Is rectal bleeding caused by "excess internal heat" (a traditional Chinese medicine concept)?

Jun 17, 2024 Source: Cainiu Health
Disease description:

I've recently been noticing blood in my stool and have been worried whether it's caused by "excessive internal heat" (a traditional concept often referred to as "shang huo"). Can bloody stools be due to "shang huo"?

Doctor's answer (1)
Dr. Li Jingxiang
Rectal bleeding may be caused by "internal heat" (a traditional concept referring to bodily imbalance), but this is not the only possible cause. Specifically: 1. Internal Heat Factors: Long-term consumption of spicy and greasy foods, along with insufficient daily water intake, may lead to internal heat, disrupt metabolism, and cause dry, hard stools. This can damage capillaries and soft tissues during bowel movements, resulting in rectal bleeding. 2. Other Causes: Besides internal heat, rectal bleeding can also result from various medical conditions such as hemorrhoids, anal fissures, colorectal tumors, inflammatory bowel disease (IBD), and intestinal polyps. These conditions may damage the intestinal mucosa, causing blood to appear in the stool. When experiencing rectal bleeding, it's important to consider multiple potential factors and seek timely medical evaluation to determine the exact cause and receive appropriate treatment.