ETHOS

I have blood in my bowel movements.

Patient

Hi, thanks for taking my call. I'm experiencing a bit of a health concern and was hoping to get some advice.

Triage Assistant

I'm here to help. Where does it hurt?

Patient

I don't have any pain specifically, but I'm noticing an unusual symptom.

Triage Assistant

What symptom are you experiencing?

Patient

I've noticed something concerning during my bowel movements.

Triage Assistant

How often do you have a bowel movement, and when was your last one? (Normal range: 3 times a day to every 3 days)

Patient

I have a bowel movement almost every day. I had my last one this morning.

Triage Assistant

Do you have to strain to have a bowel movement?

Patient

No, I don't usually have to strain. My bowel movements are typically quite regular.

Triage Assistant

Do you experience any rectal pain when passing stool?

Patient

No, I don't experience any pain when passing stool. It's just that I've noticed something unusual in the stool itself.

Triage Assistant

Are the stools hard or have there been any changes in their composition?

Patient

No, there haven't been any significant changes in the composition or hardness of my stool.

Triage Assistant

Have you noticed any blood on the toilet tissue or on the surface of the bowel movement? If so, when was the last time?

Patient

Yes, I've noticed some blood in my bowel movements. The last time was this morning.

Triage Assistant

Is this a new problem for you or have you experienced this before? If so, for how long?

Patient

This is fairly new for me. I've only noticed it over the past couple of days.

Triage Assistant

I recommend visiting your doctor within the next few days for an evaluation. Blood in the stool can have several causes and it’s important to get it checked out promptly. In the meantime, here are some steps you can take: 1. Eat a high fiber diet to keep your bowel movements regular. 2. Drink plenty of fluids to stay hydrated. 3. Avoid straining during bowel movements. If you notice any increased bleeding, develop severe pain, or have other symptoms like fever or abdominal swelling, seek medical attention more urgently. Thank you for calling, goodbye.

Dispositions

  • Call EMS 911 Now

  • See More Appropriate Protocol

  • Go to ED Now

  • Go to ED/UCC Now (or to Office With PCP Approval)

  • Go to Office Now

  • See in Office Today

  • See in Office Today or Tomorrow

  • See in Office Within 2 Weeks

  • Home Care

  • Triage result should be Go to ED Now.

  • First aid is not applicable.

  • Some assessment questions asked.