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

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There is bleeding every time I have a bowel movement?


Hello Doctor: Sometimes I experience abdominal pain, and during class, my stomach often makes loud noises, but it's not due to hunger; it happens for no apparent reason.
When I go to the bathroom, I often notice blood in my stool, and sometimes it even drips out.
My stool is brown with a bit of yellow, or it can be watery.
Occasionally, I feel so bloated that I almost feel faint.
When I wipe myself, I sometimes feel blood clots that appear to be bright red.
However, I'm afraid to tell my parents because I'm worried it might be serious, and I'm also hesitant to go to the hospital because I'm afraid of surgery...
I hope you can tell me what might be wrong...

Ye Zi, 10~19 year old female. Ask Date: 2016/02/22

Dr. Xu Kaixi reply Surgery


Rectal bleeding is an abnormal symptom that can range from common conditions like hemorrhoids to more serious gastrointestinal diseases.
If it occurs alongside changes in gastrointestinal function and bowel habits, it is strongly recommended to seek further evaluation and treatment at a gastroenterology or surgical outpatient clinic.

Reply Date: 2016/02/22

More Info


Blood in stool can be a concerning symptom and may indicate a variety of underlying issues, some of which can be serious. It's important to understand the potential causes and when to seek medical attention.


Possible Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of bright red blood in the stool is hemorrhoids, which are swollen veins in the lower rectum or anus. They can cause pain, itching, and bleeding during bowel movements.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to sharp pain and bleeding, usually bright red.

3. Gastrointestinal Infections: Infections caused by bacteria, viruses, or parasites can lead to inflammation of the intestines, resulting in bloody diarrhea.

4. Diverticular Disease: Diverticulosis, which involves the formation of small pouches in the colon, can lead to diverticulitis, where these pouches become inflamed or infected, causing bleeding.

5. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease and ulcerative colitis can cause inflammation in the gastrointestinal tract, leading to symptoms such as abdominal pain, diarrhea, and blood in the stool.

6. Polyps or Colorectal Cancer: Polyps are growths on the lining of the colon or rectum that can bleed. Some polyps can develop into cancer, which is why any blood in the stool should be evaluated by a healthcare professional.

7. Gastrointestinal Bleeding: This can occur from various sources, including ulcers in the stomach or intestines, which can lead to dark, tarry stools (indicating digested blood).


When to Seek Help
You should seek medical attention if you experience any of the following:
- Persistent Blood: If you notice blood in your stool consistently over several days.

- Severe Pain: If you have significant abdominal pain that does not improve.

- Changes in Bowel Habits: If you experience a sudden change in your bowel habits, such as diarrhea or constipation, especially if accompanied by blood.

- Fainting or Dizziness: If you feel faint, dizzy, or lightheaded, which could indicate significant blood loss.

- Other Symptoms: If you experience fever, weight loss, or any other concerning symptoms.


Addressing Your Concerns
It's understandable to feel anxious about discussing these symptoms with your parents or seeking medical help, especially with fears about potential treatments like surgery. However, it is crucial to prioritize your health. Blood in stool is not something to ignore, and early diagnosis can lead to better outcomes.

You can start by discussing your symptoms with a trusted adult or healthcare provider who can help you navigate the next steps. They can perform necessary tests, such as a stool analysis or colonoscopy, to determine the cause of the bleeding and recommend appropriate treatment.


Conclusion
While some causes of blood in stool may be benign, others can be serious and require prompt medical attention. It is essential to communicate openly about your symptoms and seek help. Remember, addressing health concerns early can prevent complications and lead to better health outcomes. Don’t hesitate to reach out for help; your health is worth it.

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