Blood in Stool: What You Need to Know About Bowel Issues - Surgery

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Bowel issues


Hello Doctor: I have noticed this condition in my stool over the past few days.
Could you please tell me if the discoloration around it is blood in the stool? I do not have any abdominal pain, and it appears somewhat yellowish, but I'm not sure if it is red.
Here are the image links: https://www.upload.ee/files/7714149/P_20171129_213622_1_p.jpg.html and https://www.upload.ee/files/7714159/P_20171129_213652_1_p.jpg.html.
I have had a digital rectal examination at the hospital, and the response was normal, but I am unsure what this discoloration is...
It seems different from the typical understanding of blood in the stool.
Thank you for your attention, and I hope you can help clarify this for me.
I would greatly appreciate it!

cdyism, 20~29 year old female. Ask Date: 2017/11/30

Dr. Ke Fangxu reply Surgery


Abnormal stool color is often related to dietary content.
Based on the photo you provided, it does not appear to be blood in the stool.
I recommend temporarily avoiding foods that are dark in color and red meat, and monitor the situation.
If this condition persists without improvement, you may consider asking your physician to arrange for a colonoscopy.

Reply Date: 2017/11/30

More Info


When it comes to the presence of blood in stool, it can be a concerning symptom that warrants attention. Blood in the stool can manifest in various forms, and understanding its potential causes is crucial for determining the appropriate course of action. Based on the information you've provided, it seems you are experiencing some unusual bowel symptoms, including the presence of a yellowish or reddish discoloration in your stool, but without accompanying abdominal pain.

Firstly, it’s essential to clarify that blood in the stool can appear in different ways. It can be bright red, indicating fresh blood, often associated with conditions affecting the lower gastrointestinal tract, such as hemorrhoids, anal fissures, or diverticular disease. On the other hand, darker blood or a tarry appearance may suggest bleeding from higher up in the digestive tract, such as the stomach or small intestine.

In your case, since you mentioned that you have undergone a digital rectal examination and it was deemed normal, this is a positive sign. However, the discoloration you are observing could be due to several factors, including dietary influences, medications, or even benign conditions. For instance, certain foods like beets, tomatoes, or red gelatin can cause stool to appear red or reddish. Additionally, iron supplements or medications can also alter the color of your stool.

Given that you are not experiencing abdominal pain, which often accompanies more serious conditions, it is still important to monitor your symptoms closely. If the discoloration persists, or if you begin to experience other symptoms such as changes in bowel habits, weight loss, fatigue, or any abdominal discomfort, it would be prudent to follow up with your healthcare provider. They may recommend further diagnostic tests, such as a stool test for occult blood, a colonoscopy, or imaging studies, to rule out any underlying issues.

In terms of management, maintaining a healthy diet rich in fiber can help promote regular bowel movements and reduce the risk of conditions that might lead to blood in the stool. Staying hydrated is equally important, as it can help prevent constipation, which can exacerbate issues like hemorrhoids or anal fissures. Regular exercise can also contribute to overall digestive health.

If you find that anxiety or stress is affecting your bowel habits, especially in a dormitory setting where you may feel uncomfortable, consider implementing relaxation techniques or discussing your concerns with a counselor. Sometimes, the fear of using shared facilities can lead to a cycle of constipation and discomfort.

In conclusion, while the presence of blood in stool can be alarming, it is essential to approach the situation with a calm and informed mindset. Continue to monitor your symptoms, maintain a healthy lifestyle, and do not hesitate to seek further medical advice if your symptoms change or worsen. Your health is paramount, and proactive management is key to addressing any potential issues.

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