Blood in Stool: Causes, Symptoms, and Treatment Options

Blood in stool?

I have been experiencing rectal bleeding for over six months.
Initially, it was intermittent, and I did not seek medical attention.
The blood and stool are generally separate, but the stool is dark in color.
When wiping, I do not see blood at first, but after some time, blood gradually settles in the toilet, so it is possible that the blood is mixed with the stool.
I sometimes feel a bit of pain in my left abdomen.
Last week, I saw a doctor who prescribed a hemostatic agent.
During the days I was taking the medication, everything was normal, but once I stopped the medication, the symptoms returned.

Niming, 10~19 year old female. Ask Date: 2016/03/06

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 hemorrhoidal 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: 2016/03/06

More Info

Understanding blood in stool is crucial, as it can be a symptom of various underlying conditions, some of which may require immediate medical attention. The presence of blood in stool can manifest in different ways, such as bright red blood, which may indicate bleeding from the lower gastrointestinal tract, or dark, tarry stools (melena), which often suggest bleeding from the upper gastrointestinal tract.

Given your description, where you have experienced black stools and intermittent abdominal pain, it is essential to consider several potential causes. The black color of your stool could indicate the presence of digested blood, which typically comes from a source higher up in the gastrointestinal tract, such as the stomach or duodenum. Common causes of gastrointestinal bleeding include:
1. Peptic Ulcers: These are sores that develop on the lining of the stomach or the first part of the small intestine. They can cause significant bleeding, leading to black stools.

2. Gastroesophageal Reflux Disease (GERD): Chronic acid reflux can lead to inflammation and bleeding in the esophagus, which might also result in blood being present in the stool.

3. Diverticulosis: This condition involves the formation of small pouches in the colon wall, which can become inflamed or infected, leading to bleeding.

4. Colorectal Polyps or Cancer: Polyps are growths on the inner lining of the colon or rectum, and while most are benign, some can develop into cancer and cause bleeding.

5. Hemorrhoids: While typically associated with bright red blood, severe hemorrhoids can sometimes lead to darker blood in the stool.

6. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause chronic inflammation of the gastrointestinal tract, leading to bleeding.

Given that you have been experiencing these symptoms for over six months, it is crucial to seek further evaluation. The fact that your doctor prescribed a hemostatic agent (a medication to help stop bleeding) suggests that they are concerned about the possibility of bleeding. However, the recurrence of symptoms after stopping the medication indicates that the underlying issue has not been resolved.

Here are some steps you should consider:
1. Follow-Up with Your Doctor: It is essential to return to your healthcare provider for further evaluation. They may recommend additional tests, such as a colonoscopy, to visualize the inside of your colon and identify any sources of bleeding.

2. Keep a Symptom Diary: Documenting your symptoms, including the frequency and characteristics of your stools, any associated pain, and dietary habits, can provide valuable information to your healthcare provider.

3. Dietary Considerations: While waiting for further evaluation, consider maintaining a diet that is high in fiber and low in irritants (like spicy foods or excessive caffeine) to help manage your symptoms. Staying hydrated is also crucial.

4. Avoid Self-Medication: While over-the-counter medications may provide temporary relief, they can sometimes mask symptoms or worsen underlying conditions. Always consult with your healthcare provider before starting any new medication.

5. Consider a Specialist: If your primary care physician is unable to determine the cause of your symptoms, you may want to seek a referral to a gastroenterologist, a specialist in digestive disorders.

In conclusion, while the presence of blood in your stool can be alarming, understanding the potential causes and seeking timely medical evaluation is key to managing your health. Early diagnosis and treatment can significantly improve outcomes and help prevent complications.

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