Red Stains in Stool: Possible Causes and Concerns

There is a small amount of red in the stool?

Hello, I have noticed some red spots on the toilet paper when wiping after using the restroom over the past couple of days.
I'm not sure if it is blood, and there is also a small red area on my stool.
However, I have been having regular bowel movements without any issues.
Could you please provide me with some insights and opinions on what this might indicate? Thank you.

Mai, 20~29 year old female. Ask Date: 2016/04/04

Dr. Ke Fangxu reply Surgery

Based on your description, it seems to be an anal fissure.
The typical symptoms include pain during bowel movements accompanied by slight bleeding.
The primary cause of anal fissures is usually hard stools; however, diarrhea, frequent bowel movements, or prolonged straining can also lead to fissures.
It is recommended to improve bowel habits and to take warm sitz baths to alleviate symptoms.
Topical ointments and suppositories can also be used for treatment.
If symptoms persist for more than a week without improvement, it is advisable to consult a physician for further evaluation.

Reply Date: 2016/04/04

More Info

When you notice red stains in your stool or on toilet paper, it can understandably cause concern. The presence of red coloration can be indicative of several potential issues, some of which may require medical attention. Here’s a breakdown of possible causes and considerations regarding your symptoms.

Possible Causes of Red Stains in Stool
1. Hemorrhoids: One of the most common causes of red blood in the stool or on toilet paper is hemorrhoids. These are swollen veins in the lower rectum or anus that can bleed during bowel movements, especially if you are straining or have constipation.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to bleeding and pain during bowel movements.

3. Diverticular Disease: Diverticulosis, which involves the formation of small pouches in the colon wall, can sometimes lead to diverticulitis, where these pouches become inflamed or infected, potentially causing bleeding.

4. Gastrointestinal Bleeding: More serious conditions, such as polyps or colorectal cancer, can also cause red blood in the stool. However, these conditions are typically accompanied by other symptoms, such as changes in bowel habits, weight loss, or abdominal pain.

5. Dietary Factors: Certain foods, such as beets, tomatoes, or red food coloring, can sometimes cause red discoloration in the stool, which may be mistaken for blood.

6. Infections: Some gastrointestinal infections can lead to bloody stools, often accompanied by diarrhea, fever, or abdominal cramps.

What to Do Next
Given the potential causes, it is essential to take the following steps:
1. Monitor Symptoms: Keep track of any additional symptoms you may experience, such as pain, changes in bowel habits, or weight loss. This information will be valuable for your healthcare provider.

2. Consult a Healthcare Provider: It is advisable to see a healthcare professional, particularly if the red staining persists, increases in severity, or is accompanied by other concerning symptoms. A gastroenterologist would be the most appropriate specialist to consult for gastrointestinal issues.

3. Diagnostic Tests: Your doctor may recommend diagnostic tests such as a colonoscopy, stool tests, or imaging studies to determine the exact cause of the bleeding.

4. Avoid Self-Diagnosis: While it can be tempting to self-diagnose based on online information, it is crucial to seek professional medical advice to ensure accurate diagnosis and appropriate treatment.

Conclusion
While red stains in stool can be alarming, many causes are benign, such as hemorrhoids or anal fissures. However, it is essential to rule out more serious conditions. Prompt consultation with a healthcare provider will help you receive the necessary evaluation and treatment. Remember, early detection and intervention are key in managing any potential gastrointestinal issues effectively.

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