HomeAnswersInternal MedicineendometriosisI am diagnosed with endometriosis, and recently have fatigue and blood in my stools. Please help

Does endometriosis cause blood in stools?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At October 23, 2022
Reviewed AtNovember 4, 2022

Patient's Query

Hi doctor,

I am a 25-year-old female with endometriosis confirmed via exploratory laparotomy and also had excision of growths in two surgeries. I have a Mirena IUD in situ. PCOS, chronic migraines (bilateral occipital nerve blocks administered every three months), Raynauds Phenomenon, and ADHD (capsule Dexamphetamine and capsule Vyvanse).

I am quite concerned as I have had a couple of symptoms for a few weeks now and initially was told it was nothing to worry about.

They is fatigue, light-headedness, and nausea in the evening. I had done a blood test, and in that test, my white blood cell count was slightly elevated but nothing of concern.

Two weeks ago, I had slept for 23 hours, and in the only one hour I was awake, I struggled to stay awake. I had eaten food and, within 20 minutes of eating, had excruciating abdominal pain, which led to diarrhea, profuse sweating, and then chills. And then I went back to sleep for another 12 hours.

After ach bowel movement there has been a small quantity of blood on the toilet paper, that has gradually increased.

All the while, the other symptoms were present as well.

Kindly help.

Thank You.

Hello,

Welcome to icliniq.com.

I have read your query and am sorry for such discomforting symptoms and for the past medical history.

You have mentioned fatigue, lightheadedness, and nausea as initial symptoms.

Q) For how long have the symptoms been present?

Q) Are those symptoms still present as of now?

Your blood test has revealed an elevated WBC count.

Q) What about hemoglobin (Hb) level?

Q) What about blood pressure (BP) levels?

Q)You have also complained of increased sleep. Was there increased sleepiness earlier too, or has it started recently?

Q) Has it improved or do you still feel sleepy?

You had food which was followed by excruciating abdominal pain and then diarrhea, profuse sweating, and chills.

Q) Can you elaborate on it?

Q) What was the nature of pain and any radiation of pain to other parts of the body?

Q) What was the location of abdominal pain?

Q) Any similar episodes of abdominal pain afterwards?

Q) Any further diarrhea episodes?

Q) Did you take any medicine for abdominal pain?

I am not sure why had profuse sweating and chills after eating food.

Lastly, your bowel evacuation contains blood regarding which have mentioned quantity has significantly increased recently.

Q) Is it fresh, bright red colored blood mixed with stool, or are there drops of blood after bowel evacuation?

Q) Or is the colour of the stool dark black or brown?

The colour of the blood in the stool is important as it hints to whether it is from an upper or lower GI (gastrointestinal) bleed.

Blood in the stool is very concerning and needs medical evaluation regarding it.

Q) Any persistence of abdominal pain?

Q) Can you attach laboratory reports that you have done recently?

Q) Have you recently done a complete blood count (CBC) and liver function test (LFT) test?

Q) Do you take medicine for hypothyroidism?

In summary, fatigue, lightheadedness, abdominal pain, and stool mixed with blood cannot be ignored and definitely needs proper medical evaluation either outpatient basis or after admission.

Please reply to all the above questions to figure out a possible cause of the above symptoms.

Take care.

Thank you.

Patient's Query

Hi doctor.

Thank you for the reply.

- It has been three weeks since the symptoms started.

- Hemoglobin was within normal range. I will attach the results once I have received a copy of them.

- BP was 104/76 mmHg (I generally have low blood pressure).

- I am constantly tired, struggling immensely to wake up in the morning. If I have a day off work and no commitments, I sleep for about 14 hours which is unusual for me.

- 20 minutes after I have had food, I got a sudden discomfort in the pelvic region; not a discomfort I had felt before. I would sit on the toilet thinking it might be period pain, but it was not.

- The pain was localized to the pelvic region; sharp acute. The pain lasted about 20 to 25 minutes, and diarrhea throughout that time. During that episode, profusely sweating, and my t-shirt and the back of my hair were saturated. Then it all stopped.

I got in the shower, and chills started then, shivering. I went to bed, still shivering and feeling like I was cold, but I had two blankets.

- I didnot take any pain relief for it, as it all stopped quickly.

- No further d+ episodes.

- Blood is fresh, bright red. Only seems to occur at the end of the motion. Quantity seems more. Initially, I only noticed a drop, the most recent motion was significantly more than a drop.

- Stool form is normal, with no change to the color of the stools either.

- I have no abdominal pain during any other motions.

- Pathology reports follow once I have received a copy.

- I am not taking any medication for hypothyroidism.

Hello,

Welcome back to icliniq.com.

Sharp, acute pain with spontaneous resolution of abdominal pain accompanied by diarrhea could be appendix inflammation but we need an imaging test like ultrasound (USG) or computed tomography (CT) scan to confirm the diagnosis.

It is good to know that there is no other similar type of abdominal pain that has occurred till now except for one episode.

Fresh, bright red blood, mainly at the end of motion without any pain during motion, means it is internal hemorrhoid.

External hemorrhoid also causes the similar symptoms, but it is painful.

You need a proctoscopy to confirm the diagnosis of hemorrhoids.

Q) Do you usually have constipation issues?

If yes, then take treatment for constipation as it aggravates hemorrhoids and manifests blood drops at the end of the motion.

Immense tiredness with low blood pressure (BP) needs evaluation to check your electrolytes, sodium and potassium level, and thyroid level. Also, serum cortisol is used to assess adrenal gland functioning if the sodium level (after the test is done) comes in the lower range.

Please do the following tests:

Hemoglobin (Hb) level.

• Sodium and potassium level.

• Proctoscopy to confirm internal hemorrhoids.

• FT3, FT4, and TSH.

If you have constipation issues frequently, then take syrup Cremaffin (Milk of magnesia) 10 ml twice or 20 ml before bedtime or tablet Dulcolax(Bisacodyl) 5mg once a day (not daily only as and when required) to make stool soft.

Also, drink plenty of water with a lot of fiber in the diet.

If there are no constipation issues, kindly do not take the above medication as it would cause diarrhea as a side effect.

I can suggest medicine for per rectal bleeding, but you will not be able to buy medicine without a prescription, so kindly visit your general physician for a proctoscopy examination and take tablet of Daflon (Diosmion) medicine or other suggested medication by your treating doctor for hemorrhoids.

You can attach the reports of laboratory tests (and above recommended tests) done after you get the soft copy.

Drink plenty of water with a pinch of salt in it to raise your blood pressure, and monitor your blood pressure frequently.

Please follow up with reports of laboratory tests to assess your medical condition better.

I sincerely wish you to get healthy at the earliest.

Take care.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Basuki Nath Bhagat
Dr. Basuki Nath Bhagat

Family Physician

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Read answers about:

endometriosisblood in stools

Ask your health query to a doctor online

Internal Medicine

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy