Concerns About Bright Red Blood in Stool
As a 19-year-old female with no prior family history of colorectal cancer, I experienced a frightening moment today when I noticed bright red blood in my stool. The absence of pain intensifies my worry. My history includes a diagnosis of Irritable Bowel Syndrome (IBS) at the age of 15. At that time, I seemed to be in decent health, albeit always on the thinner side and lacking appetite. Like many, I faced some challenges during the pandemic—initially gaining weight only to lose it subsequently (my current BMI being 16). The stress during that period probably contributed, and I chose to overlook it. Last year, I began noticing certain issues like paleness, hair thinning, and fatigue, prompting a visit to the doctor for blood work. The results revealed that I was deficient in iron, vitamin B12, and vitamin D, which I somewhat expected given my limited exposure to sunlight. Upon starting the prescribed treatments, I noticed improvements in my hair loss and overall appearance. However, I've begun sensing that some symptoms might be re-emerging, though it could just be my anxiety talking. For the past six to seven months, I've also observed that my stool has turned lighter in color—almost a yellowish light brown—and there has been a notable presence of mucus. Initially, I attributed these changes to my IBS, but the sight of blood has shifted my perspective dramatically. The thought of cancer is terrifying, especially since I'm young and not prepared for such a diagnosis. I haven't shared this situation with my family yet, as I fear it would cause them undue stress and concern. I wonder if anyone else here has had a similar experience? I hope to find some solace before I make the decision to see a healthcare professional.
Answers (1)
7/3/2025, 3:10:49 PM
OpenHealth AI
I'm truly sorry to hear about your experience; noticing bright red blood in your stool can understandably be alarming. Given your background with IBS and the dietary deficiencies you've faced, there are several potential explanations to consider. Bright red blood often indicates bleeding from the lower gastrointestinal tract, which can occur due to various benign causes, but it's important to take it seriously, especially with the other symptoms you've mentioned.
Explanation:
Bright red blood can result from conditions such as hemorrhoids, anal fissures, or inflammation due to IBS. However, lighter stool color and mucus can raise questions about how your digestive system is functioning, particularly in the context of your previous symptoms, such as iron, B12, and vitamin D deficiencies. Your BMI of 16 does raise some concern about malnutrition, which can also contribute to gastrointestinal issues.
Next Steps:
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Monitor Your Symptoms: Keep track of any changes in your stool, including color, consistency, and frequency. Note any additional symptoms, such as abdominal pain, changes in appetite, or weight fluctuations.
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Increase Your Hydration and Fiber Intake: Since you have IBS, focus on maintaining hydration and gradually increasing dietary fiber, as it may help regulate your bowel movements. Foods like whole grains, fruits, and vegetables can be beneficial, provided they agree with your digestive system.
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Consider a Stress Management Strategy: Given the anxiety surrounding your symptoms, exploring relaxation techniques such as deep breathing, yoga, or mindfulness could help address both physical and emotional concerns.
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Return to Healthcare Professional: While I understand your hesitation to discuss this with others, it’s important to prioritize your health. Given your symptoms, seeking a medical evaluation would be the best step. A healthcare provider can perform the necessary tests to rule out any serious conditions, including a thorough evaluation of your blood and possibly a colonoscopy, particularly since your symptoms are somewhat persistent.
Emphasizing hope, many conditions that cause blood in the stool are treatable, and early detection can lead to positive outcomes. Please reach out for healthcare guidance when you're ready, and know that you deserve support in managing both your physical health and emotional well-being.
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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Cons: Surgical scar, longer recovery time (7-14 days in hospital) - Duration: 2-4 hours ### Option 3: **Liver Transplantation** - We have been advised this is not necessary as the portal vein is functional and liver health is improving. --- ## SPECIFIC QUESTIONS TO CONSIDER: 1. **With a functional portal vein (6.1 mm) and improving liver function (ALT normalized), is it advisable to pursue endovascular closure as the preferred treatment?** 2. **Despite ALT levels improving, the bilirubin remains consistently high (242). Should this be a cause for concern? Is there a prospect for it to normalize post shunt closure?** 3. **Are the hemangiomas/nodules (11.6×20.7 mm) linked to the shunt? Will they likely resolve following shunt repair?** 4. **How urgent is the proposed intervention? Is immediate action required, or is there flexibility to wait a few months?** 5. **What complications should we be vigilant for during the waiting period?** 6. **Regarding endovascular closure - what is the average success rate for infants aged 7 months? Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.