Red Stools: Causes and When to Seek Medical Advice - Gastroenterology and Hepatology

Q: Red Stools: Causes and When to Seek Medical Advice

Hello： The most likely cause of red blood in the stool is hemorrhoidal bleeding. <br>Additionally, rectal inflammation, rectal polyps, or rectal tumors are also possible causes. <br>If you have any questions, you can consult a gastroenterologist or a colorectal surgeon. <br>Chang

There is red coloration at the end of the stool that resembles blood?

Hello, I have a question: Recently, I have noticed that my bowel movements are not as voluminous as before, but I still go to the bathroom every day.
The size of my stool hasn't changed much, and I have a slight hemorrhoid, about the size of a red bean.
Sometimes I experience a dull pain in my lower left abdomen, and during an ultrasound examination, the doctor mentioned that it could be due to stress and bloating.
Occasionally, after a bowel movement, I notice red-colored stool, whether it is in the form of strips or diarrhea.
What could be the possible reasons for this? Do I need to undergo further detailed examinations? Thank you.

Pingguo, 20~29 year old female. Ask Date: 2015/08/27

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: The most likely cause of red blood in the stool is hemorrhoidal bleeding.
Additionally, rectal inflammation, rectal polyps, or rectal tumors are also possible causes.
If you have any questions, you can consult a gastroenterologist or a colorectal surgeon.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2015/08/27

More Info

Understanding red stools can be concerning, and it's important to approach this issue with a clear understanding of potential causes and when to seek medical advice. Based on your description, there are several factors to consider.

Possible Causes of Red Stools
1. Dietary Factors: One of the most common causes of red stools is dietary intake. Foods such as beets, tomatoes, or foods with red dye can cause the stool to appear red. If you've recently consumed any of these, it might explain the color change.

2. Bleeding: The presence of red stools can also indicate bleeding in the gastrointestinal tract. This could originate from various sources:
- Hemorrhoids: Given that you mentioned having a hemorrhoid, this could be a likely cause. Hemorrhoids can bleed, especially during bowel movements, leading to bright red blood in the stool.

- Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools, and can also result in bright red blood.

- Diverticular Disease: This condition involves the formation of small pouches in the colon wall that can become inflamed or bleed.

- Gastrointestinal Conditions: More serious conditions, such as inflammatory bowel disease (IBD), colorectal polyps, or colorectal cancer, can also lead to red stools.

3. Infections: Certain infections can cause gastrointestinal bleeding, leading to red stools. This is often accompanied by other symptoms like diarrhea, fever, or abdominal pain.

When to Seek Medical Advice
Given your symptoms, it is advisable to consult a healthcare professional, especially if you experience any of the following:
- Persistent Red Stools: If the red color persists despite dietary changes.

- Accompanying Symptoms: If you experience significant abdominal pain, changes in bowel habits, weight loss, or any signs of anemia (such as fatigue or paleness).

- Changes in Bowel Movements: If you notice a significant change in the frequency or consistency of your stools, such as persistent diarrhea or constipation.

- Worsening Hemorrhoids: If your hemorrhoids become more painful or bleed more than usual.

Diagnostic Steps
If you seek medical advice, your doctor may recommend several diagnostic steps:
- Physical Examination: A thorough examination to assess your hemorrhoids and any other potential issues.

- Stool Tests: To check for blood or infections.

- Colonoscopy: If there is a concern about more serious conditions, a colonoscopy may be performed to visualize the colon and rectum directly.

- Imaging Studies: Additional imaging, such as a CT scan, may be warranted based on your symptoms.

Conclusion
While red stools can sometimes be benign, they can also indicate underlying health issues that require attention. Given your symptoms of abdominal discomfort, changes in stool appearance, and the presence of hemorrhoids, it is prudent to seek medical evaluation. Early diagnosis and management can help address any potential issues effectively and ensure your overall health and well-being. Always prioritize communication with your healthcare provider regarding any changes in your health.

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