Identifying Blood in Stool: A Concern for a 28-Year-Old
Hello, I’m a 28-year-old male. Earlier today, I experienced a loose bowel movement which was accompanied by bright red blood. After this, I used toilet paper and noticed a small red spot on the first wipe. Later in the afternoon, around 3 PM, I had another smaller, more solid bowel movement that was blood-free. However, I then had a larger, softer stool with some darker red blood present; this blood wasn’t too dark but rather faded to brown in the toilet water. I also noticed a slight amount of orangish-red blood on the initial wipe with toilet paper. I’m not experiencing any pain, discomfort, or fever. I do feel a bit gassy, and while the odor isn’t pleasant, it’s not unusual for me. Should I keep an eye on these symptoms for the next couple of days, or should I consider visiting urgent care? Based on my research, it seems plausible that the initial bleeding could be the result of a minor fissure or hemorrhoid, with the second instance possibly being a reopened scab. My primary care physician is closed at the moment, but I could arrange an appointment for 9 AM on Tuesday. However, I’m unsure if that’s something I should prioritize.
Answers (1)
7/19/2025, 1:30:55 AM
OpenHealth AI
It's understandable to be concerned about noticing blood in your stool, especially as a young adult. Blood can be caused by several benign issues, but it can also indicate a more serious condition. Here are the main points to consider regarding your symptoms:
Explanation
Given your description, the appearance of bright red blood typically suggests bleeding from the lower gastrointestinal tract, which could stem from several causes, including hemorrhoids, fissures, or possibly diverticulosis. The absence of pain and fever is reassuring, but it's essential to monitor the situation closely.
Next Steps
-
Monitor Symptoms: Watch for any changes over the next couple of days. Key symptoms to monitor include:
- Increased amount of blood or presence of blood in every bowel movement
- Development of pain or discomfort
- Changes in bowel habits (e.g., diarrhea, constipation)
- Any signs of fever or systemic illness (chills, fatigue)
-
Hydration and Diet: Ensure you're well-hydrated and consider a diet high in fiber to maintain regular bowel movements. This can help reduce strain and may alleviate minor fissures or hemorrhoids if they are contributing to the issue.
-
Avoid Irritants: Limit foods that can cause irritation or contribute to gas (high-fat foods, spicy dishes, etc.), as you mentioned feeling gassy.
-
When to Seek Care: If you observe significant changes, such as:
- An increase in the volume or frequency of blood
- Any new symptoms like severe abdominal pain or persistent diarrhea
- Symptoms lasting beyond a couple of days without improvement
If none of these concerning symptoms arise before your appointment on Tuesday, it would be reasonable to keep that appointment with your primary care physician to discuss your experience and potentially have a further evaluation.
Remember, while hemorrhoids and minor fissures are common causes of rectal bleeding, it’s always better to err on the side of caution and have a healthcare professional assess any ongoing bleeding.
Please take care, and I hope you find relief soon! Let me know if you have more questions.
Related Questions
Understanding My Experiences with Dissociation and Physical Symptoms
Hello everyone! I'm 15 years old and I’ve been grappling with intense feelings of dissociation recently. About two years back, I experienced what I now refer to as a "silent seizure" for the first time. It happened around 2 PM while I was at school in the band hall. Suddenly, I found myself zoning out completely; I was just sitting there, disassociated from reality, until it dawned on me that I couldn’t seem to reconnect with my surroundings. Feeling lost, I turned to a friend and anxiously asked, "Where am I?" She chuckled, unaware of the seriousness of my situation, but I stood up and wandered out of the classroom, aimlessly walking towards the bathrooms. The sensation was akin to being in a dream—you know you’re somewhere, yet you can’t fully engage with the moment for what felt like 5 to 10 minutes. Strangely, I even had the feeling of observing myself from above as I moved through the halls, like a scene from a dream. In a state of panic, I contacted my mom. By the time I managed to leave school, my mind was clearing. She took me to her workplace where a colleague checked my blood sugar levels, revealing it was low. I had eaten that day, so this was unexpected (especially since my mother also faces issues with low blood sugar). This occurrence was unprecedented for me; thankfully, I haven’t faced such low levels since then. In the following weeks, I experienced intermittent dissociative episodes, prompting me to visit a doctor. I underwent blood tests, an electrocardiogram (EKG), and a routine examination. Everything appeared normal, except I was diagnosed with anemia—something my mother and sister also deal with. I walked away from that appointment without any real explanations, and after a while, the episodes subsided—thankfully, a relief. FAST FORWARD TO NOW: (15 years old) (Potentially relevant context) Recently, I’ve been enduring severe heart and chest discomfort. I’ve been noticing irregular heartbeats, sporadic strong pulsations, and sharp pain localized in my heart region and upper right chest. Lying on my side can be quite painful, and sometimes I struggle to take deep breaths. I make it a priority to get a full eight hours of sleep each night, I take daily vitamins, and I’m actively involved in competitive cheerleading, maintaining a healthy fitness level for my height and weight. We sought medical advice again, underwent numerous tests, and, once more, everything checked out fine. My heart was deemed healthy, and all other measurements were satisfactory. Initially, we suspected anxiety might be a factor, but my mom is hesitant to consider antidepressants, believing that my age may limit treatment options. She has recommended that I hydrate more and practice breathing exercises (which is somewhat ironic since I struggle to breathe when these pains occur, yet I don’t argue). UPDATE: During practice today, I unexpectedly experienced my first "silent seizure" episode in two years. It was more disconcerting than I recalled. I lost track of my location again and couldn’t re-engage with reality. It felt as if I was observing those around me from a dream-like vantage point. This realization frightened me, thinking that I had moved past these episodes. It took about ten minutes for me to regain my awareness of my environment. Additionally, this week, I noticed moments of dissociation, albeit not as intense as previous episodes. I found myself vacantly staring, and my vision felt oddly lazy, frequently. It's worth noting that I do not have a lazy eye. I plan to document these occurrences meticulously, and if they persist, I will consult my doctor again. Meanwhile, if anyone has suggestions about what might be happening to me, I would greatly appreciate it. Is this potentially linked to anxiety? I’m genuinely confused about my condition!
Identifying a Mysterious Brown Circle on My Scalp
Age: 21 Gender: Female Height: 5'4" Weight: 175 lbs Ethnicity: White (Scottish/Irish) Location: California Current Medication: Testosterone injection administered subcutaneously in the thigh While I was having my hair dyed blue, my girlfriend noticed a perfectly circular brown mark on my scalp. It resembles a circle that appears to have been made with a brown marker. The size of the ring is similar to my thumb’s tip and contrasts sharply with the lighter shade of my scalp. There is no evidence of hair thinning or loss around this circle; we only discovered it because we were parting my hair. I’m curious if this could be connected to the brain fog or headaches I’ve been experiencing lately. I looked online, and while ringworm was suggested, it doesn’t match my symptoms since there are no bald patches or flaky skin. I’m open to answering any additional questions to help clarify this situation, as it's causing me some concern.
Should I Seek Medical Attention for a Possible Spinal Injury?
Greetings! I’m a 20-year-old male, and while I’m not overly anxious about my situation, I've been experiencing enough discomfort to consider it. Three days prior, I went snowboarding and attempted to navigate a box, which is essentially a flat metal structure with a slight ramp at the end. Unfortunately, I lost my balance close to the end of the box and landed squarely on my backside. This caused my back and head to make hard contact with the ground. At first, I didn’t perceive much pain in my back or head; instead, the primary source of pain seemed to be my rear, which felt as if it had developed a noticeable lump. However, I dismissed it at the time. The following day, the soreness persisted, alongside generalized discomfort throughout my upper body. Every time I coughed, I felt pain that radiated from my neck down to my abdomen, which was tender to the touch. I asked my girlfriend to check for any visible injuries, and although my butt showed no bruising, I did notice around five bruises along my spine. I’m questioning whether I should consult a physician. I usually avoid going to the doctor unless absolutely necessary, having only visited twice in the last four years (excluding vaccinations during my teenage years). I tend to prefer toughing things out to save on medical expenses, but if the situation warrants it, I wouldn’t hesitate to seek help as I did last year for an ear infection. What do you think – should I consider getting checked out?
Seeking Insight on Abnormal Neuroimaging Results
A 42-year-old female, standing 6 feet tall and weighing 194 pounds, has been grappling with cognitive challenges for over three years. She has a clinical history that includes a diagnosis of Bipolar II disorder coupled with generalized anxiety, which she manages effectively through a regimen of an antidepressant, a mood stabilizer, and medications for anxiety. Currently, she is under the care of her fifth neurologist in the Boston region. An FDG-PET scan revealed a significant decline in metabolic functions, showing a 30-40% reduction within the left parietal lobe and a 20% decrease in both mesial temporal lobes. As part of her evaluation, a lumbar puncture was performed to assess amyloid and tau protein levels, with results coming back negative. Although a radiologist recommended pursuing an amyloid PET scan to gain further insights, her neurologist has declined this option. Despite the neurologist's suggestion that her indications might fit into the Functional Neurological Disorder (FND) category, she remains unconvinced and believes there must be an identifiable underlying cause for her symptoms and the irregularities observed in her scans. She is seeking advice on the next steps to take in pursuing a clearer diagnosis or understanding of her condition.
Worsening Memory Problems Over Time
Age: 25 Weight: 175 lbs Current Medications: Modafinil (200mg); Lexapro (10 mg); Lamotrigine (100mg in the morning + 100 mg in the evening); Cyproheptadine (4 mg); Vraylar (1.5 mg) Supplements: Iron; Vitamin B12; Vitamin D; Salt tablets Health Background: Long-standing, stubborn migraines (resolved as of May 2025, originally began in April 2016); Depression (currently very stable); Attention Deficit Disorder (ADD) (experimented with various stimulants with no improvement in memory); Chronic fatigue syndrome (developed a few years after memory problems began). I possess a documented medical history concerning my memory challenges. Around 2012, I underwent neurological evaluations that included an IQ assessment. The clinician indicated that my memory performance was particularly low, affecting my overall IQ representation, while I scored at or above average in most other areas. In approximately 2017, a neurologist referred me for a neuropsychological evaluation. Unfortunately, the results were deemed "inconclusive" due to inconsistent findings, with the provider stating my memory levels mirrored the previously reported low scores. Fast forward to 2023, when I underwent another neuropsych evaluation, which indicated my working memory was significantly below the average range. The clinician expressed uncertainty regarding effective treatment options for my memory issues, suggesting avenues such as ADHD medications, stress management, enhancing sleep quality, and mental health support—areas which I have pursued or tried to improve. Here is a summary of the strategies and treatments I've explored: - **Sleep Study**: Diagnosed with mild sleep apnea when lying on my back, although I typically sleep in other positions. - **Antidepressants**: Tried various types repeatedly, yet without noticing any significant changes. - **Occupational Therapy**: Participated but found it more stressful than beneficial. - **Speech Therapy**: Benefitted somewhat, yet it didn't meet my expectations, though I continue to use some of the techniques learned. - **Digital Notes**: Attempted to record important information on my phone, but due to many lists, vital entries often get lost. - **Memantine**: Prescribed by my neurologist as a last resort, based on its reported effectiveness in elderly patients for pain management; however, I did not observe any memory improvements while on this medication. - **Nutritional Supplements**: Regularly take Vitamin B complex, fish oil, flaxseed oil, and various other potential memory enhancers. Additionally, family history reveals that my brother, sister, and paternal grandmother have also faced memory-related issues throughout their lives. Unfortunately, several neurologists have declined to treat me, citing my youth and existing diagnoses of depression and ADD as indicators of instability rather than addressing my memory concerns. Moreover, I am anxious that my past struggles with chronic pain could have exacerbated my memory problems. Any insights or suggestions to tackle these ongoing challenges would be greatly appreciated.