Red Spots in Stool: Should You Worry About Hemorrhoids or Cancer? - Gastroenterology and Hepatology

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There are some red spots in the stool?


Hello doctor, yesterday I had diarrhea and passed a lot of small soft stools.
I noticed that one of the soft stools had numerous tiny red dots on it, while the others did not.
There was no blood or redness when I wiped.
I was previously diagnosed with internal hemorrhoids and would like to know if this is related to the internal hemorrhoids.
Could it also be related to colon cancer?

Nìmíng, 20~29 year old female. Ask Date: 2022/12/06

Dr. Chen Shidian reply Gastroenterology and Hepatology


It does not appear to be colorectal cancer; further observation is recommended.

Reply Date: 2022/12/06

More Info


When it comes to the presence of red spots in stool, it is understandable to feel concerned about potential underlying health issues, including hemorrhoids or even colorectal cancer. However, it is important to approach this situation with a clear understanding of the possible causes and the appropriate steps to take.

Firstly, the appearance of red spots in stool can often be attributed to several benign conditions, with hemorrhoids being one of the most common culprits. Hemorrhoids, which are swollen veins in the lower rectum or anus, can lead to minor bleeding, especially during bowel movements. This bleeding may not always be visible in the stool itself but can manifest as red spots or streaks on the surface of the stool. Given your history of being diagnosed with internal hemorrhoids, it is quite plausible that the red spots you observed are related to this condition.

In addition to hemorrhoids, dietary factors can also play a significant role in the appearance of stool. For instance, certain foods, particularly those that are red or contain red dyes, can lead to changes in stool color. If you have recently consumed foods like beets, tomatoes, or even certain types of candy, these could potentially explain the red spots without any underlying pathology.

However, it is crucial to remain vigilant and consider other potential causes. While the likelihood of red spots being indicative of colorectal cancer is relatively low, especially in the absence of other symptoms such as significant weight loss, changes in bowel habits, or abdominal pain, it is still a possibility that should not be dismissed. Colorectal cancer can sometimes present with subtle symptoms, and early detection is key to successful treatment.

Given your concerns, it would be advisable to consult with a healthcare professional who can perform a thorough evaluation. This may include a physical examination, a review of your medical history, and possibly further diagnostic tests such as a colonoscopy, especially considering your previous experience with hemorrhoids and your current symptoms. A colonoscopy can help visualize the colon and rectum, allowing for the identification of any abnormalities, including polyps or tumors.

In summary, while the presence of red spots in your stool may be related to your known issue with hemorrhoids or dietary factors, it is essential to take your symptoms seriously. Monitoring your bowel habits, noting any changes, and seeking medical advice will help ensure that any potential issues are addressed promptly. Remember, early intervention is crucial in managing any health concerns effectively.

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