My boyfriend has just told me that he noticed blood in his stool and in the toilet after having a bowel movement.
He is afraid to call the doctor and insists he’ll wait and see if it happens again. I’m worried, though. What could this be symptomatic of?
An helpful answer to what causes blood in the stool
You’re wise to pay attention. But your boyfriend may be right about waiting until it happens again. If he’s in his twenties or thirties, the cause could be a number of things—none of them likely to be terribly serious. Hemorrhoids and ulcers can put blood in your stool. An inflammatory condition called diverticulitis in the colon could also be the cause.
In younger people, the most common reason for blood in the stool is a hemorrhoid or fissure very near the anus. There is also the possibility—if there is also pain—that the cause is inflamed rectal tissue from a sexually transmitted disease such as gonorrhea or herpes. In general, bright red blood is coming from a site close to the anus.
Blood from higher up in the digestive tract, such as from a bleeding ulcer, will look black and tarry. Small amounts of blood leaking into the gastrointestinal tract can be invisible or “occult.” Doctors use a simple color test to reveal occult blood in a tiny amount of stool obtained from a rectal examination, and this should be done as part of every physical exam.
Older people should be very alert to blood in the stool because it can be a sign of colon cancer and always should be investigated. Colon cancer is curable only in its early stages, so it’s very important to catch it right away.
In this case it would be prudent to have a sigmoid-oscopy, A sigmoidoscope is a long tube with a light at the end, which allows your doctor to get a direct look at the lining of the colon just above the anus, where most cancers arise. It can reveal polyps—mushroom-shaped growths that can be precancerous—as well as early malignant growths.
There’s also colonoscopy, a similar but more elaborate procedure to examine the entire colon with a fiberoptic scope. Other signs of colon cancer that might accompany blood in the stool are changes in bowel habits and in shape or consistency of stools.
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