Blood in the stool, it must be committed by hemorrhoids

Source of this article: The Department of Science of the Chinese Medical Association

As the saying goes, "ten people and nine hemorrhoids", the prevalence of such high hemorrhoids makes blood in the stool very common, making people feel that the blood in the stool is not so terrible.

As soon as blood in the stool, many people think that it is a hemorrhoids, just use some medicine, so embarrassing parts, sorry, there is no need to go to the hospital to see it, so it would be "support".

There are many diseases that cause blood in the stool. Hemorrhoids are just one of them. Often, due to our mistakes judgment or self -righteous, it will cause delay diagnosis and treatment of other diseases, which may cause very serious consequences.

Therefore, if you have blood in the stool, do not simply recognize that it is caused by hemorrhoids, maybe or not.

Let’s briefly understand what are the causes of blood in the stool.

1. What are the causes of blood in the stool?

There are many diseases that cause blood in the stool, which can be divided into perianal, rectal, colon, and upper digestive tract diseases.

For example, internal hemorrhoids bleeding, it will be dripped, spray bleeding, or wipes blood; anal fissure can also bleed, anal fissure bleeding may be accompanied by pain; rectal polyps, polyps are broken, or after damageRadiovascular inflammatory leakage is also bleed due to inflammatory leakage due to radiation therapy; colon inflammatory diseases, such as ulcerative colitis, ulcerative rectitis, bleeding, may also be accompanied, Accompanied by abdominal pain, general discomfort, weight loss, etc.

Malignant diseases can also bleed, such as rectal cancer and colon cancer.Early rectal cancer blood in the stool may be bright red, and it may become dark red in the later stage, and other symptoms will appear with other symptoms.After the rectum is blocked by the tumor, the stool will become thinner, and some patients will feel anal falling. They can’t tell whether there is a stool.Early colon cancer bleeding may not be obvious. Routine stools will be found to be positive. At this time, it should be paid attention.

There are also some rare diseases that cause blood in the stool:

For example, the colon family polyps have a lot to do with inheritance. It is rare and can cause blood in the stool. The stool is dark red. As the number of stools increases, blood and stool are mixed;

For example, amoeba dysentery, mucus -like jelly -like stools are dark red. Routine stools will find that amoebim nourishment will be found in the stool;

For example, dysentery, everyone is more familiar, diet unclean can cause dysentery, mainly pus and blood caused by dysentery;

For example, ischemia ulcers, young people are rare, they occur in the elderly, a large amount of blood in the stool, dark red, and the patient feels dizzy. Sometimes the stomach hurts because the intestinal membrane arteries or lower artery occur.Wall ischemia, eventually causing ulcers and bleeding.

The above diseases occur in the lower digestive tract. In fact, upper gastrointestinal bleeding can also cause blood in the stool, such as suffering from chronic gastric ulcers, or duodenal ulcers, ulcer breakdown will bleed;As a result of rupture and bleeding, this bleeding is very dangerous.

When the blood from the digestive tract is to the anus, it is no longer blood, because the bleeding point is relatively long. When the whole intestines are discharged through the stool, it is not blood.Dark and shiny.

There are probably these diseases that cause blood in the stool, so there is blood in the stool. Don’t think it is just hemorrhoids. Once blood occurs, go to the hospital in time to clarify the bleeding site and cause, and give symptomatic treatment.

2. Which tests can help the diagnosis of blood in the stool?

There are many inspection methods, and effective examination methods should be selected according to the color of the blood, the amount of blood in the stool, and the other symptoms.

For example, routine stool tests, including hidden blood tests, colonoscopy, gastroscopy, etc., can not find the bleeding point, you can do vascular angiography, and see where it is.

Doctors will check one by one, exclude the perianal, then eliminate the rectum, and then exclude the diseases of the colorectal and upper gastrointestinal tract. In order to eliminate other diseases, sometimes it is necessary to do B -ultrasound for liver and gallbladder and spleen, pelvic CT, magnetic resonance examination, etc.See if there is a lesion outside the gastrointestinal.After exclusion, we can make the final diagnosis. We only need to cooperate with the doctor’s examination.

After the diagnosis is clear, the symptomatic treatment is performed for the cause.For some benign diseases, it is relatively easy to cure. For malignant diseases, if it is found in time, the treatment is timely, and the prognosis will be much better.

Is blood terrible?It is not terrible. Don’t despise it, don’t be afraid, just go to the symptoms in time.

Author: Fan Xueshun Sino -Japanese Friendship Hospital Chief Physician

Audit: Liu Zhengxin’s Chief Physician of Beijing Chaoyang Hospital of the Capital Medical University of the Capital Medical University of China

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