[24M] Experiencing blood in bowel movements with mild abdominal discomfort

Question

Anybody else had this and how long did it last?

Patient Description

A 24-year-old male has been experiencing blood in bowel movements for 2 weeks, characterized by a thin coat of bright red blood at the beginning and end of bowel movements, along with a very small amount of mucus on toilet paper. The patient reports slightly more frequent bowel movements and occasional mild abdominal discomfort but no severe pain. The blood in stool was previously noticed a few years ago for a few weeks. There have been no noticeable triggers related to food or activities, though the patient mentions increased stress and reduced sleep recently. Stool consistency has changed, becoming harder and in smaller chunks, with occasional constipation. No fever, joint pain, unintentional weight loss, or severe abdominal pain has been reported. The patient has no family history of gastrointestinal diseases, no pre-existing conditions or chronic illnesses, and is not currently on any medications.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, the most likely causes of your symptoms include:

  • Hemorrhoids: These are swollen blood vessels in the rectum or anus that can be the source of bright red blood in your stool. Hemorrhoids can be caused by straining during bowel movements, which you may be experiencing due to your reported constipation.

    • Treatment typically involves over-the-counter creams or suppositories, eating a high-fiber diet, and drinking plenty of fluids. In more severe cases, medical procedures may be necessary.
  • Anal fissure: This is a small tear in the lining of the anus, which can cause pain and bleeding during bowel movements. Like hemorrhoids, anal fissures are often related to constipation.

    • Treatment usually involves measures to soften stools and promote healing, such as high-fiber diets, stool softeners, and over-the-counter creams.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria, or parasites. It can cause blood in the stool, along with other symptoms like abdominal pain and diarrhea.

    • Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms. Antibiotics may be necessary if the cause is bacterial.

Please note that while these are the most likely causes based on your symptoms, other more serious conditions such as colorectal cancer can also cause blood in the stool. However, given your age and lack of family history, these conditions are less likely.

What you can do

  1. Increase your fiber intake: Eating more fruits, vegetables, whole grains, and other high-fiber foods can help soften your stools and make them easier to pass, which can help with both hemorrhoids and anal fissures.
  2. Stay hydrated: Drinking plenty of water can also help soften your stools.
  3. Over-the-counter treatments: If you suspect you have hemorrhoids or an anal fissure, you can try using over-the-counter creams or suppositories designed for these conditions. However, you should not rely on these for long-term treatment without seeing a doctor.
  4. Seek medical attention: While your symptoms are not immediately life-threatening, you should still see a healthcare provider to get a proper diagnosis and treatment. They may need to perform tests such as a colonoscopy to determine the cause of your symptoms.

What you should look out for

  • Increased frequency or amount of blood in your stool
  • Dark, tarry stools, which can indicate bleeding higher up in your digestive tract
  • Severe abdominal pain
  • Unexplained weight loss
  • Fever or chills

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare provider for a formal diagnosis and treatment.

Show More

2
 Hugs
2
 Comments

Save

7 mo ago


People Also Ask


What are the common causes of bright red blood in stool?

Common causes of bright red blood in stool include hemorrhoids, anal fissures, and less commonly, conditions like diverticulosis or colorectal cancer. Hemorrhoids and anal fissures are often related to straining during bowel movements.


How can constipation lead to hemorrhoids or anal fissures?

Constipation can lead to hemorrhoids or anal fissures because straining to pass hard stools puts pressure on the veins in the rectum and anus, causing them to swell (hemorrhoids) or tear (anal fissures).


What dietary changes can help alleviate symptoms of hemorrhoids or anal fissures?

Increasing fiber intake by eating more fruits, vegetables, and whole grains can help soften stools and reduce straining. Staying hydrated by drinking plenty of water is also important. These changes can help alleviate symptoms of hemorrhoids and anal fissures.


When should I see a doctor for blood in my stool?

You should see a doctor if you experience increased frequency or amount of blood in your stool, dark tarry stools, severe abdominal pain, unexplained weight loss, or fever. These could be signs of a more serious condition that requires medical attention.


Preview

Post

2 Comments


Billy#3955

7 mo ago

How is your diet? If you make sure to get plenty of fiber through vegetables, fruits, and whole grains and your bowel movements stay soft, it should clear up in a couple weeks or so. At least that's been my experience in the past

2
 Hugs
Reply
Owner

Leo#3962

7 mo ago

Yeah i think it's getting better after i changed my diet

1
 Hugs
Reply

Share your feedback

All Stories


Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback