"Why Do I Experience Abdominal Pain and Rectal Bleeding Despite Normal Bowel Movements?"
Normal bowel movements accompanied by abdominal pain and blood in stool may be caused by improper diet, hemorrhoids, anal fissures, ulcerative colitis, and other factors. It is recommended that patients seek medical attention promptly and receive treatment under the guidance of a doctor. Here are the possible causes and corresponding treatments:
1. Improper Diet
Consuming spicy or irritant foods, such as chili peppers and garlic, regularly can irritate the gastrointestinal tract, leading to normal bowel movements, abdominal pain, and blood in stool. Patients are advised to maintain a bland diet, avoid spicy and irritant foods, and increase the intake of fresh fruits and vegetables.
2. Hemorrhoids
Hemorrhoids are often caused by chronic constipation or diarrhea, resulting in swollen and inflamed veins in the anal region. Defecation may cause the local mucosa to rupture and bleed, causing normal bowel movements, abdominal pain, and blood in stool. Patients can use medications like Compound Carrageenan Esters Cream under doctor's guidance.
3. Anal Fissure
Similar to hemorrhoids, anal fissures are also caused by long-term constipation or diarrhea, damaging the skin around the anal canal. Defecation may lead to local mucosal rupture and bleeding, presenting with normal bowel movements, abdominal pain, and blood in stool. Nitroglycerin Ointment can be prescribed for treatment.
4. Ulcerative Colitis
Ulcerative colitis is a condition caused by genetic or immunological factors, leading to inflammation and ulceration in the rectum and sigmoid colon. Defecation can cause local mucosal rupture and bleeding, resulting in normal bowel movements, abdominal pain, and blood in stool. Patients can take medications such as Sulfasalazine Enteric-coated Tablets as prescribed by their doctor.
If symptoms persist without improvement, it is advisable to consult the gastroenterology department of a hospital for further examination, including visual and palpation assessments, to confirm the diagnosis.
