Red Tissue in Stool: Should You Be Concerned?

Red tissue in stool?

Hello doctor, over the past few years, I have occasionally noticed red shavings in my stool that resemble skin flakes.
I'm not sure if it's blood or stool tissue.
Sometimes when I wipe with toilet paper, there are red spots, but I had a colonoscopy six months ago, and the doctor said everything was normal and there were no polyps.
So, I would like to know if these red shavings are a cause for concern.

Kevin, 40~49 year old female. Ask Date: 2021/03/21

Dr. Ke Fangxu reply Surgery

Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin.
Fruit seeds may also contribute to this issue.
It is advisable to temporarily avoid dark-colored foods.
If the abnormality persists, a consultation with a physician for a colonoscopy may be recommended.

Reply Date: 2021/03/21

More Info

When it comes to the presence of red tissue in your stool, it is essential to approach the situation with caution and seek medical advice. The appearance of red tissue can be concerning, as it may indicate various underlying issues, including hemorrhoids, anal fissures, or even more serious conditions such as gastrointestinal bleeding.

Based on your description, it seems that you have noticed red, shavings-like material in your stool, which could potentially be blood or remnants of stool. The fact that you have also observed red spots on the toilet paper after wiping adds to the concern. While you mentioned that you had a colonoscopy six months ago, during which no polyps were found, it is important to remember that new symptoms can arise at any time.

Here are some potential causes for the red tissue in your stool:
1. Hemorrhoids: These are swollen veins in the lower rectum or anus that can cause bleeding during bowel movements. If you are experiencing any discomfort, itching, or pain in the anal area, hemorrhoids could be a likely cause.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to bleeding and may cause sharp pain during bowel movements.

3. Diverticular Disease: Diverticula are small pouches that can form in the walls of the colon. If these pouches become inflamed or infected, they can cause bleeding.

4. Gastrointestinal Bleeding: This is a more serious concern and can originate from various parts of the digestive tract. Conditions such as ulcers, inflammatory bowel disease (IBD), or even colorectal cancer can lead to bleeding.

5. Dietary Factors: Sometimes, the consumption of certain foods, such as beets or red food coloring, can lead to red-colored stools that may be mistaken for blood.

Given that you have already undergone a colonoscopy, it is reassuring that no polyps were found at that time. However, the appearance of new symptoms warrants further investigation. It is crucial to consult with your healthcare provider to discuss your symptoms in detail. They may recommend additional tests, such as a repeat colonoscopy or other imaging studies, to rule out any serious conditions.

In the meantime, keep track of any other symptoms you may experience, such as abdominal pain, changes in bowel habits, weight loss, or fatigue. These details can be helpful for your doctor in determining the underlying cause of the red tissue in your stool.

In conclusion, while the presence of red tissue in your stool can be alarming, it is essential to seek medical advice promptly. Early diagnosis and treatment can help address any potential issues and provide peace of mind. Remember, it is always better to err on the side of caution when it comes to your health.

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