Should You See a Doctor for Blood in Stool and Abdominal Discomfort?

Abdominal discomfort with blood in the stool?

Today I have a bit of discomfort in my abdomen.
After using the bathroom, I noticed a significant amount of blood in the toilet, and there was also blood when I wiped.
The bleeding lasted for over ten minutes but was not very heavy.
Should I see a doctor? (I have been having regular bowel movements and haven’t eaten anything spicy recently.)

Dong Dong, 10~19 year old female. Ask Date: 2016/02/20

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 hemorrhoid suppositories at the pharmacy 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: 2016/02/20

More Info

Experiencing blood in your stool and abdominal discomfort can be alarming, and it is essential to take these symptoms seriously. While the amount of blood you describe may not seem significant, any presence of blood in your stool warrants a consultation with a healthcare professional. Here’s why you should consider seeing a doctor and what you might expect during the evaluation.

Why You Should See a Doctor
1. Potential Underlying Conditions: Blood in the stool can be a sign of various gastrointestinal issues, ranging from benign conditions like hemorrhoids or anal fissures to more serious conditions such as inflammatory bowel disease (IBD), diverticulosis, or even colorectal cancer. The presence of blood, regardless of the amount, is a symptom that should not be ignored.

2. Associated Symptoms: You mentioned abdominal discomfort and the presence of blood after a bowel movement. If you experience additional symptoms such as persistent abdominal pain, changes in bowel habits, weight loss, or fatigue, these could indicate a more serious condition that requires prompt medical attention.

3. Risk of Complications: Some gastrointestinal conditions can lead to complications if left untreated. For example, conditions like IBD can cause inflammation and damage to the intestinal lining, leading to more severe symptoms and complications over time.

What to Expect During Your Visit
When you see a doctor, they will likely perform a thorough evaluation, which may include:
1. Medical History: The doctor will ask about your symptoms, including when they started, their frequency, and any other associated symptoms. Be prepared to discuss your diet, any medications you are taking, and your family history of gastrointestinal diseases.

2. Physical Examination: A physical exam may include an abdominal examination to check for tenderness or swelling. The doctor may also perform a rectal examination to assess for hemorrhoids or other abnormalities.

3. Diagnostic Tests: Depending on your symptoms and the findings from the physical exam, the doctor may recommend further tests. These could include:
- Stool Tests: To check for blood, infections, or other abnormalities.

- Blood Tests: To assess for anemia or signs of infection.

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

- Endoscopic Procedures: Such as a colonoscopy or sigmoidoscopy, which allow direct visualization of the colon and rectum to identify any abnormalities.

Conclusion
In summary, while the amount of blood you observed may not seem large, it is crucial to consult a healthcare professional for a proper evaluation. Early diagnosis and treatment can significantly improve outcomes, especially if a more serious condition is present. Do not hesitate to reach out to a doctor, as they can provide the necessary guidance and care based on your specific situation. Remember, your health is paramount, and addressing these symptoms promptly is the best course of action.

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