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What Causes Blood In Stool?

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Posted on Mon, 15 May 2017
Question: I have had a small amount of blood in the water from my stool. I had a clean XXXXXXX of health from a colonoscopy last year. What could this be?
doctor
Answered by Dr. Ramesh Kumar (38 minutes later)
Brief Answer:
Bleeding from GI tract.

Detailed Answer:
Hi there,
Thanks for choosing this forum for your query.

There are many causes ranging from harmless illness to life-threatening disease conditions which can cause bleeding with stools. Usually the blood will be bright red if the bleeding is from the site closer to the anus or if it flows freely and rapidly from the small intestine; if the blood remains in the gut for a longer time without getting passed in stools then the bacteria break down the blood cells and cause the black color so is the reason the stools are black in color sometimes.
You have not specified the color of your stool in details hence would suggest you common causes for both upper and lower bleeds.

Common Causes not related to any specific disease.

Smoking, Regular alcohol intake, chewing of betel leaves or tobacco.
Eating of spicy food and oily food.
Stress, strenuous exercise can sometimes cause.
Intake of any medicines or Drugs.


Anal Lesions:
Ulcerative colitis, Crohn’s disease, Inflammatory bowel disease, Gastroenteritis(upper GI usually)
Diverticulitis
Fissure in ano
Piles or hemorrhoids
Rectal injury

So they are the most common causes. As you have not mentioned any history of yours kindly go through common causes first. If that's not your case then investigation of the anal canal should be done by proctoscope to rule out fissure, Hemorrhoid etc. an ultrasound abdomen should be done initially to rule out chances of inflammatory bowel disease.

Do you strain a lot while passing stools?
Are you constipated? Or do you ever feel constipated while passing stools?
Please let me know about your diet schedule too.

Hope I answered your query, please do follow-up with answers to the questions.


Regards.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ramesh Kumar (1 hour later)
I don't smoke, drink alcohol or use drugs.
I haven't been straining on the toilet.
I have recently been eating a diet or fruit and vegetables, free of dairy, most fats and carbs. The worst thing I do is drink espresso in the morning. I have not suffered any recent injuries.
I have not been constipated.
The blood is red.
doctor
Answered by Dr. Ramesh Kumar (4 hours later)
Brief Answer:
follow up

Detailed Answer:
Hi again,
As your food habits,lifestyle etc are normal i would suggest you to go for in physical examination by a colorectal specialist.
Proctoscopic examination of rectum would be done to see if there are any hemorrhoids or fissure.
Apart from that digital manual examination should also be done.

Advice
Would strongly suggest you to go to nearest colorectal specialist.

Regards
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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What Causes Blood In Stool?

Brief Answer: Bleeding from GI tract. Detailed Answer: Hi there, Thanks for choosing this forum for your query. There are many causes ranging from harmless illness to life-threatening disease conditions which can cause bleeding with stools. Usually the blood will be bright red if the bleeding is from the site closer to the anus or if it flows freely and rapidly from the small intestine; if the blood remains in the gut for a longer time without getting passed in stools then the bacteria break down the blood cells and cause the black color so is the reason the stools are black in color sometimes. You have not specified the color of your stool in details hence would suggest you common causes for both upper and lower bleeds. Common Causes not related to any specific disease. Smoking, Regular alcohol intake, chewing of betel leaves or tobacco. Eating of spicy food and oily food. Stress, strenuous exercise can sometimes cause. Intake of any medicines or Drugs. Anal Lesions: Ulcerative colitis, Crohn’s disease, Inflammatory bowel disease, Gastroenteritis(upper GI usually) Diverticulitis Fissure in ano Piles or hemorrhoids Rectal injury So they are the most common causes. As you have not mentioned any history of yours kindly go through common causes first. If that's not your case then investigation of the anal canal should be done by proctoscope to rule out fissure, Hemorrhoid etc. an ultrasound abdomen should be done initially to rule out chances of inflammatory bowel disease. Do you strain a lot while passing stools? Are you constipated? Or do you ever feel constipated while passing stools? Please let me know about your diet schedule too. Hope I answered your query, please do follow-up with answers to the questions. Regards.