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Dr. Andrew Rynne

Family Physician

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What does blood in my stool mean?

Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 1942 Questions

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Posted on Thu, 7 Jun 2018 in Digestion and Bowels
Question: i see dots of blood in my stools without any pain.. ia this a serious problem
doctor
Answered by Dr. Ramesh Kumar 15 minutes later
Brief Answer:
Investigation should be done.

Detailed Answer:
Hi,
Thanks for query dear,
There are a few things to consider when a person says he has blood in the stool.

The first thing is if it is really blood. There are some food and industrial chemicals that might be in stool and give the impression it is blood and in fact, it is not. Unless it bright red blood (which is clear that it is blood). Other times the way to know if you are bleeding or not is having a stool occult blood test or a stool microscopy that will confirm the presence of blood with the stools.

Generally, blood coming from higher levels (stomach and small bowel) converts into a dark coal black colour due to the changes the blood has in the bowel. It is the bleeding from lower parts (colon) that will show as bright red blood.

Iif the stool tests confirm you are really bleeding then a colonoscopy would be done.

A CBC would be a good test to be done if you suspect bleeding to see if you are developing anaemia as a complication of bleeding and need treatment for it or not.

So to conclude:
1. we need to be sure you are bleeding or not- a stool test like faecal occult blood test and or stool microscopy for blood will help in this.

2. if it is confirmed that you are bleeding then you will need a colonoscopy to find the cause of it.

3. if you have bright red blood while defecating (passing stools) this might also be due to haemorrhoids which are mostly due to constipation so in meantime please make sure you take extra fibre with diet and drink plenty of water.

4. if you had any massive rectal bleeding than an urgent visit to a doctor is needed.

I hope this is helpful and answers your questions but please feel free to reply in case any more clarification is needed on this.

Kind regards,
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Ramesh Kumar 18 hours later
thank you for the detailed explanation..
i see occasional bleeding in stools
previously i used to have piles but then it was cured after medication.
now i see occasional bleeding in stools.

also, i see dots of blood in my white discharge while passing urine, mostly 10 days before the time of my periods.. it happens every month almost..

i am actually worried if this is a serious medical problem..

i did complete urine examination and it showed that i have ocassional RBC and more of pus cells..

kindly help me out with the condition.

thank you in advance!
doctor
Answered by Dr. Ramesh Kumar 8 hours later
Brief Answer:
follow up

Detailed Answer:
Hello again my dear patient,
I feel that bleed is due to hemorrhoids.
Hemorrhoids can be internal or external.
I would suggest you to go for proctoscopic examination of rectal canal.

Regards!
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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