What causes blood in the stool and what should I do?

Symptom Database

Blood in the stool, also known as rectal bleeding or gastrointestinal bleeding, can be a concerning symptom that should not be ignored. The presence of blood in the stool, known as hematochezia, can be a sign of various underlying conditions. Understanding the causes, symptoms, and treatment options for blood in the stool is crucial for prompt medical intervention and appropriate management. In this article, we will explore the different causes of bloody stool, discuss the symptoms associated with it, and provide insights into the available treatment options.

Causes of Bloody Stool

There are several potential causes of blood in the stool, ranging from minor issues to more serious conditions. Some common causes include:

  • Anal fissures: Small tears in the lining of the anus can result in rectal bleeding.
  • Hemorrhoids: Swollen blood vessels in the rectum or anus can cause bleeding during bowel movements.
  • Diverticulosis: The presence of small pouches in the colon can lead to bleeding.
  • Colitis: Inflammation of the colon can cause bloody stool.
  • Peptic ulcers: Open sores in the lining of the stomach or small intestine can result in gastrointestinal bleeding.
  • Colon polyps: These are growths on the inner lining of the colon that can cause bleeding.
  • Colon cancer: In some cases, blood in the stool may be a sign of colorectal cancer.

Symptoms of Blood in Stool

In addition to the presence of blood in the stool, there are other symptoms that may accompany rectal bleeding. These symptoms can vary depending on the underlying cause and may include:

  • Abdominal pain or cramping
  • Changes in bowel habits
  • Weakness or fatigue
  • Unexplained weight loss
  • Feeling of incomplete bowel movement
  • Dark or tarry stools

If you experience any of these symptoms along with blood in your stool, it is important to seek medical attention promptly. Your healthcare provider will be able to evaluate your symptoms and determine the appropriate course of action.

Treatment for Blood in Stool

The treatment for blood in the stool depends on the underlying cause. In some cases, simple lifestyle changes and home remedies may be sufficient to alleviate the symptoms. However, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment plan. Some treatment options may include:

  • Medications: Depending on the cause of the bleeding, your doctor may prescribe medications to reduce inflammation, manage pain, or treat infections.
  • Dietary modifications: Making changes to your diet, such as increasing fiber intake and staying hydrated, can help alleviate symptoms associated with certain causes of bloody stool.
  • Minimally invasive procedures: In some cases, procedures such as rubber band ligation or cauterization may be necessary to treat hemorrhoids or other sources of bleeding.
  • Surgery: If the bleeding is caused by a more serious condition, such as colorectal cancer, surgery may be required to remove the affected tissue.

It is important to follow your healthcare provider’s recommendations and attend any follow-up appointments to monitor your condition and ensure proper healing.

When to Seek Medical Attention

While occasional instances of blood in the stool may not be cause for immediate concern, there are certain situations where seeking medical attention is crucial. You should contact your healthcare provider if:

  • The bleeding is severe or persistent
  • You experience dizziness or lightheadedness
  • You notice blood clots in your stool
  • You have a family history of colorectal cancer
  • You are over the age of 50 and have not had a colonoscopy

These signs may indicate a more serious underlying condition that requires prompt medical evaluation.

In conclusion, blood in the stool can be a concerning symptom that should not be ignored. Understanding the potential causes, recognizing associated symptoms, and seeking appropriate medical attention are crucial for proper diagnosis and treatment. By addressing the underlying cause of the bleeding, healthcare professionals can develop an individualized treatment plan to alleviate symptoms and promote overall well-being.

Haroon Rashid, MD
Rate author
Urgent Care Center of Arlington, VA