Rectal bleeding
I have been experiencing gastrointestinal issues and have been having frequent diarrhea recently.
However, when I previously consulted a doctor, they said everything was fine.
A couple of days ago, I noticed a small amount of blood in my stool.
Last night, I drank a lot of water before going to bed, and this morning after using the bathroom, I felt pain in the lower left side of my abdomen, but it went away quickly.
After returning home from school in the afternoon, the pain returned, and after using the bathroom, I noticed bright red blood on the toilet paper.
My stool was also loose, and there was blood mixed in the water.
However, after a while, when I wiped again, there was no more bleeding.
Xiao Zhu, 10~19 year old female. Ask Date: 2016/03/03
Dr. Li Zhonghuai reply Surgery
Hello! It is recommended that you see a general surgeon or a colorectal specialist.
First, an anoscopy should be performed to rule out any anal issues, followed by a colonoscopy.
Although your age makes the likelihood of colorectal cancer very low, it is still advisable to proceed with the examination.
Changhua Hospital cares about you!
Reply Date: 2016/03/03
More Info
Blood in stool can be a concerning symptom, and it's important to understand its potential causes and when to seek medical help. Given your situation, where you have experienced diarrhea, abdominal pain, and noticed fresh red blood in your stool, it is crucial to consider several factors.
Possible Causes of Blood in Stool
1. Hemorrhoids: One of the most common causes of bright red blood in the stool is hemorrhoids. These are swollen veins in the lower rectum or anus that can bleed during bowel movements, especially if you are straining due to diarrhea or constipation.
2. Anal Fissures: Similar to hemorrhoids, anal fissures are small tears in the lining of the anus, often caused by passing hard stools or straining. They can cause sharp pain and bleeding during bowel movements.
3. Gastrointestinal Infections: Infections from bacteria, viruses, or parasites can lead to diarrhea and may cause inflammation or ulceration in the intestines, resulting in blood in the stool.
4. Diverticulosis: This condition involves the formation of small pouches in the colon wall, which can become inflamed or infected, leading to diverticulitis. This can cause bleeding and abdominal pain.
5. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause inflammation in the gastrointestinal tract, leading to symptoms such as diarrhea, abdominal pain, and blood in the stool.
6. Polyps or Colorectal Cancer: Although less common, polyps (growths on the colon lining) or colorectal cancer can cause bleeding. This is more likely if you have other risk factors or symptoms.
When to Seek Help
Given your symptoms, it is advisable to seek medical attention, especially since you have noticed blood in your stool and experienced abdominal pain. Here are specific situations where you should definitely consult a healthcare provider:
- Persistent or Worsening Symptoms: If the blood in your stool continues or worsens, or if you experience increasing abdominal pain, it is important to get evaluated.
- Signs of Dehydration: If you have diarrhea and are not able to keep fluids down, or if you feel dizzy or lightheaded, you should seek medical care.
- Accompanying Symptoms: If you experience fever, severe pain, or any other concerning symptoms, these could indicate a more serious condition that requires immediate attention.
What to Expect at the Doctor's Office
When you visit a healthcare provider, they will likely ask about your symptoms, medical history, and any recent changes in your diet or lifestyle. They may perform a physical examination and recommend tests such as:
- Stool Tests: To check for infections or blood.
- Blood Tests: To assess for anemia or infection.
- Imaging Studies: Such as an abdominal ultrasound or CT scan, if necessary.
- Colonoscopy: If indicated, to visualize the colon and identify any abnormalities.
Conclusion
While some causes of blood in the stool can be benign, others may require prompt medical intervention. Given your recent symptoms of diarrhea, abdominal pain, and the presence of blood, it is essential to consult a healthcare professional for a thorough evaluation. Early diagnosis and treatment can help prevent complications and address any underlying issues effectively. Remember to stay hydrated and avoid any foods that may irritate your gastrointestinal tract until you can see a doctor.
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