Blood in Stool and Abdominal Discomfort: What Could It Mean? - Surgery

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Blood in the stool and abdominal discomfort?


Hello doctor, since I caught a cold this week, I've been feeling uncomfortable in my gastrointestinal tract.
I can't eat much, and the most alarming thing is that I've noticed blood in my stool.
Sometimes when I wipe with toilet paper, there is blood on the paper as well.
What could be the issue?

Frank, 20~29 year old female. Ask Date: 2016/03/15

Dr. Ke Fangxu reply Surgery


This situation is likely indicative of 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 also purchase hemorrhoidal suppositories at the pharmacy for use.
For gastrointestinal discomfort, it is advisable to consult a gastroenterologist for diagnosis.
If bleeding persists, it is best to seek medical attention from a physician.

Reply Date: 2016/03/15

More Info


Experiencing blood in your stool can be alarming, and it’s essential to understand the potential causes and implications of this symptom. Given your recent history of gastrointestinal discomfort following a cold, it’s crucial to consider various factors that could contribute to your current condition.

Firstly, blood in the stool can arise from several sources within the gastrointestinal tract. The blood may be bright red, indicating that it is fresh and likely from the lower gastrointestinal tract, such as the rectum or colon. Alternatively, darker blood can suggest bleeding from higher up in the digestive system, such as the stomach or small intestine. Common causes of rectal bleeding include hemorrhoids, anal fissures, diverticular disease, inflammatory bowel disease (IBD), and colorectal polyps or cancer.

In your case, since you mentioned experiencing gastrointestinal discomfort after a cold, it’s possible that your symptoms could be related to a viral infection affecting your digestive system, leading to inflammation or irritation. Viral gastroenteritis can cause symptoms such as diarrhea, abdominal pain, and sometimes blood in the stool, although the latter is less common. If you have been experiencing diarrhea, it could also lead to anal fissures, which can cause bleeding when passing stool.

Another important consideration is the presence of hemorrhoids, which are swollen veins in the rectal area that can bleed, especially during bowel movements. If you have been straining due to constipation or diarrhea, this could exacerbate hemorrhoids and lead to blood on the toilet paper or in the stool.

Given your symptoms, it is crucial to seek medical attention promptly. A healthcare provider will likely perform a thorough evaluation, including a physical examination and possibly a digital rectal exam, to assess for hemorrhoids or other abnormalities. They may also recommend further diagnostic tests, such as a colonoscopy, to visualize the colon and identify any potential sources of bleeding.

In addition to the physical examination, your doctor may inquire about your dietary habits, recent changes in bowel habits, and any other symptoms you may be experiencing, such as weight loss, fever, or changes in appetite. These details can help narrow down the potential causes of your symptoms.

It’s also important to note that while some causes of blood in the stool are benign, others can be serious. Therefore, it’s essential not to ignore this symptom, especially if it persists or is accompanied by other concerning signs such as severe abdominal pain, significant changes in bowel habits, or systemic symptoms like fever and weight loss.

In conclusion, blood in the stool, especially when accompanied by abdominal discomfort, warrants a thorough evaluation by a healthcare professional. Early diagnosis and treatment are key to managing any underlying conditions effectively. Please make an appointment with your doctor as soon as possible to discuss your symptoms and receive appropriate care.

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