Abdominal Pain and Dark Red Stool: What Could It Mean? - Gastroenterology and Hepatology

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Abdominal pain with diarrhea and dark red stools?


Hello, doctor! I am 21 years old, and today I am experiencing abdominal pain and diarrhea.
My stool is softer and has a dark red color, but when I wipe with toilet paper, there is no dark red color, only yellow-brown.
Doctor, do you think there is something wrong with my gastrointestinal tract? Thank you, doctor!

Lin Tongxue, 20~29 year old female. Ask Date: 2021/12/23

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: It may just appear darker, or you can collect it next time you encounter it and test for occult blood in the stool.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2021/12/23

More Info


Abdominal pain accompanied by dark red stool can be concerning and may indicate various gastrointestinal issues. Given your age and the symptoms you've described, it's essential to consider several potential causes.

Firstly, the presence of dark red stool can suggest bleeding somewhere in the gastrointestinal tract. This could be due to several reasons, including:
1. Gastrointestinal Bleeding: Dark red or maroon-colored stool often indicates that there is bleeding in the lower gastrointestinal tract, such as the colon or rectum. Conditions like diverticulosis, hemorrhoids, or colorectal polyps can cause such bleeding. In more severe cases, it could be indicative of inflammatory bowel disease (IBD) such as Crohn's disease or ulcerative colitis.

2. Dietary Factors: Sometimes, the consumption of certain foods can lead to changes in stool color. For example, beets, certain berries, or foods with artificial coloring can cause reddish stool. If you have recently consumed such foods, this could explain the color change.

3. Infections: Gastroenteritis, which can be caused by viral or bacterial infections, may lead to abdominal pain and changes in stool consistency and color. If the infection is severe, it can cause inflammation and bleeding in the intestines.

4. Medications: Certain medications, especially non-steroidal anti-inflammatory drugs (NSAIDs), can irritate the gastrointestinal lining and lead to bleeding. If you are taking any medications, it is worth considering their side effects.

5. Other Conditions: Conditions such as peptic ulcers or gastritis can also lead to abdominal pain and changes in stool color, although these typically present with other symptoms such as nausea, vomiting, or a burning sensation in the stomach.

Given your symptoms of abdominal pain and dark red stool, it is crucial to seek medical attention. A healthcare professional will likely perform a physical examination and may recommend diagnostic tests such as:
- Stool Tests: To check for the presence of blood, infections, or other abnormalities.

- Blood Tests: To assess for anemia or signs of infection.

- Imaging Studies: Such as an abdominal ultrasound or CT scan, to visualize the organs and identify any potential issues.

- Endoscopy: If necessary, to directly visualize the gastrointestinal tract and identify sources of bleeding.

In the meantime, monitor your symptoms closely. If you experience additional symptoms such as fever, severe pain, or signs of dehydration (such as dizziness or decreased urination), seek immediate medical care.

In conclusion, while your symptoms could stem from various causes, it is essential to consult with a healthcare provider for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and ensure better health outcomes.

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