Red sediment in stool?
Hello, I have had constipation issues since childhood, and most of the time I need to take stool softeners to have a bowel movement.
However, over the past year, I have changed my eating habits and no longer rely on stool softeners.
I now have a bowel movement approximately every 3-4 days, without a fixed schedule.
The stool volume is small, somewhat hard, and often appears as dark green granules (sometimes it is in a strip form but still looks like granules).
For the past six months, my diet has mainly consisted of fruits, vegetables, and meats.
Recently, I noticed that my stool has been exuding bright red liquid, but I am unsure if it is blood because there are no blood stains on the toilet paper when I wipe.
I have been undergoing colonoscopy screenings approximately once every three years, and the results showed internal hemorrhoids, which the doctor advised to monitor regularly.
Given my recent symptoms, do you think I need to undergo another colonoscopy? Could this be due to bleeding from polyps? Thank you!
Ms. Li, 30~39 year old female. Ask Date: 2017/01/15
Dr. Ke Fangxu reply Surgery
Answer: The presence of red sediment in the stool is mostly due to food residue.
Additionally, hemorrhoids can also cause bleeding.
If you have been undergoing regular colonoscopies every three years, there is currently no need for another one.
However, if the symptoms persist without improvement, you should consult a physician for evaluation.
Reply Date: 2017/01/15
More Info
When it comes to the presence of red liquid in stool, it is essential to approach the situation with caution and a clear understanding of potential underlying causes. Your description of having a history of constipation, requiring softeners, and experiencing changes in stool consistency and color raises several important points for consideration.
Firstly, the fact that you have a history of constipation and have been managing it with dietary changes is a positive step. A diet rich in fruits and vegetables can help improve bowel regularity and overall gut health. However, the recent observation of red liquid in your stool is concerning and warrants further investigation.
The presence of red liquid can often be mistaken for blood, which can indicate a range of gastrointestinal issues. In your case, since you have previously been diagnosed with internal hemorrhoids, it is possible that the red liquid could be related to this condition. Hemorrhoids can cause bright red blood to appear in the stool or on toilet paper, especially if there is straining during bowel movements. However, the absence of blood on the toilet paper when wiping does make it less likely that the red liquid is from a hemorrhoidal source.
Another potential cause of red liquid in stool could be related to dietary factors or gastrointestinal conditions. For instance, certain foods, such as beets, can cause a reddish tint in stool, but this is usually not accompanied by other symptoms. Additionally, gastrointestinal bleeding from the upper or lower GI tract can manifest as red or maroon-colored stool, which could be indicative of more serious conditions such as diverticulosis, colorectal polyps, or even colorectal cancer.
Given your history of having polyps and the recent changes in your bowel habits, it is advisable to consult with a healthcare professional. While you have been diligent in getting regular colonoscopies, any new symptoms, especially those involving changes in stool color or consistency, should be evaluated. A repeat colonoscopy may be warranted to rule out any new developments, such as the growth of new polyps or other abnormalities in the colon.
In summary, while the red liquid in your stool could potentially be related to your existing condition of internal hemorrhoids, it is crucial to rule out other serious causes. Given your history and the recent changes in your bowel habits, I recommend scheduling an appointment with your gastroenterologist. They may suggest a colonoscopy or other diagnostic tests to ensure that your colon health is being properly monitored and managed. Remember, early detection and intervention are key in addressing any potential gastrointestinal issues.
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