What is the reason for severe blood in the stool?

Patient's question:

I am 34 years old. Recently, I don't know why I always feel nauseous and like vomiting. My stomach has a dull ache, and sometimes I experience heartburn and acid reflux. I went to the hospital, and it was fine for a while, but then it started again. What could be the reason for severe blood in my stool?

Doctor's answer:

If there is frequent blood in the stool, and there are no symptoms of constipation or difficulty defecating, this situation should be carefully observed to determine if it is caused by hemorrhoids. Therefore, given that this condition has recurred repeatedly, it is important to seek medical attention promptly for further examination, especially with a colonoscopy to understand the possibility of Crohn's disease or ulcerative colitis.

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