Why Is There Blood in My Soft Stool? Gastrointestinal Issues

Soft stools with blood?

I previously had irregular bowel movements, but I have never experienced blood in my stool, except when I strained.
However, today my stool was soft, and I noticed red blood.
What could be the reason for this? Thank you.

PAALE, 20~29 year old female. Ask Date: 2004/01/14

Dr. Yang Peizhen reply Gastroenterology and Hepatology

Hello! There are many causes for red blood in the stool, including hemorrhoids, anal fissures, intestinal polyps, enteritis, and even intestinal tumors.
To determine the cause, a sigmoidoscopy is a necessary examination.
You may visit a major hospital's gastroenterology or colorectal surgery department for evaluation.
Sincerely, Dr.
Yang Pei-Chen, Director of Gastroenterology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/01/14

More Info

Experiencing blood in your stool can be concerning, and it’s important to understand the potential causes and implications of this symptom. Based on the information provided, there are several possible explanations for the presence of bright red blood in your soft stool.

1. Hemorrhoids: One of the most common causes of blood in the stool, especially when it is bright red, is hemorrhoids. These are swollen veins in the lower rectum or anus that can bleed during bowel movements, particularly if you are straining or experiencing constipation. The blood is usually bright red and may be seen on the toilet paper or in the toilet bowl.

2. Anal Fissures: Another possibility is an anal fissure, which is a small tear in the lining of the anus. This can occur due to passing hard stools or straining during bowel movements. Like hemorrhoids, anal fissures can cause bright red blood and may be accompanied by pain during bowel movements.

3. Gastrointestinal Infections: Infections of the gastrointestinal tract can lead to symptoms such as diarrhea, abdominal pain, and sometimes blood in the stool. These infections can be caused by bacteria, viruses, or parasites, and they often result in inflammation of the intestinal lining.

4. Inflammatory Bowel Disease (IBD): Conditions such as Crohn's disease or ulcerative colitis can cause inflammation in the gastrointestinal tract, leading to symptoms like diarrhea, abdominal pain, and blood in the stool. These conditions often require medical evaluation and management.

5. Diverticular Disease: Diverticulosis, which involves the formation of small pouches in the colon, can lead to diverticulitis if these pouches become inflamed or infected. This condition can also result in bleeding.

6. Polyps or Colorectal Cancer: While less common, the presence of blood in the stool can also be a sign of polyps or colorectal cancer, especially if there are other concerning symptoms such as changes in bowel habits, unexplained weight loss, or persistent abdominal pain.
Given your history of gastrointestinal issues, including constipation and soft stools, it is crucial to monitor your symptoms closely. If the blood persists, increases in amount, or is accompanied by other symptoms such as severe abdominal pain, changes in bowel habits, or weight loss, it is essential to seek medical attention promptly. A healthcare provider may recommend diagnostic tests such as a colonoscopy to evaluate the source of the bleeding and rule out any serious conditions.

In the meantime, maintaining a high-fiber diet, staying hydrated, and avoiding straining during bowel movements can help manage your symptoms. Over-the-counter treatments for hemorrhoids or fissures may also provide relief if those are the underlying causes.

In summary, while there are several potential causes for blood in your soft stool, it is essential to consult with a healthcare professional for a thorough evaluation and appropriate management. Early diagnosis and treatment can significantly improve outcomes and alleviate concerns regarding your gastrointestinal health.

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