Hello and welcome to HCM
Presence of blood in stools can occur due to many causes. The character of blood also helps to narrow down the possibilities. Presence of bright red colored blood indicates piles. Presence of altered or brown colored blood indicates bleeding high up in the gastrointestinal tract (GIT) as in case of ulcers. Presence of blood mixed with stools occurs in malignancy or divertculitis of the GIT.
Presence of a mass under the anal opening can be due to piles.
However, clinical examination and some investigations need to be done.
Stool examination and endoscopic examination (colonoscopy
and/ or sigmoidoscopy
) are required.
Consult a gastroenterologist
for further work up.
Thanks and take care
Dr Shailja P Wahal