Question and Answer: Do I need an endoscopy if I have bright red blood outside?

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Hello doctor! Previously, I had an endoscopy at the hospital and was diagnosed with stomach congestion. The doctor gave me medicine that I took without any signs of improvement. Recently, I went to the toilet to have a lot of bright red blood. Doctor let me ask if the symptoms of bright red blood in the stool need to go to an endoscopy? I hope the doctor can answer and advise me. I would like to thank the doctor more.
Anonymous customer
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Hello! The doctor would like to answer the question of whether bright red blood in the stool requires an endoscopy as follows:
Blood in the stool is a common symptom. In patients > 50 years of age, fecal occult blood and bleeding for a short time are often associated with serious medical problems.
Given your age and especially those who have not been screened for colorectal cancer, a total colonoscopy should be performed. However, with a younger age, young people, you can have a colonoscopy, sigmoidoscopy, anal examination which will be less expensive. Common causes of distal and anal bleeding are anal fissures, hemorrhoids, proctitis, polyps, or distal colon cancer. However, you can also choose to endoscopy of the entire colon as well as the stomach to avoid missing pathologies.
Thank you for trusting and sending questions about Vinmec Health System. Best regards!
Answered by Master, Doctor Nguyen Quoc Lan - Digestive Endoscopy Doctor - Department of Medical Examination & Internal Medicine - Vinmec Danang International Hospital
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