Red Stains in Stool: Signs of Hemorrhoids or Something Else? - Surgery

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Stool turns red after sitting in water for a while?


Hello, Dr.
Ke.
The consultation number for my previous question is #175439.
The issue is as follows: I developed internal hemorrhoids about six months ago, and my condition improved approximately two months ago.
Recently, about a month ago, I noticed that my stool has been accompanied by streaks of red.
After sitting in the toilet for a while, the water around the stool gradually turns red, resembling blood; all other aspects of my health are normal.
Could this be an early sign of a hemorrhoid recurrence, or do you think there might be other potential conditions? Dr.
Ke's response: Abnormal stool color is often caused by food residues, such as carrots, dragon fruit, tomatoes, and pumpkin, which are common culprits.
I recommend temporarily avoiding dark-colored foods, and if there is no improvement, you may consider having a colonoscopy.
Additionally, I would like to ask Dr.
Ke: After the stool turned red in the water, I purchased a suppository for hemorrhoids and used it.
After using the medication, the redness decreased and became lighter, and I also refrained from drinking alcohol during this period.
My understanding of Chinese is limited, so I apologize for being verbose.
Referring back to Dr.
Ke's previous response, I would like to ask: 1.
Hemorrhoids would not cause this symptom, correct? 2.
Does drinking red wine also cause the stool and water to turn red? Thank you, Dr.
Ke, for your attention to my slightly changing symptoms.
I apologize for the inconvenience.
Thank you.

Mr. Wu, 40~49 year old female. Ask Date: 2021/11/09

Dr. Ke Fangxu reply Surgery


1.
There are no absolutes in medicine; one cannot determine if it is hemorrhoids using this method.

2.
I have not heard of this claim.
If you are truly unable to feel at ease, scheduling a colonoscopy is the best way to address your concerns.

Reply Date: 2021/11/09

More Info


When it comes to the presence of red stains or substances in stool, it is essential to approach the situation with caution and a clear understanding of potential causes. The red color in stool can indeed be alarming, and while it may indicate the presence of blood, it can also be attributed to various other factors, including dietary choices.

Firstly, it is crucial to differentiate between actual blood and food remnants. Blood in the stool can appear bright red (indicating fresh bleeding) or dark red/black (indicating older blood). If the red substance you observe does not disperse in water and appears more like a solid or gel-like mass, it could potentially be food particles rather than blood. Foods such as beets, tomatoes, red peppers, and even certain fruits like watermelon can impart a reddish hue to stool. If you have recently consumed such foods, they could be the source of the red coloration.

In your case, you mentioned consuming red bean and longan porridge, which could also contribute to the observed red color. If you have not eaten any red foods recently, the possibility of blood should be considered. The fact that you had a colonoscopy a few months ago, which revealed only a small polyp, is reassuring, but it does not entirely rule out the possibility of new issues arising since then.

Regarding your specific questions about hemorrhoids and the potential for a recurrence of symptoms, it is indeed possible that the red stains could be related to hemorrhoids, especially if you have a history of them. Hemorrhoids can cause bright red blood to appear on the stool or toilet paper, particularly if there is straining during bowel movements. If you notice blood only on the surface of the stool or on the toilet paper, it is more likely to be from hemorrhoids rather than from deeper gastrointestinal bleeding.

As for your inquiry about the effects of red wine, it is true that certain foods and beverages can alter the color of stool. Red wine, like other red foods, can potentially lead to a reddish tint in stool. However, if the stool appears significantly altered in color or if you experience other symptoms such as pain, changes in bowel habits, or weight loss, it is advisable to seek medical attention.

In summary, while the presence of red stains in stool can be concerning, it is essential to consider dietary factors and the possibility of hemorrhoids. If the red coloration persists, worsens, or is accompanied by other symptoms, it would be prudent to consult a healthcare professional for further evaluation. A repeat colonoscopy may be warranted if there are significant changes in your bowel habits or if you have ongoing concerns about gastrointestinal bleeding. Always prioritize your health and do not hesitate to seek medical advice when in doubt.

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