Red Specks in Stool: Should You Be Concerned? - Gastroenterology and Hepatology

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Excretion issues?


The stool is normally brown, but it contains small red particles that resemble beans, and occasionally there are some black spots.
Is this normal, or could it indicate bleeding? When wiping with toilet paper, there is no red color, and it doesn't seem like bleeding; it's just that every day the stool has these strange red bean-like particles.

He, 20~29 year old female. Ask Date: 2015/08/13

Dr. Yang Zhichao reply Gastroenterology and Hepatology


Dear Mr./Ms.
He, regarding your concern about the presence of red, bean-like particles in your stool, it is advisable to visit a hospital for a medical evaluation and a stool examination.
If the results are normal, there is no need to worry.
Changhua Hospital cares about your health.

Reply Date: 2015/08/13

More Info


When it comes to the presence of red specks in your stool, it's understandable to feel concerned. The appearance of red specks that resemble beans in your stool can be alarming, especially if you're unsure of their origin. However, there are several factors to consider before jumping to conclusions about potential health issues.

Firstly, it's important to note that the color and consistency of stool can vary widely based on diet, hydration, and overall health. Red specks in stool can sometimes be attributed to dietary factors. For instance, if you've recently consumed foods that are red or contain red dye, such as beets, tomatoes, or certain cereals, these can sometimes pass through the digestive system and appear as red specks in your stool. Similarly, seeds from fruits like strawberries or raspberries can also resemble small red specks.

On the other hand, if the red specks are indeed blood, this could indicate a more serious issue. Blood in the stool can come from various sources within the gastrointestinal tract, including hemorrhoids, anal fissures, diverticulosis, or more serious conditions like inflammatory bowel disease (IBD) or colorectal cancer. The fact that you mentioned not seeing any blood on toilet paper when wiping is a positive sign, but it does not completely rule out the possibility of bleeding elsewhere in the digestive tract.

The occasional presence of black specks can also be noteworthy. Black stool can be caused by the consumption of certain foods (like black licorice or iron supplements) or could indicate bleeding from the upper gastrointestinal tract, which can be more serious.
Given your description, it would be prudent to monitor your symptoms closely. If the red specks persist, change in appearance, or if you experience any additional symptoms such as abdominal pain, changes in bowel habits, weight loss, or fatigue, it would be advisable to seek medical attention. A healthcare provider may recommend a stool test, blood tests, or even imaging studies to determine the cause of the red specks.

In summary, while the presence of red specks in your stool can sometimes be harmless and related to dietary choices, it is essential to remain vigilant and consult a healthcare professional if you have any concerns or if the symptoms persist. Regular check-ups and open communication with your doctor can help ensure that any potential issues are addressed promptly. Remember, your health is paramount, and it's always better to err on the side of caution when it comes to unusual changes in your body.

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