[28M] Experiencing constipation and rectal bleeding

Patient Description

A 28-year-old male presents with constipation lasting over three months, characterized by hard, small pebble-like stools and long stringy stools, occurring once daily. The patient reports the presence of significant blood in the stool, strong odor, and white specs throughout. Accompanying symptoms include mild abdominal cramps rated 5/10 and nausea. The constipation developed gradually, and the patient has tried treatments such as Miralax, stool softeners, and cranberry juice with limited success. The patient has not experienced any weight loss, changes in appetite, fever, or chills. There is a notable change in stool color to a much darker shade. The patient travels frequently for work but has not traveled internationally recently. Family history is significant for gastrointestinal polyps. Current medications include Adderall and Tylenol. There is no known history of gastrointestinal polyps or previous colonoscopy.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential concerns that need immediate attention:

  1. Gastrointestinal Bleeding: The presence of a lot of blood in your stool, especially if it's dark, could indicate bleeding in the gastrointestinal tract. This can be serious and requires prompt medical evaluation. Causes can range from hemorrhoids to more serious conditions like ulcers or polyps.

  2. Constipation and Abdominal Cramps: Chronic constipation and abdominal cramps, along with the presence of white specs in your stool, could suggest a blockage or other digestive issues. This might be related to dietary factors, but given the severity and duration, it should be evaluated by a healthcare professional.

  3. Dizziness and Lightheadedness: These symptoms, in conjunction with rectal bleeding, could indicate anemia or significant blood loss, which can be dangerous.

What you can do

  1. Seek Immediate Medical Attention: Given the severity of your symptoms, especially the rectal bleeding and dizziness, it's crucial to seek medical care immediately. Visit an emergency room or urgent care center to get evaluated. If you feel faint or your symptoms worsen, call 911 or have someone drive you to the hospital.

  2. Monitor Symptoms: Keep track of any additional symptoms, such as changes in stool color, increased pain, or worsening dizziness, and report these to your healthcare provider.

  3. Avoid Self-Medication: Until you have been evaluated by a healthcare professional, avoid taking any new medications or supplements that could exacerbate your symptoms.

Remember, while I can provide information based on your symptoms, only a healthcare professional can offer a formal diagnosis and appropriate treatment. Please prioritize your health and seek care as soon as possible.

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1 mo ago

People Also Ask


What could cause blood in the stool and should I be concerned?

Blood in the stool can be caused by various conditions ranging from hemorrhoids to more serious issues like gastrointestinal bleeding, ulcers, or polyps. It is important to seek medical attention as it can indicate a serious underlying condition.


How can chronic constipation affect my health?

Chronic constipation can lead to complications such as hemorrhoids, anal fissures, or even bowel obstruction. It can also cause discomfort and affect your quality of life, so it's important to address it with a healthcare provider.


What might the presence of white specs in stool indicate?

White specs in stool could be undigested food, medication residue, or mucus. However, it can also indicate a digestive issue that needs to be evaluated by a healthcare professional.


Why is it important to seek medical attention for these symptoms?

Seeking medical attention is crucial because symptoms like rectal bleeding, dizziness, and changes in stool color can indicate serious health issues that require prompt diagnosis and treatment to prevent complications.


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