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When we see blood in our stool, we often automatically think it’s hemorrhoids and assume it’s nothing serious, believing we can treat it ourselves since there’s no pain involved. While it’s true that hemorrhoids are a common cause of bloody stools and typically aren’t a severe issue for most people, blood in the stool can be a hidden warning sign of something more serious.
 
We often overlook the importance of determining the exact cause of blood in the stool, much like seeing smoke coming from the kitchen and automatically thinking it’s just cooking fumes, without considering the possibility of a fire. A quick inspection can reveal whether there’s an unexpected danger, and catching problems early can lead to timely interventions that prevent further complications.
 
Similarly, if you experience blood in your stool, you shouldn’t dismiss it as inconsequential. It may be a warning sign of a hidden issue. Early detection can lead to effective treatment, potentially resolving the problem completely or significantly alleviating its severity.
<h2> 
Why Blood in Stool Requires Examination and What to Do About It</h2>
Just as clapping your hands requires both, diagnosing and treating health issues involves collaboration between the patient and the doctor. You might wonder why something that seems minor requires such attention, but here&#8217;s why it’s essential to investigate the cause of blood in your stool. 
 
1. To Identify the True Cause of the Bleeding 
If the bleeding is from hemorrhoids, a doctor can check the rectal area and confirm the presence of hemorrhoids with visible signs of bleeding. This examination typically involves a physical check and possibly an endoscopic evaluation to look directly inside. 
 
If hemorrhoids are found but there&#8217;s no evidence of recent bleeding, it indicates that they might not be the actual cause. This thorough check also serves to rule out other potentially serious issues, such as tumors or colorectal cancer. Many tumors can be diagnosed through simple procedures, highlighting the importance of these examinations. 
 
If no cause is detected during the initial exam, it may suggest that the issue lies deeper than what can be assessed with a finger or a standard endoscope, necessitating further diagnostic tools or methods. 
 
2. To Develop an Appropriate and Timely Treatment Plan
<ul>
<li>If the bleeding is due to hemorrhoids, treatment can focus on managing the condition based on its severity.</li>
<li>If a tumor is identified, a biopsy will be necessary to determine its type, guiding additional tests or treatment plans.</li>
</ul>
 
 
3. To Stop Active Bleeding
<ul>
<li>Severe Hemorrhoidal Bleeding: Treatments may include injections, rubber band ligation, or surgery, depending on the situation.</li>
<li>Bleeding from Other Causes in the Colon: If the bleeding is severe and persistent, hospitalization may be necessary for rapid investigation. Doctors will use endoscopy to identify the source and implement suitable methods to stop the bleeding. Sometimes, this requires specialized tools and expertise.</li>
</ul>
&nbsp;
<h2>What to Do When You Notice Blood in Your Stool</h2>
1. Provide Detailed Information: When you see a doctor, share all relevant details about your symptoms. Don&#8217;t hesitate to undergo a rectal exam; it’s an important part of the assessment. 
2. Don&#8217;t Delay: If you notice bleeding from your rectum or any abnormal bowel habits, seek medical attention promptly. The sooner you see a doctor, the better. 
3. See a Doctor the Same Day: It is beneficial for your health if you visit a doctor on the same day you notice the bleeding.
<h2> 
What Will the Doctor and Nurses Do?</h2>
<ol>
<li>History Taking: They will ask detailed questions about your symptoms and medical history.</li>
<li>Thorough Physical Examination: A comprehensive check, including a rectal exam, will be performed to determine the source of the bleeding and confirm if it’s due to hemorrhoids or another issue.</li>
<li>Assess for Blood in Stool: They will test for any signs of bleeding within your stool.</li>
<li>Blood Tests: Blood samples will be taken for various necessary tests.</li>
</ol>
 
If no immediate cause for the bleeding is found, the doctor will suggest appropriate follow-up tests, which may include endoscopic examinations or diagnostic imaging.
 
 
Assoc. Prof. Dr. Thanyadej Nimmannwuthipong 
Advanced Surgical Technology Center (ASIT) 
Phayathai 3 Hospital

When we see blood in our stool, we often automatically think it’s hemorrhoids and assume it’s nothing serious, believing we can treat it ourselves since there’s no pain involved. While it’s true that hemorrhoids are a common cause of bloody stools and typically aren’t a severe issue for most people, blood in the stool can be a hidden warning sign of something more serious.

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Bloody Stool… A Warning Sign That Is Often Overlooked

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