[40M] With blood in stool and abdominal pain

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Hemorrhoids: These are swollen blood vessels in the rectum or anus that can cause bleeding, especially during bowel movements. They can be associated with constipation and straining.

  • Treatment: Over-the-counter creams, sitz baths, and increasing fiber intake can help manage symptoms. In severe cases, medical procedures may be necessary.

• Diverticulosis/Diverticulitis: Small pouches (diverticula) can form in the walls of the colon. When these pouches become inflamed or infected, it is called diverticulitis, which can cause abdominal pain and bleeding.

  • Treatment: Diverticulosis is managed with a high-fiber diet. Diverticulitis may require antibiotics or, in severe cases, surgery.

• Colorectal Polyps or Cancer: Polyps are growths on the inner lining of the colon or rectum, which can sometimes bleed. While most polyps are benign, some can develop into cancer over time.

  • Treatment: Polyps are usually removed during a colonoscopy. If cancer is detected, treatment may involve surgery, chemotherapy, or radiation therapy.

• Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease and ulcerative colitis can cause chronic inflammation of the gastrointestinal tract, leading to symptoms like abdominal pain, diarrhea, and rectal bleeding.

  • Treatment: Medications to reduce inflammation, immune system suppressors, and sometimes surgery are used to manage IBD.

What you can do

1. Consult a Doctor: It's important to see a healthcare provider for a formal assessment and diagnosis. They may recommend tests such as a colonoscopy, blood tests, or imaging studies to determine the cause of your symptoms.
2. Dietary Changes: Increase your fiber intake by eating more fruits, vegetables, and whole grains. This can help manage constipation and improve bowel health.
3. Stay Hydrated: Drink plenty of water to help keep your stool soft and reduce straining during bowel movements.
4. Avoid Straining: Try not to strain during bowel movements, as this can exacerbate hemorrhoids and other conditions.
5. Use MDandMe: Journal your symptoms, track your progress, and get insights. This information can be valuable for your healthcare provider to understand your condition better.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe Abdominal Pain: If the pain becomes intense or unbearable.
• Significant Changes in Bowel Habits: Such as persistent diarrhea or constipation that doesn't improve.
• Unexplained Weight Loss: Losing weight without trying.
• Fever or Chills: These could indicate an infection.
• Increased Bleeding: If the amount of blood in your stool increases or if you notice black, tarry stools.

Remember, while I can provide information and suggestions, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.