Our 17 yr old son just informed us that he has experienced blood in the toilet when he has a bm for the past two weeks. After having him leave one for us to examine, we found the bm itself covered in blood, blood in the water, and the toilet paper looked like someone had a nose bleed. We had him seen by his doctor who did an digital rectal exam. She said no fissures or hemorrhoids were apparent. We are now doing the fecal tests to see about parasites, amount of blood, etc. (we have to fill three different tubes each time he goes).
Since there weren't any hemorrhoids appreciated on the digital exam, is it still possible that that is what he has? If not, other considerations?
He says he has no pain, itching or other symptoms. He isn't constipated, but only goes every other day, but without difficulty. No fevers, diarrhea, abdominal pain or nausea. No weight loss (in fact he is about ten to fifteen pounds overweight for his age). His is a very sedentary life (not a sports fanatic), and he loves carbs (breads, pastas, etc.) He is on multiple meds for aspergers and a major depressive disorder, but his meds have not been changed in about a year.
Any insights would be appreciated.
p.s. - I also noticed small white "spots" throughout the bm when taking samples, but didn't know if this was undigested food or sign of something else. Didn't look like anything specific like corn would, just tiny pin head sized spots.
Update: Our sons stool tests all came back negative for parasites, etc. We've now done blood work and are waiting for results. In the meantime, although there's no blood visible now, his stools have been loose ever since we've started testing. I'm worried since we've ruled out the hemorrhoids, fissures and parasites. Any insights would be appreciated!
Update: Blood work has come back - Most levels are within normal range. The following are the only notable differences:
CBC w/ Auto Diff. for NE: 64.8% (range is 53-61)
CBC w/ Auto Diff. for LY: 29.2% (range is 31-39)
Comp. Metabolic Panel for Alkaline Phosphatase: 135 IU/L (range is 30-115)
Stools are formed but not hard at this point. Pale brown in color, with some light blood. Son mentions discomfort "on the inside" during passing.
Seeing gastroenterologist tomorrow but still wonder if anyone out there has ideas or questions we should ask?
So concerned because our son also has a hereditary bone condition - multiple osteochondromas. These have a small percentage risk of developing into cancerous growths & wondered if there is any connection.