel movement after finishing, and the amount is small each time, with the stools being soft.
However, there is no pain in the anus during bowel movements.
What could be the cause of this? Thank you.

mm, 20~29 year old female. Ask Date: 2016/02/18

Dr. Xu Kaixi reply Surgery

Blood in the stool, along with changes in bowel habits or accompanied by other symptoms, may indicate a range of possible diagnoses from common hemorrhoids to more serious gastrointestinal conditions such as inflammatory bowel disease or tumors.
It is recommended to visit a hospital's gastroenterology or surgical outpatient department for further evaluation.

Reply Date: 2016/02/18

More Info

When it comes to understanding the presence of blood in stool and a persistent urge to defecate, it is essential to consider several factors that could contribute to these symptoms. The combination of golden-colored stools with what appears to be blood, alongside a feeling of incomplete evacuation, can be indicative of various gastrointestinal issues.

Firstly, the presence of blood in the stool can arise from several sources within the gastrointestinal tract. The blood may originate from the upper gastrointestinal tract (such as the stomach or duodenum) or the lower gastrointestinal tract (such as the colon or rectum). The fact that you are observing what seems to be blood in the stool but not on the toilet paper could suggest that the blood is mixed with the stool itself, which is often the case with conditions like hemorrhoids, anal fissures, or even more serious conditions like diverticulosis or colorectal polyps.

The golden color of the stool is also noteworthy. Normal stool color can range from light brown to dark brown, and variations can occur due to diet, medications, or underlying health conditions. If your stool is consistently golden, it may be worth considering dietary factors or even the possibility of fat malabsorption, which can occur in conditions like celiac disease or pancreatitis.

The persistent urge to defecate, even after having a bowel movement, is known as tenesmus. This sensation can be caused by several factors, including inflammation or irritation of the rectum or colon. Conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or infections can lead to this feeling. It is also possible that the urge is related to anxiety or stress, which can affect bowel habits and sensations.

Given these symptoms, it is crucial to seek medical attention. A healthcare provider will likely recommend a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly diagnostic tests such as a stool test, colonoscopy, or imaging studies. These tests can help identify the underlying cause of your symptoms and guide appropriate treatment.

In the meantime, it is advisable to monitor your symptoms closely. Keep track of any changes in your bowel habits, the appearance of your stool, and any additional symptoms such as abdominal pain, weight loss, or changes in appetite. This information will be valuable for your healthcare provider in determining the best course of action.

In summary, while the symptoms you are experiencing can be concerning, they are not uncommon and can arise from various gastrointestinal issues. Prompt evaluation by a healthcare professional is essential to rule out serious conditions and to receive appropriate treatment. Remember, early intervention can lead to better outcomes, so do not hesitate to reach out for medical advice.

Similar Q&A

Constant Urge to Defecate: Understanding Potential Health Concerns

Hello Dr. Ke: I often feel a heavy sensation in my buttocks throughout the day, accompanied by a feeling of needing to have a bowel movement. This sensation is usually milder during the day and becomes more pronounced at night. I feel heavier when standing than when sitting. I ha...

Dr. Ke Fangxu reply Surgery
At the age of 18, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is extremely low. Based on your description, it seems more like hemorrhoids. It is advisable to maintain a light diet and good lifestyle habits, while avoiding spicy, irritati...

Persistent Urge to Defecate: What Could Be Causing It?

Hello Doctor: Recently, I have suddenly experienced a feeling of needing to have a bowel movement, but when I try to squat, I can only pass a little bit without any blood. Additionally, my stomach keeps making noises and feels bloated. Which department should I consult for an exa...

Dr. Ke Fangxu reply Surgery
Based on your description, it seems more like irritable bowel syndrome combined with mild hemorrhoidal bleeding. It is recommended to start with a light diet and maintain a good lifestyle routine. Spicy, irritating, and greasy foods should be avoided. If symptoms persist without ...

Understanding Persistent Rectal Urgency: Causes and Solutions

Hello Dr. Ke, I am the person who asked question #144665. Thank you for your previous response. Currently, what troubles me the most is the persistent urge to defecate for almost three weeks. It started with about 4-5 bowel movements a day for the first three days, which eventual...

Dr. Ke Fangxu reply Surgery
"Anal heaviness," also known as "tenesmus," refers to the persistent sensation of needing to have a bowel movement, which is usually caused by rectal lesions. Digital rectal examination and anoscopy can only assess up to approximately eight centimeters from th...

Understanding Frequent Urges to Defecate: Causes and Concerns

Hello Doctor: 1. Recently, for the past two or three days, I have frequently felt the urge to have a bowel movement, but it doesn't feel like I can't pass stool; it's just the urge. I have normal bowel movements every day. I've been feeling more anxious late...

Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. Irritable bowel syndrome (IBS) and increased intestinal sensitivity are related to emotions, with clinical manifestations that may include constipation, diarrhea, or alternating episodes of both. 2. The color of stool is related to the foods consumed; dark-colored v...