Red Spots in Stool: Causes and Concerns for Young Adults

Occasionally, there are red spots in the stool (slightly larger than just dots)?

I have noticed faint red spots in my stool (described as spots but slightly larger than that).
I recently ate a few cherry tomatoes, around seven or eight, which shouldn't be considered excessive.
Additionally, I've been experiencing a strange sensation in my lower left abdomen (similar to the pain felt after intense exercise in that area, just below the navel).
It only hurts slightly when I exert my abdominal muscles.
I had an ultrasound, and the doctor mentioned inflammation and prescribed medication, which has helped a bit, but I still feel pain when I exert myself, and the strange sensation hasn't gone away.
My diet and routine are generally normal, and since I'm relatively young, I think it might just be psychological.

As an extra note, I've had gastrointestinal issues since childhood, often experiencing bloating or abdominal pain, and I tend to get anxious easily.
Whenever I'm anxious, my gastrointestinal discomfort worsens.
My stools are usually small and dark yellow, and there was one instance where they appeared somewhat black, which scared me.

Mr. Su, 20~29 year old female. Ask Date: 2018/01/24

Dr. Chen Qifeng reply Gastroenterology and Hepatology

It is a good habit to pay attention to the pattern and color of your bowel movements.
However, the color of the stool is largely related to the food you consume.
It is advisable to observe for a few more days.

Reply Date: 2018/01/24

More Info

When it comes to the presence of red spots in stool, especially in young adults, it is essential to consider various potential causes and the implications of these symptoms. The description of "light red spots" could be indicative of several conditions, ranging from benign to more serious issues. Given your additional symptoms, such as left lower abdominal discomfort and a history of gastrointestinal issues, it is crucial to approach this situation with care.

Possible Causes of Red Spots in Stool
1. Dietary Factors: As you mentioned, consuming foods like cherry tomatoes can sometimes lead to changes in stool appearance. The pigments in certain foods can cause red or reddish discoloration, which may be mistaken for blood. However, this is typically not a cause for concern if it correlates with dietary intake.

2. Hemorrhoids: One of the most common causes of red spots in stool is hemorrhoids, which are swollen veins in the lower rectum or anus. They can cause bleeding during bowel movements, leading to red streaks or spots in the stool.

3. Anal Fissures: Similar to hemorrhoids, anal fissures can occur due to straining during bowel movements, leading to small tears in the anal lining. This can also result in bright red blood on the stool or toilet paper.

4. Gastrointestinal Conditions: More serious conditions, such as diverticulitis, inflammatory bowel disease (IBD), or colorectal polyps, can also cause blood in the stool. Given your history of gastrointestinal discomfort and the recent ultrasound indicating inflammation, these conditions should be considered.

5. Infections: Certain infections of the gastrointestinal tract can lead to inflammation and bleeding, resulting in red spots in the stool. This is often accompanied by other symptoms such as diarrhea, fever, or abdominal pain.

Recommendations for Management
1. Consult a Gastroenterologist: Given your symptoms and history, it would be prudent to consult a gastroenterologist. They can perform further evaluations, including endoscopy or colonoscopy, to rule out any serious conditions.

2. Monitor Symptoms: Keep track of any changes in your bowel habits, the appearance of your stool, and any associated symptoms such as pain, bloating, or changes in appetite. This information can be valuable for your healthcare provider.

3. Dietary Adjustments: If you suspect that certain foods may be contributing to your symptoms, consider keeping a food diary to identify any correlations between your diet and gastrointestinal discomfort.

4. Manage Anxiety and Stress: Since you mentioned that anxiety can exacerbate your gastrointestinal issues, consider incorporating stress management techniques such as mindfulness, yoga, or counseling to help alleviate symptoms.

5. Follow-Up on Previous Findings: Since you have already undergone an ultrasound that indicated inflammation, ensure that you follow up with your healthcare provider regarding these findings and any necessary treatment.

Conclusion
While the presence of red spots in stool can be alarming, it is essential to approach the situation with a clear understanding of potential causes and appropriate next steps. Given your symptoms and history, it is advisable to seek further medical evaluation to ensure that any underlying conditions are addressed promptly. Remember, early intervention can often lead to better outcomes, especially in gastrointestinal health.

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