What does blood in bowel movement mean

Seek immediate medical attention if you are experiencing fever, excessive weakness, vomiting, or seeing large amounts of blood in your stool. 

What does a bloody stool look like?

  • Red blood mixed with the stool
  • Red blood covering the stool
  • Black or tarry stool
  • Dark blood mixed with the stool

If you stool is red or black, it might not be from blood. Certain foods may cause your stools to look red. These include cranberries, tomatoes, beets, or food that is dyed red. Other foods may cause your stools to look black. These include blueberries, dark leafy vegetables, or black licorice. 

Common causes

Hemorrhoids

Blood vessels near the anus that become swollen, due to increased pressure, can bleed or prolapse. Typically, the amount of bleeding from hemorrhoids is small and may be a few drops that appear on toilet paper after passing a stool. Hemorrhoids can occur inside the anus or under the skin around the outside of the anus. The condition is very common, normally painless, and does not lead to cancer. 

If bothersome enough, hemorrhoids can be removed by your doctor. Your doctor may first treat any underlying causes, such as constipation. 

Anal fissures

Small tears in the lining of the anus, typically from constipation or diarrhea, can cause blood with stools. They are painful during and following bowel movements. If you have anal fissures, take measures to prevent constipation or diarrhea. Over-the-counter fiber supplements can help. Your doctor can prescribe additional options to treat an anal fissure that isn’t healing on its own.

What else could it be?

Your doctor can determine the exact cause of stools with blood. Underlying disorders and complications of this condition can be serious. If you’re concerned, always err on the safe side and see a doctor.

Pay attention to what the blood in your stool looks like. 

  • How much blood is there? 
  • How often does it occur? 
  • What color is the blood? 

This will help your doctor zero in on the problem. 

Blood in stools can come from any area of the gastrointestinal tract. 

This includes 

  • Esophagus 
  • Stomach 
  • Small intestine 
  • Large intestine 
  • Rectum 

If the blood is red it typically means it came from the lower digestive tract or rectum. If the blood is darker or black, it typically means it came from the upper digestive tract. Whether or not the blood is mixed with the stools or covering it, can also help determine where it came from and what is causing it. 

Additional causes of stools with blood include

  • Peptic ulcers
  • Gastritis
  • Diverticular disease
  • Ulcerative colitis
  • Crohn’s disease
  • Colon polyps
  • Intestinal infection
  • Colon cancer
  • Stomach cancer

Your doctor will need to do an evaluation to determine if any of these conditions are the underlying cause. 

Tests to find the cause

If you are experiencing stools with blood, your doctor may perform one or more of these tests.

  • Colonoscopy- A small device with a camera is inserted in your colon to look for abnormalities.
  • Upper endoscopy-A small device with a camera is used to look inside the upper digestive tract.
  • Stool culture- A sample of your stools is taken to look for abnormalities.
  • Blood test- A sample of your blood is tested for a number of different potential issues.
  • Capsule endoscopy- A tiny capsule, with a camera inside, is swallowed to take pictures of your digestive track. 

All causes of bloody stools should be determined and monitored by your doctor.

Rectal bleeding is common and is associated with a number of gastrointestinal conditions. They can range from mild conditions, such as hemorrhoids, or a marker for more serious conditions, such as colorectal cancer. Often, patients first detect red blood in the stool after having a bowel movement. Red stains often appear on toilet paper, indicating there may be a problem. Read on to learn more about bright red blood in the stool, conditions it is associated with, and how severe rectal bleeding can be.

What Is Rectal Bleeding?

Generally speaking, rectal bleeding is defined as any blood that is excreted from the anus. However, most cases of rectal bleeding are in the colon or rectum. The rectum is at the beginning of the large intestine (colon). Also, most cases of rectal bleeding involve bright red blood in the stool, but occasionally bleeding can manifest as a dark maroon color 

If you notice blood in the stool, it warrants a call to your physician. Red blood in the stool and rectal bleeding are associated with many diseases and conditions of the digestive tract, including colon and rectal cancer, diverticular disease, inflammatory bowel disease (IBD), among others. 

Is Rectal Bleeding Serious?

In many cases, rectal bleeding is associated with minor and easily treatable conditions, such as hemorrhoids. However, if you notice bright red blood in the stool, you should consult your physician and have a physical exam. Many GI diseases include similar gastrointestinal signs and symptoms, and rectal bleeding is associated with some serious conditions, such as colorectal cancer (colon polyps) or gastrointestinal bleeding. It’s always better to be safe than sorry when it comes to bright red blood in the stool. 

What Causes Rectal Bleeding?

There can be many causes of rectal bleeding. Some of the more common causes of bright red blood in the stool and rectal bleeding are listed below. 

Hemorrhoids

Hemorrhoids are the most common cause of rectal bleeding, and they are easily treatable. Hemorrhoids are swollen veins in the rectum or anus. Hemorrhoids in the rectum are internal, while hemorrhoids in the anus are external. Some hemorrhoids are painful, while others are not. They have many causes:

  • Lifting heavy objects
  • Pregnancy
  • Constipation
  • Straining during a bowel movement
  • Anal intercourse

Often, hemorrhoids can be treated with over-the-counter medications; otherwise, they are easily treatable with your gastroenterologist.

Diverticulosis/Diverticulitis

This is a condition that occurs when small pouches (diverticuli) develop in sections of your intestine that have already been weakened. Over time, these pouches can push through your bowel wall, causing rectal bleeding, abdominal pain, and a change in bowel habits. The first-line treatment for diverticulitis is antibiotics; however, more severe cases may need IV antibiotics or fluids. 

Anal Fissures

Anal fissures can also cause bright red blood in the stool. Anal fissures often occur during constipation. When a stool is difficult to pass and you strain, the pressure causes the skin around the anus to tear. Anal fissures are often mistaken for hemorrhoids, and in most cases, they go away on their own. Your physician may instruct you to participate in preventative treatment, such as stool softeners or a change in diet. 

Inflammatory Bowel Disease (IBD)

There are two types of inflammatory bowel disease: Crohn’s disease and ulcerative colitis. Crohn’s disease manifests with patchy inflammation and can appear throughout the entire digestive tract. Ulcerative colitis refers mainly to ulcers that appear only in the large intestine. Both types of IBD can cause bright red blood in the stool. Treatment for IBD varies due to what type it is and how severe it is. It is possible to have both Crohn’s disease and ulcerative colitis. Anti-inflammatories such as aminosalicylates may be used, or your doctor may prescribe antibiotics. Symptoms can sometimes be managed with anti-diarrheal medications or NSAIDs. Occasionally, treatment for both types of IBD may require surgery. 

Polyps

Polyps, which are growths that can appear in the colon or rectum, can cause bright red blood in the stool as well. Polyps often begin as being benign but can turn into cancerous cells, which can cause colorectal cancer. In fact, if you suspect you have polyps, you should let your gastroenterologist know immediately. A colonoscopy can be performed to evaluate a patient for colorectal cancer, and a physician can remove polyps during the procedure. If cancerous polyps and colon cancer are detected early, there is a much higher survival rate. 

Other conditions that can cause rectal bleeding may include:

  • Anal abscesses or fistulas (small glands in the anus that can become infected)
  • Ulcers(blood in the stool may be dark red)
  • Constipation/hard stools
  • Chronic diarrhea
  • Proctitis(inflammation of the rectum)
  • Radiation therapy

Because there can be so many causes, bright red blood in the stool and rectal bleeding should always be evaluated by a medical professional. 

What You Need to Tell Your Gastroenterologist 

If you consult your gastroenterologist for bright red blood in the stool or rectal bleeding, there are some things you should make them aware of. Let your GI doctor know if you have rectal bleeding as well as any of the symptoms below:

  • Dizziness
  • Fever
  • Nausea or vomiting
  • Unintended weight loss
  • Rectal pain or pressure 
  • Less urination

The color of the blood is also an important thing to let your gastroenterologist know, as differences in blood color can help provide a more definitive diagnosis. For example, if the stool is dark red to black, it can indicate a problem in the upper part of the gastrointestinal tract, such as ulcers or an inflammation of the stomach. 

Bright red blood in the stool indicates the blood is “fresh” because of its bright color. This typically indicates a problem in the lower part of the digestive tract. This could be indicative of diverticulitis, IBD, hemorrhoids, and ulcers, among other conditions.

Find a Gastroenterologist Near You

Finding bright red blood in the stool or noticing rectal bleeding warrants a visit to a gastroenterologist so you can be properly diagnosed. We treat all types of gastrointestinal conditions, from rectal bleeding to pancreatitis. We provide comprehensive care and patient support, from the first consultation to post-treatment. If you’re planning your first visit, you may contact us here. 

What does cancerous blood in stool look like?

Blood from higher up in the bowel doesn't look bright red. It goes dark red or black and can make your poo look like tar. This type of bleeding can be a sign of cancer higher up the bowel.

Is it serious if you poop blood?

Seek medical advice for any blood in stool. Seek emergency care if you notice: Large amounts of blood.

What should I do if there's blood in my stool?

For this reason, if you ever notice blood in your stool or bleeding from your rectum, you should contact your health care provider as soon as possible. They can give you advice about whether and when you should be examined or schedule tests.

Why am I pooping blood with no pain?

Rectal Bleeding Bright red blood in the stool typically indicates that there is bleeding in the rectum or colon, which may be a sign of colon or rectal cancer. Rectal bleeding can also be caused by hemorrhoids.