Blood in stool can manifest as red streaks on the toilet paper or the presence of dark, tarry stools. Although it may be startling to see, it doesn't always signify a severe health problem. However, it is not something to be ignored and should always be discussed with a doctor. It could be a sign of a simple issue like hemorrhoids, or it might indicate a more serious condition such as colorectal cancer.
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Common causes include hemorrhoids, anal fissures, diverticular disease, peptic ulcers, colorectal cancer, and gastrointestinal infections. Certain medications, like aspirin or other NSAIDs, can also lead to bloody stools.
If you notice blood in your stool, you should always contact a doctor. It's particularly urgent if the bleeding is heavy, or if it's accompanied by other symptoms such as abdominal pain, unexplained weight loss, fatigue, or changes in bowel habits.
The investigations depend on your symptoms and medical history, but may include a physical examination, blood tests, stool tests, endoscopy, colonoscopy, or imaging studies.
These investigations are critical in identifying the cause of the bleeding. Once the cause is identified, an appropriate treatment plan can be formulated.
Red flag signs that require immediate medical attention include heavy bleeding, dizziness or fainting (signs of significant blood loss), severe abdominal pain, or black, tarry stools.
You should first consult your primary care doctor. Depending on their initial assessment, you may be referred to a gastroenterologist (a doctor specialized in digestive disorders).
Stress can exacerbate certain conditions that cause bloody stools, such as peptic ulcers or inflammatory bowel disease. However, stress alone is not likely to cause blood in stool.
While certain foods can color your stool red (like beets or tomatoes), they don't cause actual bleeding. If you're unsure, it's best to consult a doctor.
Treatment depends on the cause of the bleeding. For instance, hemorrhoids might be treated with over-the-counter creams, while a peptic ulcer might require medication to reduce stomach acid.
While it's less common, some people with COVID-19 have reported gastrointestinal symptoms, including blood in stool. If you have other symptoms of COVID-19 and notice blood in your stool, seek medical attention.
Yes, blood in stool can be a sign of colorectal cancer. However, not all cases of blood in stool are caused by cancer. Other conditions, such as hemorrhoids or anal fissures, can also cause bloody stools.
Yes, certain medications, especially non-steroidal anti-inflammatory drugs (NSAIDs) and anticoagulants, can cause gastrointestinal bleeding and result in blood in stool.
Yes, constipation can lead to hemorrhoids or anal fissures, which can result in blood in stool. Straining during bowel movements can also cause small amounts of bright red blood.
A balanced diet high in fiber can prevent constipation and associated conditions like hemorrhoids, which can cause blood in stool. In contrast, a diet high in spicy or acidic foods can aggravate conditions like peptic ulcers, leading to blood in stool.
Keeping your digestive system healthy by maintaining a balanced diet, regular exercise, and proper hydration can help prevent conditions that lead to blood in stool. Avoiding overuse of NSAIDs, not smoking, and moderating alcohol can also help.
