Abnormal Stool Appearance: What Red Spots Could Mean

Q: Abnormal Stool Appearance: What Red Spots Could Mean

Hello： If you are unable to determine whether there is bleeding, it is recommended that you undergo colorectal cancer screening and check for fecal occult blood. <br>Individuals aged 50 and older are eligible for a free fecal test for colorectal cancer screening every two years t

Stool shape

If the stool is shaped normally like a sausage but has red spots on the inside and surface, and there is no blood on the toilet paper after wiping the anal area, is this a serious issue?

fa, 50~59 year old female. Ask Date: 2015/04/16

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: If you are unable to determine whether there is bleeding, it is recommended that you undergo colorectal cancer screening and check for fecal occult blood.
Individuals aged 50 and older are eligible for a free fecal test for colorectal cancer screening every two years through the National Health Administration.
Wishing you safety and good health.
Sincerely, Dr.
Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/04/16

More Info

When it comes to abnormal stool appearance, particularly the presence of red spots or discoloration, it can be a source of concern for many individuals. The key to understanding what these red spots might indicate lies in a combination of dietary habits, potential gastrointestinal issues, and the overall context of your health.

Firstly, it is essential to recognize that the color and appearance of stool can be influenced significantly by what we eat. Foods such as beets, red peppers, tomatoes, and certain fruits can impart a reddish hue to the stool. If you have recently consumed any of these foods, it is quite possible that the red spots you are observing are simply remnants of undigested food. This is especially true if the stool itself maintains a normal shape and consistency, as you described.

However, if the red spots are not attributable to dietary factors, it could raise concerns about gastrointestinal bleeding. The fact that you did not notice any blood on the toilet paper after wiping is a positive sign, as it may suggest that the red discoloration is not due to fresh blood. Blood in the stool can appear in various forms, ranging from bright red (indicating fresh bleeding, often from the lower gastrointestinal tract) to darker shades (which may indicate bleeding higher up in the digestive system).

In your case, since the stool shape is normal and there is no blood on the wiping tissue, it is less likely to be a severe issue. However, it is still prudent to monitor the situation. If the red spots persist, change in color, or if you experience any additional symptoms such as abdominal pain, changes in bowel habits, or weight loss, it would be advisable to consult a healthcare professional for further evaluation.

Additionally, if you have a history of gastrointestinal issues, such as the non-specific colitis you mentioned previously, it is essential to remain vigilant. Conditions like colitis can sometimes lead to changes in stool appearance, including the presence of mucus or blood. If you have had recent gastrointestinal evaluations, such as a colonoscopy, and no significant issues were found, it is reassuring, but ongoing symptoms should not be ignored.

In summary, while the presence of red spots in your stool can be alarming, it is often related to dietary factors, especially if the stool itself is otherwise normal. However, continuous monitoring and awareness of any additional symptoms are crucial. If you have any doubts or if the situation does not improve, seeking medical advice is always the best course of action to ensure your health and peace of mind.

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