There is red in the stool?
Hello doctor, I previously had internal hemorrhoids, which caused bleeding during bowel movements.
However, my hemorrhoids have healed (meaning there is no more pain in the anus).
Now, when I have a bowel movement, I notice that the stool is mostly brown, but upon closer inspection, I see some red spots distributed throughout.
I ate watermelon in the past two days.
I'm unsure if this situation qualifies as bloody stool.
I haven't seen any blood when wiping.
Thank you.
A Chen, 20~29 year old female. Ask Date: 2013/07/17
Dr. Yu Mingchang reply Surgery
Hello^^ I recommend that you go to the hospital for a stool occult blood test.
Thank you!!
Reply Date: 2013/07/17
More Info
When it comes to understanding the presence of red streaks in your stool, it's important to consider several factors that could contribute to this observation. Given your history of hemorrhoids, it's understandable to be concerned about the possibility of blood in your stool. However, the appearance of red streaks can have various causes, and not all of them are alarming.
First, let's clarify what you might be seeing. If the red streaks are bright red and are mixed with your stool, it could indicate bleeding from the lower gastrointestinal tract, such as from hemorrhoids, anal fissures, or other conditions affecting the rectum or anus. Since you mentioned that your hemorrhoids have healed and you are no longer experiencing pain, it is possible that the red streaks could be remnants of previous irritation or minor bleeding that has not fully resolved.
On the other hand, if the red streaks are more like a coating on the stool rather than mixed throughout, it could be due to dietary factors. For instance, consuming certain foods, such as watermelon (which you mentioned), can sometimes lead to changes in stool color. The pigments in foods can affect the appearance of your stool, and this might explain the reddish streaks you are observing.
To determine whether the red streaks are indeed blood, consider the following:
1. Color and Consistency: Bright red blood typically indicates a source of bleeding closer to the anus, while darker blood may suggest bleeding from higher up in the gastrointestinal tract. If the streaks are bright red and appear fresh, this is more concerning.
2. Associated Symptoms: Pay attention to any other symptoms you might be experiencing, such as abdominal pain, changes in bowel habits, or weight loss. The presence of these symptoms could indicate a more serious condition that warrants medical attention.
3. Frequency: If this is a one-time occurrence, it may not be a cause for alarm. However, if you continue to see red streaks in your stool over several days, it would be wise to consult a healthcare professional.
4. Physical Examination: A healthcare provider may perform a physical examination, including a digital rectal exam, to check for any signs of hemorrhoids or other abnormalities.
In conclusion, while the presence of red streaks in your stool can be concerning, it is not always indicative of a serious problem, especially if you have a history of hemorrhoids. However, it is essential to monitor your symptoms closely. If the streaks persist or if you experience any additional symptoms, I recommend seeking medical advice for a thorough evaluation. A healthcare professional can provide you with a proper diagnosis and treatment options if necessary. Remember, it’s always better to err on the side of caution when it comes to your health.
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