Black and Red Spots in Stool: Causes and Itching Relief Tips - Surgery

Share to:

There are small black dots resembling sesame seeds in the stool, along with small red spots, and there is itching in the anal and genital areas?


Hello doctor, I don't usually eat very spicy food, but recently I've been noticing small black dots that resemble sesame seeds in my stool, and today there were also small red dots, although the red dots are not frequent.
I've been experiencing itching around my anus and genital area for a while now.
I use Sebamed cleansing gel for hygiene, which provides some relief, but the itching varies in intensity.
Could you please help me with this?

Su, 20~29 year old female. Ask Date: 2015/08/05

Dr. Yu Mingchang reply Surgery


Hello: After bowel movements, simply clean the anal area with water.
For more information, please visit #34910; Changhua Hospital, Ministry of Health and Welfare cares about you.

Reply Date: 2015/08/05

More Info


When it comes to the appearance of black and red spots in stool, as well as associated itching, it is essential to approach the situation with caution and awareness of potential underlying health issues. The presence of black spots in stool can often be attributed to several factors, including dietary choices, gastrointestinal bleeding, or the presence of certain medications or supplements. Red spots, on the other hand, may indicate fresh blood, which could be a sign of hemorrhoids, anal fissures, or other gastrointestinal conditions.


Possible Causes of Black and Red Spots in Stool
1. Dietary Factors: Certain foods can lead to the appearance of black specks in stool. For instance, consuming foods like black licorice, blueberries, or foods with dark pigments can result in harmless discoloration. If you have recently eaten such foods, this could explain the black spots.

2. Gastrointestinal Bleeding: Black stool can also indicate the presence of digested blood, which may arise from bleeding in the upper gastrointestinal tract (such as the stomach or small intestine). This is a more serious condition and requires immediate medical attention.

3. Hemorrhoids or Anal Fissures: The presence of red spots may suggest bleeding from hemorrhoids or anal fissures. These conditions can cause discomfort and itching around the anal area, leading to the symptoms you are experiencing.

4. Infections or Inflammatory Conditions: Certain infections or inflammatory bowel diseases (IBD) can also lead to changes in stool color and consistency, along with itching and discomfort.


Itching Relief Tips
1. Maintain Hygiene: It is crucial to keep the anal area clean and dry. Using gentle, fragrance-free cleansers like the Sebamed intimate wash you mentioned can help soothe irritation. Avoid harsh soaps or wipes that may exacerbate the itching.

2. Avoid Irritants: Steer clear of scented products, harsh soaps, or any products that may irritate the skin around the anal area. Wearing loose-fitting cotton underwear can also help reduce irritation.

3. Topical Treatments: Over-the-counter creams or ointments containing hydrocortisone can help relieve itching and inflammation. However, it is advisable to consult with a healthcare provider before using any topical treatments, especially if you have ongoing symptoms.

4. Dietary Adjustments: If you suspect that certain foods may be contributing to your symptoms, consider keeping a food diary to identify potential triggers. Increasing fiber intake can help prevent constipation and reduce straining during bowel movements, which may alleviate symptoms related to hemorrhoids.

5. Hydration: Ensure you are drinking plenty of water to stay hydrated, which can help maintain regular bowel movements and prevent constipation.


When to Seek Medical Attention
Given the symptoms you are experiencing, it is essential to consult with a healthcare professional. If you notice persistent black or red spots in your stool, or if you experience significant discomfort, bleeding, or changes in bowel habits, it is crucial to seek medical evaluation. A healthcare provider may recommend diagnostic tests, such as a stool analysis or colonoscopy, to determine the underlying cause of your symptoms.

In summary, while some dietary factors may contribute to the appearance of black and red spots in stool, it is vital to consider the possibility of more serious conditions. Maintaining good hygiene, avoiding irritants, and making dietary adjustments can help alleviate itching. However, consulting with a healthcare professional is the best course of action to ensure proper diagnosis and treatment.

Similar Q&A

Understanding Red Spots in Stool: Possible Causes and Concerns

Recently, I have noticed dark red spots mixed in my stool, resembling skin allergy rashes, along with some red lumps slightly smaller than a pinky nail. I initially thought this was caused by eating red quinoa and multigrain rice, so I switched to white rice. However, after a few...


Dr. Ke Fangxu reply Surgery
Abnormal stool color is often caused by food residues, with common culprits including carrots, dragon fruit, tomatoes, and pumpkin. It is advisable to temporarily avoid dark-colored foods (including turmeric). If there is no improvement, you may consult a physician to perform a c...

[Read More] Understanding Red Spots in Stool: Possible Causes and Concerns


Understanding Black Spots in Stool: Causes and Concerns

I went to the hospital to see a gastroenterologist due to a burning sensation in my stomach. The doctor prescribed me medications, including "Gastric Comfort" and "Smooth Digestion," and mentioned that it was likely just a digestive issue without advising any ...


Dr. Zhang Kebin reply Gastroenterology and Hepatology
If the condition does not improve with medication or if new symptoms arise, it is recommended to return for a follow-up consultation with the original treating physician to discuss whether medication adjustments or further examinations are necessary. Thank you.

[Read More] Understanding Black Spots in Stool: Causes and Concerns


Understanding Red Spots in Stool: When to See a Doctor

Hello, I have been experiencing constipation for about a month, from mid-February to mid-March. My stools are pellet-like, small in quantity, and have a yellow-brown color with a few red spots. After rinsing with a handheld shower, the inside appears black. Should I see a doctor?


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: You can continue to observe, and try to avoid fruits with red skins. If symptoms persist, you may seek medical attention. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Red Spots in Stool: When to See a Doctor


Understanding Black Spots in Stool: Causes and Concerns

I noticed a few small black spots on my stool, about two or three, but my stool is brown and not watery. I don't have any abdominal pain, and my stool is solid, not thin. Should I be concerned about gastric bleeding or issues related to the colon? Thank you!


Dr. Ke Fangxu reply Surgery
The black dots in the stool are mostly caused by food residues. Paying attention to your diet and avoiding the ingestion of plant seeds in the coming days should help eliminate this issue. If this condition persists, a gastrointestinal endoscopy can be considered.

[Read More] Understanding Black Spots in Stool: Causes and Concerns


Related FAQ