Blood in Stool: Is It Hemorrhoids or Diet? - Gastroenterology and Hepatology

Rectal bleeding

Hello Dr.
Chen: I have noticed that during bowel movements in the past few days, my stool has some marks that look like they have been pressed down, and there is a slight pinkish color at the cut-off end of the stool.
However, the color of the stool is generally a normal light brown or dark brown.
Could this be a symptom of internal hemorrhoids being compressed and bleeding? (I have internal hemorrhoids) Or could it be related to food? (I ate a few tomatoes the day before) Thank you for your response.

wings, 30~39 year old female. Ask Date: 2019/02/16

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Please seek medical attention from a colorectal surgeon.

Reply Date: 2019/02/16

More Info

When it comes to interpreting blood in the stool, it is essential to consider various factors, including the appearance of the blood, the consistency of the stool, and any underlying medical conditions. In your case, you mentioned observing a pinkish hue at the end of your stool, which could indicate a few potential causes.

Given that you have a history of internal hemorrhoids, it is quite possible that the blood you are seeing is related to this condition. Hemorrhoids can cause bleeding, especially during bowel movements, when the stool may exert pressure on the swollen blood vessels in the rectal area. This can lead to bright red blood on the toilet paper or mixed with the stool. The fact that your stool remains a normal color (yellow or dark brown) suggests that the bleeding is likely coming from the lower gastrointestinal tract, which aligns with hemorrhoidal bleeding.

On the other hand, dietary factors can also play a role in gastrointestinal bleeding. You mentioned consuming tomatoes the day before noticing the blood. While tomatoes are generally not known to cause bleeding, certain foods can irritate the gastrointestinal lining or exacerbate existing conditions. However, the presence of blood in the stool is not typically linked to dietary choices unless there is an underlying issue such as a food allergy or intolerance.

It is crucial to monitor the situation closely. If the bleeding persists, increases in volume, or is accompanied by other symptoms such as pain, changes in bowel habits, or weight loss, it is imperative to seek medical attention. A healthcare provider may recommend a thorough evaluation, which could include a physical examination, a digital rectal exam, or even a colonoscopy to assess the source of the bleeding.

In summary, while your symptoms may be indicative of hemorrhoidal bleeding, it is essential to remain vigilant and consult a healthcare professional if the situation does not improve or worsens. Early intervention can help prevent complications and ensure that any underlying conditions are appropriately addressed.

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