Blood in Stool: Is It a Sign of Colon Cancer? - Gastroenterology and Hepatology

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Rectal bleeding


Hello Doctor: I have been experiencing rectal bleeding for the past three days.
The amount of blood is significant, turning the toilet water bright red.
There is fresh red blood on the surface of my stool, and the toilet paper is also stained with bright red blood when I wipe.
Could this situation indicate a high likelihood of colorectal cancer?

Lin, 10~19 year old female. Ask Date: 2018/09/19

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, sir.
It is mostly internal hemorrhoids, which involve bleeding from the vascular tissue near the anal opening.
Observation is sufficient, and there is no need for prolonged concern.
Engage in moderate exercise, stay hydrated, and consume plenty of fruits and vegetables to avoid constipation.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2018/09/19

More Info


When it comes to the presence of blood in the stool, it can understandably cause significant concern, especially regarding the possibility of colon cancer. However, it's important to approach this issue with a comprehensive understanding of the potential causes and the context of your symptoms.

Firstly, the appearance of fresh red blood in the stool, particularly if it is bright red and appears on the surface of the stool or on toilet paper, often suggests that the source of the bleeding is likely in the lower gastrointestinal tract, such as the rectum or anus. Common causes of such bleeding include hemorrhoids (piles), anal fissures, or diverticular disease. These conditions are generally benign and can often be managed with dietary changes, increased hydration, and sometimes topical treatments.

In contrast, blood that is mixed throughout the stool or that appears darker (like maroon or black) may indicate bleeding from higher up in the gastrointestinal tract, such as the stomach or small intestine. This type of bleeding can be more serious and warrants immediate medical attention.

Regarding your specific situation, the fact that you have experienced significant bleeding over the past three days is concerning and should not be ignored. While the presence of blood does not automatically indicate colon cancer, it is a symptom that should be evaluated by a healthcare professional. Given your description of the blood being bright red and the volume being significant enough to change the color of the toilet water, it is advisable to seek medical attention promptly.

In terms of colon cancer risk, several factors can influence this, including age, family history, personal medical history, and lifestyle factors. If you have a family history of colon cancer or other gastrointestinal diseases, your risk may be higher. However, it is crucial to remember that many individuals with similar symptoms do not have cancer, and there are often benign explanations for rectal bleeding.

You mentioned that you have been experiencing this bleeding for three days. It is essential to consult with a healthcare provider who may recommend a thorough evaluation, which could include a physical examination, blood tests, and possibly a colonoscopy. A colonoscopy is a procedure that allows doctors to view the inside of the colon and rectum and can help identify any abnormalities, including polyps or tumors.

In summary, while the presence of blood in the stool can be alarming and is a symptom that should be taken seriously, it does not necessarily mean that you have colon cancer. The best course of action is to consult with a healthcare professional who can assess your symptoms in the context of your overall health and medical history. Early evaluation and diagnosis are key to addressing any potential issues effectively.

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