Red Spots in Stool: When to Seek Medical Advice for Gastrointestinal Issues

Q: Red Spots in Stool: When to Seek Medical Advice for Gastrointestinal Issues

Hello： Generally speaking, when there is blood in the stool, it is usually seen as streaks or clots, and it is rare to see small dots of red. <br>If this phenomenon persists, it is advisable to consult a gastroenterologist. <br>The term "occult blood test" refers to a test where

There are small red spots in the stool?

Hello, doctor.
About two years ago, I had gastritis (I underwent an endoscopy), and since then, I have occasionally experienced bloating.
About 2 to 3 weeks ago, I suddenly started having diarrhea after meals every day.
After a few days, I sought medical attention and was initially diagnosed with irritable bowel syndrome.
After taking medication, my condition improved, but my bowel movements are still mostly soft stools.
However, I have noticed small red spots attached to my stool for several days.
Should I get a stool occult blood test? Thank you!

Mark, 30~39 year old female. Ask Date: 2016/09/14

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: Generally speaking, when there is blood in the stool, it is usually seen as streaks or clots, and it is rare to see small dots of red.
If this phenomenon persists, it is advisable to consult a gastroenterologist.
The term "occult blood test" refers to a test where blood is not visible in the stool, but a small amount is detected upon examination.
If blood is already visible, there is no need to perform an occult blood test.
Wishing you peace and health.
Sincerely, Dr.
Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/09/14

More Info

When it comes to gastrointestinal issues, particularly the presence of red spots in stool, it is essential to approach the situation with caution and awareness of potential underlying conditions. Based on your description, it seems you have a history of gastric inflammation and have recently experienced changes in your bowel habits, including diarrhea and the presence of red spots in your stool.
The appearance of red spots in stool can be concerning, as it may indicate the presence of blood. Blood in the stool can arise from various sources within the gastrointestinal tract, including the esophagus, stomach, small intestine, or large intestine. The fact that you have a history of gastric issues, such as gastritis, and are currently experiencing gastrointestinal symptoms, warrants further investigation.

Given your recent diagnosis of irritable bowel syndrome (IBS) and the ongoing symptoms of soft stools, it is crucial to monitor your condition closely. The red spots you are observing could potentially be due to several factors:
1. Dietary Factors: Certain foods, particularly those high in pigments, can cause changes in stool color. For example, beets, tomatoes, or even foods with artificial coloring can lead to red discoloration. However, if you have not consumed such foods recently, this may not be the cause.

2. Gastrointestinal Bleeding: The presence of red spots could indicate bleeding somewhere in the gastrointestinal tract. This could be due to hemorrhoids, anal fissures, diverticulosis, or more serious conditions like ulcers or polyps. Given your history of gastric issues, it is essential to rule out any significant pathology.

3. Infection or Inflammation: Gastrointestinal infections, whether viral, bacterial, or parasitic, can lead to changes in bowel habits and may also cause blood in the stool. Inflammatory bowel diseases (IBD) such as Crohn's disease or ulcerative colitis could also present with similar symptoms.

Considering these possibilities, it is advisable to seek medical attention. A stool occult blood test (fecal occult blood test) is a reasonable next step to determine if there is hidden blood in your stool. If the test is positive, further investigations such as a colonoscopy may be warranted to identify the source of the bleeding.

In addition to the stool test, it would be beneficial to discuss your ongoing symptoms with your healthcare provider. They may recommend additional tests, such as imaging studies or endoscopic evaluations, to assess the state of your gastrointestinal tract comprehensively.
In summary, while the presence of red spots in your stool may not always indicate a severe condition, given your medical history and current symptoms, it is prudent to take this seriously. Monitoring your symptoms, maintaining a detailed record of your diet and bowel habits, and seeking timely medical advice will help ensure that any potential issues are addressed promptly. Always prioritize open communication with your healthcare provider regarding any changes in your health, especially concerning gastrointestinal symptoms.

Similar Q&A

Red Spots in Stool: When to Seek Medical Attention for Gastrointestinal Issues

Two days ago (11/21), I noticed a small piece of red stool (about 3 to 5 centimeters long) during a bowel movement, while the rest of the stool was a normal brown color. When I wiped with toilet paper, I found small spots of bright red blood, but the blood did not stain the toile...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Since the symptoms have been persistent, you can consult a gastroenterologist or a colorectal specialist to check for internal or external hemorrhoids, rectal inflammation, polyps, or tumors. Changhua Hospital cares about your health. Dr. Tsai An-Shun.

Understanding Red Spots in Stool: When to See a Doctor

Hello, I have been experiencing constipation for about a month, from mid-February to mid-March. My stools are pellet-like, small in quantity, and have a yellow-brown color with a few red spots. After rinsing with a handheld shower, the inside appears black. Should I see a doctor?

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: You can continue to observe, and try to avoid fruits with red skins. If symptoms persist, you may seek medical attention. Changhua Hospital cares about your health. Dr. Tsai An-shun.

When to Seek Medical Attention for Blood in Stool

Doctor, I apologize for bothering you, but I would like to ask about my condition. For the past 2 to 3 months, I have experienced blood in my stool for a few days at a time. The color of the stool appears normal, but there is a small amount of mucus at the front of the stool that...

Dr. Chen Shidian reply Gastroenterology and Hepatology
It is likely internal hemorrhoid bleeding; seek medical attention for medication if necessary. In the meantime, increase your intake of fruits, vegetables, and fluids, and engage in regular exercise. After bowel movements, wash with water and dry thoroughly.

Understanding Bowel Issues: When to Seek Medical Attention

Hello, doctor. My bowel movements have been in an unstable state. I previously saw a doctor who performed a digital rectal exam and found a small hemorrhoid just inside the anus. Sometimes my stool is accompanied by bright red blood, and the toilet bowl is filled with it. When I ...

Dr. Chen Shidian reply Gastroenterology and Hepatology
Hello, sir. The color of your stool can change with your diet, and as long as it is not black due to gastrointestinal bleeding, there is no cause for concern. You may continue to observe. Changhua Hospital cares about your health. Chen Shidian