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What Causes Blood In Stool?

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Posted on Fri, 27 Mar 2015
Question: My wife had blood in her last stool,it appeared on the toilet paper.She is 53 years old.What
is going on could she have hemoriods.Thank you XXXXXXX
doctor
Answered by Dr. Michelle Gibson James (52 minutes later)
Brief Answer:
hemorrhoids common but if no recent tests then need to rule out other cause

Detailed Answer:
HI, thanks for using healthcare magic

Bright red blood seen on wiping is most commonly related to hemorrhoids so it is possible this is the cause but other conditions would still have to be ruled out before giving this as the final diagnosis.

If she's had a recent colonoscopy, barium enema or sigmoidoscopy (tests that would have taken a look at the colon) then no other investigations would be needed.

If there is no history of recent screening tests then she should consider having one of these done.

Other causes of blood in the stool are: (1) diverticular disease
(2)benign (non cancerous) polyps in the colon
(3)trauma to the colon
(4)colon cancer
(5)side effect of medication such as anti coagulants, aspirin etc
(6)inflammatory bowel disease
(7)infection

If the bleeding is related to hemorrhoids, the treatment for this acute presentation would be: (1)avoid straining with bowel movements
(2)high fiber diet
(3)sitz baths for 10 to 20 minutes, 2 to 3 times a day in warm (not hot ) water with table salt or epsom salt would help
(4)oral pain killers would help relieve discomfort
(5)topical steroids would help with inflammation and itching


Summary: (1) hemorrhoids are a common cause of blood on wiping but if no recent screening then other causes need to be ruled out as well

I hope this helps, feel free to ask any other questions
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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What Causes Blood In Stool?

Brief Answer: hemorrhoids common but if no recent tests then need to rule out other cause Detailed Answer: HI, thanks for using healthcare magic Bright red blood seen on wiping is most commonly related to hemorrhoids so it is possible this is the cause but other conditions would still have to be ruled out before giving this as the final diagnosis. If she's had a recent colonoscopy, barium enema or sigmoidoscopy (tests that would have taken a look at the colon) then no other investigations would be needed. If there is no history of recent screening tests then she should consider having one of these done. Other causes of blood in the stool are: (1) diverticular disease (2)benign (non cancerous) polyps in the colon (3)trauma to the colon (4)colon cancer (5)side effect of medication such as anti coagulants, aspirin etc (6)inflammatory bowel disease (7)infection If the bleeding is related to hemorrhoids, the treatment for this acute presentation would be: (1)avoid straining with bowel movements (2)high fiber diet (3)sitz baths for 10 to 20 minutes, 2 to 3 times a day in warm (not hot ) water with table salt or epsom salt would help (4)oral pain killers would help relieve discomfort (5)topical steroids would help with inflammation and itching Summary: (1) hemorrhoids are a common cause of blood on wiping but if no recent screening then other causes need to be ruled out as well I hope this helps, feel free to ask any other questions