Blood in Soft Stools: When to Seek Medical Advice

Soft stools with blood?

Hello, doctor.
I usually do not have issues with constipation and have regular, smooth bowel movements every day.
However, for the past week, I have been experiencing mild diarrhea with soft stools, and today I noticed blood in my stool, which is bright red in color.
There isn't much blood, and I do not experience any pain during bowel movements.
Should I undergo a colonoscopy?

Ms. Chen, 20~29 year old female. Ask Date: 2016/02/24

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.
Over-the-counter hemorrhoidal suppositories can be purchased for use.
If bleeding persists, it is advisable to consult a physician.
Although the risk of developing colorectal cancer at the age of 25 is not zero, it is generally very low.
It is suggested to maintain a light diet and a healthy lifestyle.
If there is no improvement or if there are significant concerns, a colonoscopy can be arranged.

Reply Date: 2016/02/24

More Info

When it comes to the presence of blood in soft stools, especially when accompanied by a recent change in bowel habits such as diarrhea, it is important to take this symptom seriously. The fact that you have been experiencing soft stools for about a week and have now noticed fresh red blood in your stool warrants further investigation. While the absence of pain during bowel movements is a positive sign, it does not eliminate the need for medical evaluation.

Blood in the stool can arise from various sources within the gastrointestinal tract, including the upper and lower intestines. Fresh red blood typically indicates that the bleeding is occurring in the lower gastrointestinal tract, such as the colon or rectum. Common causes of this symptom can include hemorrhoids, anal fissures, diverticulosis, or more serious conditions such as inflammatory bowel disease (IBD) or colorectal cancer.

Given your situation, it is advisable to consult a healthcare professional for a thorough evaluation. A colonoscopy is often recommended when there is unexplained rectal bleeding, especially in individuals over the age of 50 or those with risk factors for colorectal cancer. However, even if you are younger and have no significant risk factors, the presence of blood in your stool should not be ignored.

In addition to a colonoscopy, your doctor may suggest other diagnostic tests, such as stool tests to check for infections or inflammatory markers, blood tests to assess your overall health, and imaging studies if necessary. It is crucial to provide your healthcare provider with a complete history of your symptoms, including any changes in diet, recent travel, or any medications you may be taking, as these can all influence gastrointestinal health.

While waiting for your appointment, it is important to monitor your symptoms closely. If you experience any of the following, seek medical attention immediately:
1. Increased bleeding: If the amount of blood increases or if you notice blood clots.

2. Severe abdominal pain: Any sudden or severe abdominal pain should be evaluated promptly.

3. Signs of dehydration: Such as excessive thirst, dry mouth, decreased urination, or dizziness.

4. Fever: A fever may indicate an underlying infection that needs to be addressed.

In summary, while the presence of blood in your stool can be alarming, it is essential to approach the situation calmly and seek medical advice. A healthcare professional can provide the necessary evaluations and determine the appropriate course of action based on your specific circumstances. Early detection and treatment of any underlying conditions are key to ensuring your health and well-being.

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