Oh NO! I have blood in my stool!!

>>Oh NO! I have blood in my stool!!

Oh NO! I have blood in my stool!!

One of the most common reasons patients come to see me is for blood in stool or rectal bleeding.  Seeing blood in the toilet or on toilet paper is very alarming, but also very common. Although it is never normal, most of the causes of rectal bleeding are not life-threatening and can be easily treated. However, it is not possible to know the cause of the bleeding without being examined. Thus, ANYONE who sees blood should talk with their doctor to figure out the cause.  Blood after a bowel movement is a really common problem and it is estimated that over 14% of the US population has experienced this at some point in their lives.  Below, I will review what to do when you see blood.

Rectal Bleeding From Anus - What Does It Mean?
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You see blood in stool or on toilet paper after a bowel movement. What now?

First, take note of HOW MUCH blood there is.  If it is a significant amount, this could be an active bleeding situation, which needs medical attention immediately.   If there is a small amount of blood in the water or on the toilet paper, it could be a variety of treatable conditions which are described below.

What causes blood in stool?

There are lots of potential causes of blood in stool or rectal bleeding, but the most common ones are listed below.

Hemorrhoids

Hemorrhoids are swollen blood vessels in the rectum or anus that can be painful, itchy, and can sometimes bleed. Painless rectal bleeding with a bowel movement is a common symptom of hemorrhoids. Bright red blood typically coats the stool or blood may drip into the toilet or on the paper.

Anal fissure

An anal fissure is a tear in the lining of the anus. Anal fissures can cause bleeding and a sensation of tearing, ripping, or burning during or after a bowel movement.

Colon Cancer and Colon Polyps

Although not the most common cause of bleeding, colon cancer is still the second leading cause of cancer death in the United States.  Unfortunately, colon cancer usually doesn’t present with any symptoms, but sometimes it presents as rectal bleeding and needs to be evaluated by your gastroenterologist.

Other causes of rectal bleeding

There are many other causes of rectal bleeding, including Colitis, Crohn’s disease, IBD, Proctitis, Angiodysplasia and Diverticulosis.  All of which can be diagnosed with an examination. Bleeding may also come from higher in the digestive tract, such as the stomach.  This produces black, tarry bowel movements due to stomach acid, which turns blood black.  If the blood is dark red or includes clots, usually this indicates bleeding from higher in the colon.

Why should I worry about rectal bleeding?

While most rectal bleeding is caused by non-serious issues mentioned above, bleeding can also be caused by cancerous or precancerous conditions. Precancerous polyps near the end of the colon can mimic bleeding from hemorrhoids. These polyps are generally present in the colon for years before they become cancerous.  They can be removed very safely from the colon, preventing progression to cancer. However, it is not uncommon for colon cancer to be diagnosed in patients who have ignored bleeding for years, assuming it was from hemorrhoids. Therefore, it is best to get checked out by your doctor if you have any rectal bleeding.

RECTAL BLEEDING TESTS

The best test for rectal bleeding depends upon your age, symptoms, and examination findings.   If a direct cause is not found, then a colonoscopy should be performed in order to diagnose and treat the problem.

So, if you see blood in your stool, Do Not Panic.  Most of the time, it is a simple problem to fix, but schedule an examination with your doctor in order to make sure.  Whatever you do, Don’t Ignore It; contact your doctor. 

UPDATE: The Internet can be a great resource for researching various health symptoms and available treatments. However, it should not be used to seek health advise or replace the care and expertise that a physician can offer. I’m posting this comment since I continually receive questions regarding the urgency people should use to see their doctor regarding their symptoms (e.g. rectal bleeding) or other medical advice. Those opinions will not be given on my blog and I would hope the same would be true for all other online medical channels moderated by a health care professional.

Kenneth Brown, M.D.

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Disclaimer: The information presented on this website is not intended to take the place of your personal physician’s advice and is not intended to diagnose, treat, cure or prevent any disease.  Discuss this information with your healthcare provider to determine what is right for you.  All information is intended for your general knowledge only and is not a substitute for medical advice or treatment for specific medical condition

By |2018-01-09T22:16:59+00:00November 19th, 2012|Rectal Bleeding|102 Comments

About the Author:

Kenneth Brown, MD is a board certified gastroenterologist in Plano, TX. Dr. Brown has a special focus on IBS-related symptoms and bridging the gap between traditional and functional medicine. All patient appointment requests and media inquiries can be made by calling the practice at 972-867-0019.

102 Comments

  1. Komai Parikh July 30, 2013 at 1:08 am

    Hello Doctor, Thanks for such a helpful information. I was diagnosed with Ulcerative Colitis last year in March 2012.(actually Ulcerative Proctitis as inflammation occured in the rectum and lower part of the colon). I was very panic at that time since these was happening to me first time and did not know about the terms such as colonoscopy, rectal bleeding etc. After browsing your website and reading such info, feel less panic, less scared. When you get chance, can you please post more information regarding treatment, medications of U.C or U.P. currently I am on U.C medications (Lialda (1.2 gm) and Azathioprine (50 mg)). symptoms has improved but not back to normal. So When you get chance, can you please post more information on treatment and medications and diet of U.C or U.P. Thank You.

  2. bipin January 29, 2014 at 3:05 am

    hello doctor, today i have experienced first time ever blood in my stool. i waited about 20 mins to go washroom after i feel to go then when i went for washrooom i found blood into it, blood comes like there is small bleeding

  3. Kenneth Brown, M.D. March 10, 2014 at 2:59 pm

    As always I would suggest seeing your regular doctor to discuss this, but most often a small amount of blood is either from a hemorrhoid or fissure. That being said you should always get checked out by your doctor to make sure it is not something more serious.

  4. Rachel S April 27, 2014 at 8:06 am

    Hello Dr, Very helpful article. I am currently on antibiotics (zpack) for respiratory infection. I also have had diarrhea for the last week, prior to antibiotics. This morning there was a considerable amount of blood in my stool x2. Is this possibly a side effect from having diarrhea so long?

  5. Kenneth Brown, M.D. May 12, 2014 at 10:16 am

    When we have diarrhea, this can exacerbate hemorrhoids or a fissure, but the concern is why the diarrhea and now bleeding. Things like infectious colitis or ulcerative colitis can present like this as well. Bottom line is that I strongly suggest to see your doctor and have this evaluated as soon as possible.

  6. M.H.S. June 22, 2014 at 1:47 am

    Hello doctor,what should if bleeding is large and after a long interval of time

  7. Kenneth Brown, M.D. June 22, 2014 at 10:08 am

    All bleeding is abnormal but when there is a significant amount, I recommend seeing your doctor as soon as possible. If it were to continue in a large amount then going to the nearest ER would be the most prudent thing to do.

  8. jim January 21, 2015 at 2:43 am

    Hi Doctor, i saw blood in the toilet and paper this morning. No pain. Later bowel movements without blood. This was the second time. The first one was around a month ago. Do i still need to see doctor if this doesnt happen again?

    Regards

  9. Kenneth Brown, M.D. January 21, 2015 at 8:34 am

    Hi Jim. Due to HIPAA guidelines I cannot provide specific medical advice online. My online commentary is strictly to be used as a guideline and point of reference on the digestive health topics that I cover. While I do welcome questions in regards to how the digestive system works, my recommendation will always be to speak directly with your physician should need you need advice on how to diagnose or treat a specific condition.

  10. Nelson April 3, 2015 at 10:41 pm

    Dear Doctor, my blood in stool is dark red instead of fresh red. That really freaks me out. I have already scheduled with a GI specialist to check it out next week. But I am still so scared to get a cancer, because blood caused by Hemorrhoids and anal fissure tend to be fresh red instead of dark red. I am only 22…

  11. Kenneth Brown, M.D. April 6, 2015 at 2:39 pm

    Any blood in one’s stool can be an alarming experience at any age. While cancer is not common result of this symptom, I’m glad to see that you have scheduled an appointment with a gastroenterologist. The biggest mistake people make is not seeking medical treatment at the onset. Thank you for your comment and I hope everything turns out well for you. Sincerely – Kenneth Brown, M.D.

  12. Billie Green April 13, 2015 at 11:27 pm

    I had an colonoscopy about three weeks ago and I did not have polyps this time…I do have diverticulosis which I have had for many years bug has only flared up once….I also have hemorrhoids which tend to flare up often and it shows on the toilet paper each time….

    The problem I have this time is I have blood in the toilet but before I saw that when I had wiped I notice blood mixed in with my BM…So I am kinda concerned what is your advice on this?

  13. Kenneth Brown, M.D. April 14, 2015 at 10:57 am

    Hi Billie. I understand that finding blood in the toilet can be quite alarming. Typically it is not an indicator of a more serious condition. However, whenever blood is discovered in one’s stool you should make an appointment with your doctor or a gastroenterologist to ensure that the blood is not an indicator of another issue. I hope everything turns out ok. Sincerely – Kenneth Brown, M.D.

  14. Jessica May 30, 2015 at 12:42 am

    hello,
    I had bloody stool today and there was large amount of blood and bright red. This is my first time experiencing this kind of situation. I am not sure it was normal or I should make appointment with my doctor!
    I also have heartburn and random stomach pain especially during the night. (Been for a month)

    Thank you.

  15. Kenneth Brown, M.D. May 30, 2015 at 10:25 am

    Whenever you have a bloody stool you need to have that condition evaluated by a physician. Most of the time this symptom is not indicative of something serious, but you need to see a physician to be sure.

  16. Mark July 28, 2015 at 6:38 am

    I had a bit blood on the end of my stool and a bit bigger amount on my toilet paper.I’m worried..There was a small pain at the end of anus.Can you tell me anything about it?

  17. Kenneth Brown, M.D. July 28, 2015 at 7:08 am

    Hi Mark. When you experience a discharge of blood during a bowel movement you need to have that evaluated by your physician. Due to HIPAA regulations, I cannot provide medical advice online. Please go over your questions with your doctor and I hope you start to feel better soon.

  18. Kenneth Brown, M.D. August 8, 2015 at 11:40 am

    Hi Rick. All bleeding is abnormal, so you need to see your doctor to be evaluated. Typically rectal bleeding is due to hemorrhoids or a fissure, but it can be an indicator of a more serious issue as well. Go see your doctor and they can properly diagnose the cause.

  19. Zinat September 20, 2015 at 4:42 pm

    Hi doc ,I have been bleeding for long time now and all doc told me it’s from hemoride but now I m not bleeding for long time but I serious stomach problem like gas bloting feeling upset stomach gas around always ..what should I do next

  20. Kenneth Brown, M.D. September 20, 2015 at 5:06 pm

    Hi Zinat. While I’m sorry to hear about your new symptoms, I cannot provide medical advice online due to HIPAA guidelines. My recommendation would be to go over your new symptoms with your physician and let them evaluate you. I hope you start feeling better soon.

  21. Melody September 27, 2015 at 12:56 am

    Hi I have send blood on my tolet paper before and had it checked two years ago hemmrodies now I see a few drop in the toilet I don’t know what to do in going to talk to my dr I’m 52 years old and this is not normal .

  22. Kenneth Brown, M.D. September 28, 2015 at 5:00 pm

    Hi Melody. You’re correct that all bleeding is abnormal, so you do need to see your doctor to be evaluated. In preparing for that visit, it would be helpful if you could be as accurate as possible in documenting your symptoms. Do you best to document a timeline for your doctor of the date when the bleeding started, amount of blood present and if there were any other changes in your bowel movements or overall health during this time period. All of that information is helpful to your doctor. Best of luck and I hope you feel better soon.

  23. John losada October 13, 2015 at 6:07 am

    Dr; i have fine lines of blood in my stool, could this be because of hemorrhoids?
    Thanks

  24. Chris October 14, 2015 at 5:56 pm

    Hello Dr. The night after drinking alcohol I find that there is dark red blood and is also clot like when I wipe and in toilet water.. Also feels like I have heart burn or close to that.. Would you happen to know where that is coming from or if it’s from the alcohol? Thanks!

  25. Kenneth Brown, M.D. October 25, 2015 at 4:07 pm

    Hi Chris. I can’t speculate on what might be causing your bleeding and heartburn. However, all bleeding is abnormal so if you have not done so already I would recommend that you see a physician and have them evaluate your condition.

  26. Kenneth Brown, M.D. October 25, 2015 at 4:09 pm

    Hi John. In some instances hemorrhoids can cause bleeding. Since all bleeding is abnormal, you should have that condition evaluated by a physician and they can determine the cause of your bleeding.

  27. Kaylee November 10, 2015 at 12:01 pm

    I have always had some blood in my stool (I am 23) should I be concenred

  28. Kenneth Brown, M.D. November 10, 2015 at 12:12 pm

    Hi Kaylee. All bleeding is abnormal. You need to see a physician to ensure that occurrence is not an indicator of a larger health issue.

  29. Grant Holcomb November 27, 2015 at 6:39 pm

    Good Afternoon and Happy Belated Thanksgiving,
    I’m a 19 year old male and started having a painful bowel movements about four months ago, and there’s consistently been the same amount of blood in my stool. it’s very noticeable and when I wipe with toilet paper there is still more blood. The bowel movement feels fine right up until the edge of my anus. It feels like there’s a needle that flips open every time my bowels move past that same spot. It’s kind of embarrassing to tell my parents, so before I do that, do you have any thoughts on what the cause or problem is? I’d really appreciate it,
    Thanks in advance.
    Grant.

  30. Trasi December 2, 2015 at 12:19 am

    Hey, I wanted to ask something. I have had blood with my stool for the second time today. I am not sexually active (if that helps). There isn’t a lot of blood but twice in a day? I just had thanksgiving dinner later and it’s been a couple days and I’ve been full. I’m thinking maybe a blockage? I don’t know but I would like to know from someone else and their thoughts. Thank you.

  31. Kenneth Brown, M.D. December 2, 2015 at 1:34 pm

    Hi Trasi. I cannot provide medical advise online, but I will let you know that all bleeding is abnormal and should be evaluated by a physician. I’ll encourage you to see your doctor and I hope you start to feel better soon.

  32. Kenneth Brown, M.D. December 2, 2015 at 1:51 pm

    Hi Grant. I realize that this bleeding can be somewhat embarrassing to describe to others. However, since all bleeding is abnormal you should discuss it with your parents and schedule an appointment with your physician right away. While blood in one’s stool is a fairly common occurrence and can be corrected, it needs to be evaluated by a physician to ensure that it is not an indicator of a larger issue. I hope that you start feeling better soon.

  33. Haley December 10, 2015 at 11:49 pm

    What if you have bleeding but you’ve had an endoscope and a colonoscopy both came back clear and look good but I’m still bleeding daily is that common or should I worry

  34. Kenneth Brown, M.D. December 11, 2015 at 10:27 am

    Hi Haley. Depending on the cause of the bleeding it can sometimes be repaired during a colonoscopy or endoscopy procedure. You need to be communicating your symptoms with your physician, so that they can prepare the best treatment regimen for you. I hope that you start to feel better soon.

  35. Tonya December 17, 2015 at 12:33 pm

    What is considered a “significant” amount of blood? I also had some on my toilet paper but it was a bit more than a smear. None in the stool or toilet though.

  36. Kenneth Brown, M.D. December 18, 2015 at 12:29 pm

    Hi Tonya. All bleeding should be considered significant regardless of the amount of blood you see. My recommendation is to see your physician right away and let them diagnose and treat your bleeding. I hope you start to feel better soon.

  37. robert December 31, 2015 at 5:31 pm

    Hi Doc,

    I had blood in stool. Bright red. Not on paper (have had hemmroids before many times). But this time in stool and no visible swollen hemmroids. I think I may have swallowed a small sharp object yesterday in a sale I ate…so may be that? Question is…if it is a one time isolated incident should I be worried…or should I wait to see if next two stools have blood as well?

  38. Kenneth Brown, M.D. January 4, 2016 at 12:33 pm

    Hi Robert. Unfortunately, there is not an absolute answer to your question I can give you. You’ll want to discuss your medical history and the possibility of swallowing a sharp object with your physician right away. They may need to do some X-rays or other tests to make sure that you’re not at risk for other medical issues. I hope that you start to feel better soon.

  39. Kenneth Brown, M.D. January 18, 2016 at 4:09 pm

    Hi Gan. Periodic bleeding is actually very common and can be caused by several different things. Just because the bleeding is not consistent does not mean that the issue has been resolved. You definitely will want to have your doctor evaluate you to determine the cause of the bleeding.

  40. Sara January 29, 2016 at 11:58 pm

    Hi my brother is 19, and he’s been having bleeding in his toilet for 7 months now he just told us a week ago and he went to see the doctors a couple days ago and he said the doctor told him it’s fine, I don’t believe my brother I feel like he’s hiding something becaouse I saw how much blood there was in the toilet, and I know it abnormal ? Do you think it’s fine, or he’s hiding something ? Please and thank you

  41. Kenneth Brown, M.D. January 30, 2016 at 12:06 pm

    Hi Sara. I write this blog and answer questions just to provide helpful information. Due to HIPAA guidelines I don’t provide specific medical advice to individuals online. I appreciate your concern for you brother, but any medical advice/diagnosis will need to come from his doctor. Not sure if it is an option, but it sounds like this is something that you’re parents should be involved with. Good luck!

  42. Skeeter kuno February 13, 2016 at 9:52 am

    This has happened to me a couple times now over the last 3 years. My stomach starts to hurt like I have to go have a bowel movement. I get sick, I have to have a trash can next to me. When I start to feel like I’m going to get sick!! I had I big bowel movement then all I have done is pass blood. It very red. It’s small amounts but often. With pain in my lower stomach. I have to push a lot. And though maybe that’s why? I’m starting to get scared. Do u think I should go to the ER? Thank u

  43. Kenneth Brown, M.D. February 13, 2016 at 11:47 am

    Since all bleeding is abnormal, it needs to be evaluated by your doctor. Unfortunately, I can’t speak to the urgency that you should seek treatment.

  44. Philip February 22, 2016 at 5:44 am

    I recently had 3 operations because of diverticulitis and had a foot of my colon removed back in June of last year. Recently I have noticed blood in my stool and saw the same drs office as when I had diverticulitis. The Dr did an endoscopy and colonoscopy and said that there was 4 spots on my stomach and gave me medicine. I am still bleeding from bowels and don’t know what I should do.

  45. Kenneth Brown, M.D. February 22, 2016 at 8:48 am

    I would recommend that you contact the doctor that performed the endoscopy & colonoscopy and let them know about your symptoms since those procedures were preformed. If that doctor is unavailable you should see your general physician. Very sorry to hear about your issues and I hope that your doctors can get you feeling better soon.

  46. Julie February 26, 2016 at 4:24 am

    Dr Brown,
    I just want to say, Thankyou for the info. I realize your legal limitations with in depth discussions. I guess it’s good and somewhat comforting for people to see that others have the same issues, it helps to elevate the anxiety. That in itself can be worth more then any pill.
    I imagine it can get frustrating to have to repeat yourself so much. So again, just thankyou.

  47. Miska March 9, 2016 at 2:30 pm

    Hi, I am 27, female and I had noticed very small amounts of the blood (bright red) on my stool surface and toilet paper. The first time I noticed it was when I was having a huge cold and was coughing a lot. Nevertheless, I went to a proctologist who examined me and did not find anything unusual and told me that most likely the blood was due to the coughing that caused a small wound in my intestine. After one month I have noticed again small amount of blood on my stool surface and toilet paper.. Should I be worried? Is it possible that the wound from coughing is still healing? For your information- i have regular digestion and go the the toilet every day. The stool is bright brown and normal-not too hard and not too soft. Can a doctor with proctological or retroscopy examination identify serious illnesses or is this possible only with colonoscopy?

  48. Kenneth Brown, M.D. March 9, 2016 at 6:40 pm

    Hi Miska. I would suggest returning to your proctologist and give them a detailed account of what has occurred since they last saw you. It could be that a colonoscopy would be a possible next step in diagnosing the issue. However, that decision would be made by your proctologist and they would be able to refer you to another specialist if needed. I hope that your condition is not serious and strongly encourage to visit your doctor again.

  49. Kenneth Brown, M.D. March 16, 2016 at 11:35 am

    Hi Julie. Thank you for your nice comment. Its nice to know that the information that I provide online is helpful.

  50. Sean Lipscomb March 25, 2016 at 10:45 am

    Hello Doctor. Thank you for the article. Over the years, very occasionally, I have noticed blood on toilet paper and once in a great while, blood in the toilet. Today however, I experienced something a bit different. When I went to flush, the water had a red hue so I looked closer. There was definitely blood in the toilet but none on the toilet paper. I don’t have any pain or a tearing sensation and this is different than any other encounter. I will make an appointment but in the meantime, wondered if perhaps you could shed some light? Thanks

  51. Amanda R March 26, 2016 at 4:00 am

    Hello and thank you in advance –
    I am a 31 year old woman. I noticed today that there was blood after a bowel movement on the toilet paper. This is not unusal for me as I have Von Willebrands Disease (bleeding disorder) and constipation – so I always assumed tear etc in the past. Today, however, (been very nauseated and hot then cold etc all day) after seeing blood again on toilet paper, I looked and the blood was fairly attached to the small stool I passed – not coating nor mixing with toilet water. This was not usual, so I called a nurse before flushing (gross I know) and she wanted to know if it was actually in the stool as well (it was). She used to be a gastro specialist. She advised an ER visit today. I went – and the doctor stated he belived it was a tear or hemmroids which I do not have. I took labs, and was basically just offered an anxiety pill because my heart showed many palpatations during the visit and told to just go home and that he would not be referring me to anyone. They did not do any exam of any sorts at all. The nurse on the phone made it sound urgent and alraming, but now I am just at home with no answers and a huge ER bill with no exams. I just went again to restroom and blood is again, mixed Inside the stool. I know you cannot give medical advice, however, my question is simply – do you belive I should seek a second opinion or just chill out with anxiety pills lol. I appreciate your answer!

  52. Kenneth Brown, M.D. March 26, 2016 at 11:25 am

    Hi Sean. While that is not common it can happen if something is bleeding above the rectum. Thank you for taking the time to read my blog and for taking the initiative to make an appointment to see a physician regarding your symptoms.

  53. Kenneth Brown, M.D. March 28, 2016 at 10:56 am

    Hi Amanda. I can appreciate your frustration with the bleeding symptoms. Its true that a bloody stool could be caused by an internal hemorrhoid or fissure that is not easily apparent. The only way to know for sure would be to have a colonoscopy. Since I’m not your doctor, I can’t say whether the correct diagnosis was made in the ER. However, if you are uncomfortable with the diagnosis you received then you have every right to seek a second opinion. If you do so, it would be helpful for the next physician if you documented as best you can your symptoms, change in bowel habits and any medical opinions you have received thus far related to these or similar symptoms. I hope you start to feel better soon.

  54. Autty April 11, 2016 at 12:14 pm

    Is a colonoscopy always required if you find blood? I ask because I noticed some fresh blood on the top of the stool (small amount) and I’d see it maybe once a week. I went to a GI who performed a sigmoidoscopy to my splenic flexure and the only thing he found was some focal acute colitis that he thought was from the prep. But it didn’t go away so a colonoscopy is my only option. From what I read, dark stools or occult blood is from higher up, red is from lower down. Is that not true? Could you get red blood from above the splenic flexure?

  55. Kenneth Brown, M.D. April 12, 2016 at 10:06 am

    Hi Autty. I’ll do my best to answer your questions. A colonoscopy is not always required if blood is discovered, but a thorough exam by a physician is necessary at the least. Regarding the color of stools when blood is present, usually black stools are known as melena and is a result of digested blood. Red blood can come anywhere depending on the how fast the bleed is. But generally speaking small amounts of red blood are usually from lower. Finally, yes it is possible to get red blood from above the splenic flexure.

  56. Autty April 13, 2016 at 9:00 am

    Thanks for your reply! “Red blood can come anywhere depending on the how fast the bleed is” so this would be something like a swift bleed? I had this on/off bleeding for 2 years had 2 sigmoidoscopies and now considering colonoscopy since they didn’t find anything. Not even fissure. I’m really surprised because I could have sworn I felt hemorrhoids all this time.

  57. Ken April 13, 2016 at 5:54 pm

    Thanks, Doc for the awesome article. I will set up appointment to see my Doctor.

  58. Cindy April 16, 2016 at 4:39 pm

    Hi Dr. Brown, my name is Cindy. I wanted to know, if my stool has black tarry like coloring mixed with light brown after a colonoscopy, what should I do?

  59. Hugh April 17, 2016 at 5:44 pm

    Can internal hemorrhoides cause periodic bleeding every few years if left untreated?

  60. Kenneth Brown, M.D. April 18, 2016 at 11:59 am

    Hi Hugh. It is possible for internal hemorrhoids to cause intermittent bleeding, but to be on the safe side you should be evaluated by your doctor to make sure the bleeding is not caused by something more severe.

  61. Kenneth Brown, M.D. April 18, 2016 at 12:54 pm

    Hi Cindy. I understand that a change is bowel habits can be concerning. I would recommend that you discuss your stool changes with your gastroenterologist. Per HIPAA guidelines, I do not provide medical advice online. Thank you.

  62. Kenneth Brown, M.D. April 18, 2016 at 12:55 pm

    Hi Komai. I’m glad you found the article helpful.

  63. SHAILENDRA RATHORE April 24, 2016 at 5:55 am

    Helloo Doctor
    i am Shailu Rathore my problem is i have 4-5 time going to washroom for fresh (Stool) my stool comes anytime not any fixed time
    what can i do
    i consult many doctors but i am not feel relax please help me what can i do

  64. Kenneth Brown, M.D. April 24, 2016 at 6:02 pm

    Hi Shailu. I don’t give treatment advice online. My recommendation would be to thoroughly document your bowel habits along with your diet and discuss that information with your doctor. If you’ve had a change in your diet, stress in your life or are taking any new medications that would all be helpful information to share with your doctor. I hope that working with your doctor will get you feeling better soon.

  65. Waqar May 8, 2016 at 3:48 pm

    Hello sir, i have read all the comments here, and i know that you cannot give advices in online.. i am 25 years old (male), previous year i got some pain in my left side of lower abdomen, i did all the tests, and the doctors found nothing special except lots of mucus… then they gave me medicines and some diet restriction, after few months i was completely fine..no severe pain in my abdomen. My mom died 8 months ago by stomach cancer, she was 49 and fought the cancer for 1 year… after that incident i was mentally broken… when ever something happens to me i became worried and go to the doctors.. every time they tell me that I am fine… For a few days i got some itchiness in my anus area, not inside…. i thought it is happening because i sweat a lot, I go to toilet more them 2 times, and i clean the area with water, i thought this would be another reason… recently something happened, yesterday when i had my first bowel movement in the morning it was fine, color was good, brown it was… then i had another bowel movement at night and i saw some red blood on my stool, not much though.. Today at morning it was also fine, but at night again i saw little bit red blood on my stool… my question is, is it Hemorrhoid? I heard that hemorrhoid (piles) is painful, but i dont have any pain in my anus…. can hemorrhoid be painless? Thanks in advance 🙂

  66. Kenneth Brown, M.D. May 9, 2016 at 8:10 am

    Hi Waqar. Internal hemorrhoids are relatively painless and can cause bleeding. External thrombosed hemorrhoids can cause discomfort/pain.

  67. Shannon May 25, 2016 at 8:15 am

    Dear Dr.

    I had a colonoscopy in February 2014 due to excessive rectal bleeding. The findings were stage 2 internal hemmeroids and fissures, no polyps. In April 2016 I had it repeated due to extreme weight loss and abdominal pain. Upper scope was unremarkable, lower showed polyps that were removed and found to be tubular adenoma. I asked the second doc if the polyps had grown in only 2 years shouldn’t that mean something, and shouldn’t we be watching closer than in 5 years. They told me they won’t grow back, but they grew in the first place. I had a HIDA scan last Thursday and spent the weekend in great pain, more than before. Since that procedure I have large amounts of red blood with my first morning bowl movement, which my belly wakes me up to do every morning about 6. I need help!! I can’t lose anymore weight, 20% has been lost in a year, and I want it back!!

  68. Kenneth Brown, M.D. May 25, 2016 at 11:58 am

    Hi Shannon. I’m sorry to hear about your health issues and understand your frustration and need for answers. The only thing I could comment on is that if a polyp is found during a colonoscopy, that should shorten the time period of when the next colonoscopy is performed compared to traditional screening guidelines. Whether the next colonoscopy is scheduled for 1, 2 or 3 years later is up to your doctor. I can’t comment on your other issues or weight loss. You’ll need to continue discussing those issues with your doctors or search for a second opinion if you are not comfortable with your current care.

  69. Gary May 27, 2016 at 1:52 am

    Hey doctor, I have a question. What if I go to the bathroom and notice a slightly substantial amount of blood on he paper and in the water, but never experience another symptom? What can that be caused by?

  70. Kenneth Brown, M.D. May 27, 2016 at 11:53 am

    Hi Gary. Rectal bleeding is generally caused by hemorrhoids, constipation, anal fissure or hard stools. Also, there are less common causes such as colon polyps, ulcerative colitis, diarrhea and many other conditions. Any of these conditions can cause intermittent bleeding as you’ve described. Since all bleeding is abnormal, my recommendation to anyone experiencing rectal bleeding is to consult with their doctor regardless of the frequency or amount of blood.

  71. Kelly squire May 30, 2016 at 1:45 pm

    Hi Dr Brown

    It started about year or o now just a little blood at first. And now there is a lot more I’ve been to my doctor a few different Times explaining my situation. He is told me not to worry it’s only light coloured blood if it should get dark then I should be concerned. However the bleeding has progressed there’s a lot more blood and he doesn’t seem too concerned should I be? Some times the paper is covered and so is the water.

  72. Elizabeth June 2, 2016 at 11:13 am

    Hi, I was wondering if you could email me because I have a few questions.?

  73. Kenneth Brown, M.D. June 2, 2016 at 5:04 pm

    Hi Elizabeth. HIPAA guidelines dictate that physicians do not engage in healthcare discussions via email, since it is not a secure form of communication. If you have healthcare questions, those should be discussed with your doctor.

  74. Kenneth Brown, M.D. June 2, 2016 at 5:50 pm

    Hi Kelly. I’ve recently posted a follow-up to the blog your are commenting on that answers some of your questions https://kennethbrownmd.com/blood-in-toilet/. Since I don’t provide treatment advice online I’ll always defer to the recommendation of your doctors. However, if you’re uncomfortable with the advice you are currently receiving then it is fine to seek a second opinion. If you choose that option, I would recommend documenting all past doctor visits for this bleeding along with any treatments or tests that have been performed. Also, its helpful for physicians when you document the irregularity of bowel movements, type of bleeding and any dietary changes that you might have made as well. I wish you the best and hope this irregularity gets resolved soon.

  75. KRISHNA June 3, 2016 at 12:17 am

    Hi,after finishing of my stool there comes a small amount of blood in toilet. what the region behind it sir

  76. Kenneth Brown, M.D. June 3, 2016 at 8:54 am

    Hi Krishna. I’ve recently posted a follow-up to the blog your are commenting on that answers your questions on possible causes of the bleeding – https://kennethbrownmd.com/blood-in-toilet/. You will need to see your doctor to get a definitive answer on what is causing the bleeding in your case.

  77. bijay June 4, 2016 at 10:50 pm

    hi, today while I went to toilet in stool I saw some bloods. may I worry about it . as it is the 1st time that blood is seen in stool

  78. Riya June 7, 2016 at 12:13 pm

    hello doctor I am riya…
    i am 16 years old and today i see the blood coming out of my anal.. it was not bright red and not as much dark and thready… i became very scared because it was the first time i noticed such incident…. can u plz tell me what is the cause of such problem? and kind of disorder is it?

  79. Kenneth Brown, M.D. June 7, 2016 at 12:18 pm

    Hi Riya. I listed the most common causes of rectal bleeding in the blog article (please re-read). You will need to see a doctor to determine what is causing the bleeding in your case. Hope you feel better soon.

  80. Kenneth Brown, M.D. June 7, 2016 at 12:25 pm

    Hi Bijay. Since all bleeding is abnormal it should be evaluated by a doctor. The number of times the bleeding occurs exclusively is not definitive of either the cause or seriousness of the issue. Your doctor needs to perform an exam and will then be able to answer your questions.

  81. Tricia July 8, 2016 at 5:19 am

    Last week and a half i have been noticing some bleeding after i urinate. First it was light pink. A week went by and now its definately increased…heavier….bright red with some dark clots noted. So much even when im standing i notice big droplets on the bathroom floor. No pain really. Im 52 yesrs old. What could this be and should i just go to the hospital?

  82. Kenneth Brown, M.D. July 12, 2016 at 11:00 am

    Hi Tricia. Since all bleeding is abnormal you will want to see your doctor regarding this issue to ensure it is not an indicator of a larger problem (if you have not done so already). Based on the exam results you may need to see a urologist or gastroenterologist to develop the best treatment plan to fix or further diagnose the cause of the bleeding. I hope that you start to feel better soon.

  83. Brandon Waldvogel July 13, 2016 at 4:36 pm

    Hey doc. My name is Brandon. I’m 32 and have had a generous amount of bright red blood and some clots in my stool. It happened last summer about three same time in the year actually and lasted a few weeks and then stopped. Now it’s happening again. Its been a few days now and every time I go now? Would you lean towards a hemmeroid or a pollup?

  84. Kenneth Brown, M.D. July 13, 2016 at 6:20 pm

    Hi Brandon. It would be a complete guess for anyone to tell you the cause of the bleeding without an exam. While hemorrhoids are a common cause, rectal bleeding should always be evaluated by a physician to ensure that it is not an indicator of a more serious issue.

  85. Adam July 31, 2016 at 11:18 am

    Hello Doc. So i have been experiencing stool problems all my life. But really bad the passed 6-7 years. I should say i have never seen a doctor for this but im starting to worry. Im 28 yr old male. for about the past 5-7 years i have large stool. Over 9-12 inch long almost always. 2-4inch wide. Very dry. It very rare for me to have a bowel movement on my own.(my body having the feeling) Most the time i go it is cause by a enema. the liquid one. I go sometime maybe 10-20 times out of the year doing on my own body feeling.Its rare. I mostly go once ever 7 days. Its very dry. Very dry. Its like a bunch of those big marble smashed tight together. Its VeryVeryVery painful. I have a towel i bite and scream into while i push. immediately after the big ones passes i feel light headed and like im gonna throw up. Most of the time i have lost my voice from yelling so hard. Almost always i have seen blood on my toilet paper. But recently i have been experiencing blood dripping from me on the floor and such when i stand up. I know when its time to use a enema cuz for one i feel like crap and my stomach hurts from time to time. But also when i urinate it is very slow and if i try to push my urine out to go a little faster it will stop. Also it doesn’t feel like i completely empty my bladder. Im sure this is alot. i dont know why i havnt seen a doctor. Kinda scared about what they are gonna say or do for test. Also cuz i have 2 kids and one due right now. Im scared i will not be able to take care of them if i do see the doctors. I know this is alot. And i am all real. this isnt a joke. thank you for taking the time to read this. hope to hear back soon. Thank

  86. Kenneth Brown, M.D. July 31, 2016 at 6:33 pm

    Hi Adam. I know that you’re looking for more feedback, but my recommendation is simply to print out the description of your symptoms as you’ve described and schedule an appointment with your doctor so that they can properly evaluate your condition. Also, it would be helpful for your doctor if you documented your diet and shared if you have a family history of any digestive disorders. I understand your apprehension in not wanting to see a doctor, but you potentially could be putting yourself and your family at greater risk by not seeing a physician.

  87. Maxyn August 7, 2016 at 1:20 pm

    Hey Dr. Just had my baby a month ago and it was natural and I’ve been to the hospital a few times because in my stool I have blood and they keep testing my stool and they say there’s no blood but I see it every time I go to the bathroom what should I do

  88. Kenneth Brown, M.D. August 8, 2016 at 11:47 am

    Hi Maxyn. The occult blood test only checks blood in the stool. The bleeding your are experiencing sounds like the cause is more hemorrhoidal and still needs to be examined by your doctor or a specialist.

  89. Kimberly Baeza August 11, 2016 at 4:12 pm

    HI I recently been having dirrehea for fee days. Allot of gas. 4 sec sharp pain in my abdomin here and there not much. And recently had bowel movement with blood it wasn’t light but it was not a while bunch. I wiped and it was on the pile paper ad well. Should I worry?

  90. Kenneth Brown, M.D. August 15, 2016 at 9:03 am

    Hi Kimberly. Since all bleeding is abnormal, my recommendation is to document your bowel movements along with your diet. You should share that information with your doctor and have them evaluate you for the bleeding you experienced during your bowel movement. I hope you start to feel better soon.

  91. Diann September 7, 2016 at 5:57 pm

    Hello my name is Diann. I have a question. I’ve been bleeding alot after having ever bowel movement for a few months. And now I am having a lot of back pain. I thought is was just a hemorrhoid. But now I’m not to sure. Do you think I should go get seen.

  92. Kenneth Brown, M.D. September 7, 2016 at 6:05 pm

    Hi Diann. Since all bleeding is abnormal, I would recommend getting evaluated by a physician.

  93. Rayne September 21, 2016 at 9:46 pm

    I was wondering why after I had a colonosopy a month in a half afterwards I started bleeding from the rectum. It’s the 3rd day. They said no colon or rectal cancer and what needed 2 b removed was removed.
    Thanku

  94. Kenneth Brown, M.D. September 28, 2016 at 6:45 pm

    Given the duration since your colonoscopy it’s difficult to say whether there is a correlation without a medical exam. Since all bleeding is abnormal, you should see your doctor regardless of the cause and have them evaluate you.

  95. SJ October 2, 2016 at 1:47 pm

    Hello Doctor
    13 year old having bright red painless blood when going in stool for 6 mos. done all parasites, bacteria tests in stool and all is normal. when vaseline application, it goes down drastically and then suddenly gets lots of drip blood and then applying vaseline gets it down. We do have a doctor appt in 20 days but struggling to find sense of this. Good health, very active, lots of fiber intake with fruits and vegetables and also we tested and is not anaemic.

  96. Kenneth Brown, M.D. October 3, 2016 at 8:19 am

    I’m sorry to hear about all of your health issues. Due to HIPAA guidelines, all I can really do is confirm that going to see a doctor to be evaluated is necessary. In preparation for that appointment, it will be helpful for the physician if you can document in as much detail as you can in regards to symptoms, previous tests/results, remedies/results used for these symptoms, diet and family medical history.

  97. Ranjit RB October 25, 2016 at 5:55 am

    Hello Doctor,

    I am Ranjit from Japan.
    Yesterday, I got suffered from diarrhea and went twice for it. For the second time, I observed blood on toilet paper, very less in quantity and didn’t feel any pain or etching. I am worried about it. It happened for the first time. I always take healthy and balanced diet but yesterday I eat a frozen sandwich. Is it serious or just because of diet or gastroenteritis?

  98. Kenneth Brown, M.D. October 30, 2016 at 10:31 am

    Hi Ranjit. Since all bleeding is abnormal, you need to see a physician to be properly evaluated to ensure there is not a more serious underlying issue. Your physician will be able to address your questions regarding diet after the exam. I hope you feel better soon.

  99. Kayenat Khushboo November 7, 2016 at 10:54 pm

    Sir I have blood in my stool not enough just a little bit so what I do sir. Why it is happen ? Is there any problem? Sir I’m just afraid of this. Is I’m suffering from any disease? Reply must sir.

  100. Kenneth Brown, M.D. November 8, 2016 at 12:37 pm

    Since all bleeding is abnormal, you should be evaluated by a medical professional to ensure the underlying cause is not something serious. Your doctor will be able to discuss specifics regarding the cause of your bleeding after they have evaluated you.

  101. Hayley November 14, 2016 at 12:56 pm

    Hi! I’m currently in panic mode because this is the second time this has happened.

    The first time there was blood in my diarrhea i went to the emergency at the hospital on day two as things got worse. (About twice an hour I’d have a bowel movement that was only liquid and blood, with major abdominal pain) after being picked and poked at I was sent home “see if it got better” by day three I was back to normal and the doctors just tried to blame it on food though I didn’t eat anything unordinary.

    Round two: (about 6 months later) it all started again. I didn’t eat anything odd! It’s about 2am and I had abdominal cramping really bad. I had a normal bowel movement and I assumed all was well. Then about twice every hour for about 15 minutes I sat on the toilette with really really bad pain that would bring tears and there was only westerly looking blood. Not dark just regular red blood colour. It’s now 3pm and nothing has changed still the same situation. Not sure to uncomfortably go back to the emergency to be told to go home again.

  102. Kenneth Brown, M.D. November 15, 2016 at 10:32 am

    If you haven’t done so already, you should be evaluated again by a physician for your recurring symptoms. All bleeding is abnormal, so you need to be examined by a doctor to ensure it is not an indicator of a larger issue. Providing as much documentation regarding your previous emergency room visit, symptoms you’ve been experiencing, diet, exercise and medical history will all assist the doctor in making their assessment and treatment recommendations. As to whether you need to go to the emergency room is something that I cannot comment on and you just need to do what you feel is best for your health. I hope you start to feel better soon.

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