White Mucus with Blood During Urination: Should You Be Concerned?

During urination, there is a discharge of white mucus with blood from the anus?

Hello doctor, a while ago (around mid-last year), I noticed a significant amount of white mucus when I had a bowel movement.
It went away after some time, but recently I've been feeling a watery sensation near my rectum.
When I urinate, I pass a small amount of white mucus with blood.
I can feel a polyp near my anus.
I consulted a gastroenterologist who prescribed me a suppository for hemorrhoids, but I'm still a bit concerned.
Should I consider further examination, such as a colonoscopy? Thank you.

Xiong, 20~29 year old female. Ask Date: 2016/03/07

Dr. Yang Zhichao reply Gastroenterology and Hepatology

Dear Ms.
Hsiung, based on your description, you may observe your condition for a while longer.
If you have seen a doctor and the treatment has not been effective, we can arrange for a routine stool examination and a colonoscopy.

Thank you for your inquiry.
Changhua Hospital cares about your health.

Reply Date: 2016/03/07

More Info

When experiencing symptoms such as white mucus with blood during urination, it is essential to take these signs seriously and consider further medical evaluation. The presence of blood in urine, known as hematuria, can be indicative of various underlying conditions, some of which may require prompt attention.

In your case, the combination of white mucus and blood during urination, along with the sensation of moisture near the rectal area and the presence of a polyp, raises several concerns. While hemorrhoids can cause bleeding and may lead to mucus discharge, the presence of blood should not be overlooked, especially if it is accompanied by other symptoms.

Potential Causes
1. Urinary Tract Infection (UTI): UTIs can cause symptoms such as blood in urine, increased urgency, and discomfort. The presence of mucus may also be associated with inflammation in the urinary tract.

2. Kidney Stones: These can cause bleeding and may lead to mucus production as the body reacts to irritation in the urinary tract.

3. Bladder or Kidney Issues: Conditions such as cystitis (bladder inflammation) or more severe issues like tumors in the bladder or kidneys can present with hematuria and mucus.

4. Rectal Issues: The polyp you mentioned could be a source of bleeding, especially if it is inflamed or irritated. Polyps can sometimes lead to mucus production as well.

5. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause mucus and blood in the stool, which may also affect urination if there is significant inflammation.

Recommendations
Given the symptoms you are experiencing, it is advisable to seek further evaluation from a healthcare professional. Here are some steps you might consider:
1. Consult a Specialist: A urologist can evaluate your urinary symptoms, while a gastroenterologist can assess the rectal issues. Given the complexity of your symptoms, a multidisciplinary approach may be beneficial.

2. Diagnostic Tests: Tests such as urinalysis, urine culture, and imaging studies (like an ultrasound or CT scan) can help identify any urinary tract issues. A colonoscopy may be warranted to investigate the polyp and any potential gastrointestinal causes of your symptoms.

3. Monitor Symptoms: Keep track of any changes in your symptoms, including the frequency and amount of blood or mucus, any pain during urination, and changes in bowel habits. This information can be valuable for your healthcare provider.

4. Avoid Self-Medication: While over-the-counter treatments may provide temporary relief for hemorrhoids, they do not address the underlying issues that could be causing your symptoms. It is crucial to follow up with your healthcare provider for a comprehensive evaluation.

Conclusion
In summary, the presence of white mucus with blood during urination is a symptom that should not be ignored. It is essential to pursue further medical evaluation to rule out serious conditions and to receive appropriate treatment. Early diagnosis and intervention can significantly improve outcomes and alleviate any potential complications. Always prioritize your health and seek professional advice when experiencing concerning symptoms.

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