Blood in Stool: Causes, Symptoms, Diagnosis, And Treatment

Blood in Stool: Causes, Symptoms, Diagnosis, And Treatment

Blood in the stool (Hematochezia)

In this condition of Blood in Stool or Hematochezia, blood can be visible with bowel movements due to factors like irritation, constipation, hemorrhoids, digestive diseases, or colon cancer.

When you find out the presence of Blood in stool at the end of wiping after Bowel moment or from a fecal test ordered by your doctor, that process can be terrifying in itself.

It is usually considered if you encounter this problem, then many severe medical conditions will be entering your path, just relax! It’s not true.

But visiting your doctor as soon as you find out is the Need of the Hour to prevent further damage.

You have to identify the symptoms and signs as quickly as possible and reach your health care provider for a checkup.

There should be no delay in the treatment.

Blood in the stool can appear to be bright red, maroon in color, black, and tarry, or occult (not visible to the naked eye).

Hematochezia is the passage of fresh blood through the anus, usually in or with stools (contrast with melena).

Usually, Hematocheziais linked with lower gastrointestinal bleeding, but it can also happen due to a brisk upper gastrointestinal bleed.


Causes of Blood in Stool

Blood in Stool indicates the presence of bleeding somewhere in your digestive tract.

There are times when the quantity of blood in this track is so less that it can only be detected with a fecal occult test.

A fecal occult test is used for finding out the hidden blood in the stool.

Otherwise, it is visible in the form of bright red blood on the toilet paper or in the toilet.

Bleeding that happens higher up in the digestive tract may make stool appear black and tarry.


Here are some possible causes of blood in the stool


1. Diverticular disease

Small pouches that are projected from the colon wall are  commonly known as Diverticula

It is found that Diverticula do not cause any troubles, but sometimes a situation can arise wherein they bleed or get infected.

Remember, there should be no delay in visiting the doctor.


2. Anal fissure

The fissure is a small cut or a tear that is found in the tissue lining of the anus that looks similar to the cracks that appear on chapped lips or a paper cut.

There can be various causes for a Fissure to occur, passing a large, hard stool and can be painful.


3. Colitis

Colitis is caused due to inflammation of the colon.

There can be many other causes for Colitis, among which infections or inflammatory bowel disease is one.

Seeking medical help in such cases is very vital, and there should be no delay in the treatment.


4. Angiodysplasia

This is a condition in which fragile, abnormal blood vessels can lead to bleeding in the body.

You do not have to wait for the condition to get worse, seek medical help as quickly as possible.


5. Peptic ulcers

This is a condition where an open sore in the lining of the stomach or duodenum appears, which is the upper end of the small intestine.

Many peptic ulcers are caused by infection with a bacterium called Helicobacter pylori ( pylori).

Long-term use or high doses of anti-inflammatory drugs such as aspirinibuprofen, and naproxen can also cause ulcers.


6. Polyps or cancer

Polyps are considered as benign growths that can grow, bleed, and could become cancerous. 

You need to pay special attention and without delay rush to your doctor.

This type of cancer comes on number four as the fourth most common cancer in the U.S.

The bleeding, which is causes, is not visible with naked eyes.



Symptoms of Blood in stool

Blood in stool or rectal bleeding can have the following symptoms:

Blood can appear in the following colors:

  1. Bright red
  2. Maroon in color
  3. Yellow in color
  4. White in color
  5. Green in color
  6. Black and tarry in color
  7. Not visible to the naked eye (occult)

Other symptoms could be

  1. Abdominal pain
  2. Vomiting
  3. Weakness in the body
  4. Shortness of breath
  5. Diarrhea
  6. Constant fainting
  7. Weight loss


NOTE: All these symptoms occur depending on the cause, location, length, and severity of the bleeding in the body.


Diagnosis of Blood in stool

You need to seek treatment if you notice any symptoms related to Blood in Stool or

Even Minute Details that are provided by you hold significance to the doctor as it helps to find the location of bleeding.

For instance, a black, tarry stool is likely to be an ulcer or other problem in the upper part of the digestive tract.

Once you visit the doctor and physical exam is over, your health care provider will suggest you with a specific test, which will help to find out the cause of bleeding.


The Test includes:

1. Nasogastric lavage

  • Nasogastric Lavage is a kind of test that will help your doctor to determine if the bleeding is happening in the upper or lower part of your digestive tract.
  • This test requires a simple procedure of taking out contents of the stomach with the help of a tube that is inserted into the stomach through the nose.
  • If the stomach does not contain evidence of blood, the bleeding may have stopped or is more likely in the lower digestive tract.


2. Esophagogastroduodenoscopy (EGD)

  • A procedure that involves inserting an endoscope, or flexible tube with a small camera on end, through the mouth and down the esophagus to the stomach and duodenum.
  • This test is done by the doctor to look for the source of bleeding.
  • Endoscopy can also be used to collect small tissue samples for examination under a microscope (biopsy).


3. Colonoscopy

  • This procedure is similar to an EGD except that the scope is inserted through the rectum to view the condition of the colon.
  • Colonoscopy is similar to EGD, as it can also be used to collect tissue samples to biopsy.


Treatment of Blood in stool


  • The very first step is realizing that visiting the doctor is very crucial before things become worse.
  • Various techniques can be used for your doctor to curb the acute bleeding.
  • In most cases, endoscopy is used in which chemicals are injected into the site of bleeding to start with the procedure of treatment of the bleeding site with an electric current or laser or apply a band or clip to close the bleeding vessel.
  • If the process of endoscopy to curb bleeding, then the doctor may uses angiography to inject medicine into the blood vessels to control bleeding.



  • After the doctor controls the process of bleeding the next very step is to find out the cause of bleeding, to prevent it from starting again.
  • Once the cause is clear, then the level of treatment will be decided.
  • Treatment can consist of Medications such as Antibiotics for the treatment of H. Pylori, which are used to suppress acid in the stomach.
  • Treatment can also include anti-inflammatory drugs to curb colitis.
  • Surgery can be required to remove parts of the colon, which are damaged by cancer, diverticulitis, or inflammatory bowel diseases.


Steps you can take on your level

  • There are many other things that you can perform at your level.
  • Make some modifications in your diet and try a High Fiber Diet.
  • This can provide relief from constipation.
  • Your doctor will advise you treatment once the diagnosis is done.


The food you can Eat

1. Whole Grains

  • Add tons of whole grains in your diets such as brown rice, oats, and whole wheat bread.
  • Whole grains are a great source of fiber.


2. Fruit Juice

  • Make fresh juice, your best friend, and keep yourself hydrated.
  • Fresh juices contain antioxidants, which will help to curb swelling and pain. Some of the preferred fruits for juices are blackberries, blueberries, and cherries.


3. Clear Broths

  • Having clear chicken bone broth can also help get relief from the symptoms of piles.
  • It is an excellent source of protein and can strengthen intestinal walls and can provide relief from swelling and pain.


4. Beans

  • This is one of the vegetables that can provide significant relief from Blood in stool.
  • Beans are a great source of fiber and should be eaten regularly.
  • Black-eyes peas, kidney, lima, black, and legumes are what you can eat regularly.


Add these food items to your diet to help your body cure this disease.



In this condition of Blood in Stool or Hematochezia, blood can be visible with bowel movements due to factors like irritation, constipation, hemorrhoids, digestive diseases, or colon cancer.

Symptoms are:

Blood of the color

  1. Bright Red
  2. Marron
  3. White
  4. Green

Other symptoms are:

  1. Abdominal pain
  2. Vomiting
  3. Weakness in the body
  4. Shortness of breath



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