Daily Blood in Stool: Gastrointestinal Concerns - Gastroenterology and Hepatology

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Recently, I have been experiencing bloody stools every day?


I have a bowel movement only once a day, usually in the morning.
After I finish, I notice blood (bright red) on the toilet paper when I wipe.
It looks somewhat like menstrual blood.
After wiping, the bleeding stops.
Upon closer inspection, I see that my stool is mixed with red blood, and there are drops of blood floating in the toilet water.
However, I feel completely fine; I don't have diarrhea or abdominal pain.
I'm very worried and unsure about what might be wrong.

Niu Niu, 20~29 year old female. Ask Date: 2015/11/18

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello, if you notice blood when wiping after a bowel movement, it may indicate rectal or anal bleeding.
Common causes include anal fissures, hemorrhoids, and colitis.
It is advisable to consult a colorectal specialist or a gastroenterologist for diagnosis and treatment.
Wishing you good health.
Sincerely, Lin Ming-Hui, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/11/18

More Info


Experiencing blood in your stool can be concerning, and it's understandable that you're worried, especially since you mentioned that you don't have any accompanying symptoms like abdominal pain or diarrhea. The presence of bright red blood in your stool or on toilet paper can indicate several potential issues, some of which may be benign, while others could require medical attention.

Firstly, the bright red color of the blood typically suggests that the source of the bleeding is in the lower gastrointestinal tract, such as the rectum or anus. Common causes of this type of bleeding include hemorrhoids, anal fissures, or diverticular disease. Hemorrhoids are swollen veins in the lower rectum or anus that can bleed during bowel movements, especially if you're straining or if your stool is hard. Anal fissures, which are small tears in the lining of the anus, can also cause bright red blood and are often associated with pain during bowel movements.

Another possibility is diverticulosis, a condition where small pouches form in the walls of the colon. These pouches can become inflamed or infected, leading to diverticulitis, which can cause bleeding. However, diverticulitis usually presents with additional symptoms such as abdominal pain, fever, and changes in bowel habits.

It's worth noting that while you mentioned not feeling any discomfort, the absence of pain does not rule out the possibility of a significant issue. Some conditions can be asymptomatic initially, and bleeding can be a warning sign that should not be ignored.
Given your situation, here are some recommendations:
1. Monitor Your Symptoms: Keep track of any changes in your bowel habits, the frequency and amount of blood, and any new symptoms that may develop. This information will be helpful for your healthcare provider.

2. Dietary Adjustments: Ensure you're consuming a high-fiber diet to promote regular bowel movements and prevent straining, which can exacerbate hemorrhoids or fissures. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying well-hydrated is also crucial.

3. Avoid Straining: When using the restroom, try to relax and avoid straining. If you're experiencing constipation, consider using over-the-counter stool softeners or laxatives as needed, but consult with a healthcare provider before starting any new medication.

4. Seek Medical Attention: Since you are experiencing blood in your stool, it is advisable to consult with a healthcare professional, preferably a gastroenterologist. They may recommend a physical examination, and possibly a colonoscopy or other diagnostic tests to determine the cause of the bleeding. Early diagnosis is key to managing any potential issues effectively.

5. Lifestyle Changes: If you have a sedentary lifestyle, incorporating regular physical activity can help improve your digestive health and reduce the risk of conditions that may lead to bleeding.

In summary, while the presence of blood in your stool can be alarming, it is essential to approach the situation calmly and seek medical advice. Many causes of rectal bleeding are treatable, especially when addressed early. Your health is paramount, and understanding the underlying cause of your symptoms is the first step toward effective management.

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