What does it mean if there is bright red blood in the stool?

Aug 21, 2024 Source: Cainiu Health
Disease description:

This morning when I went to the bathroom for a bowel movement, I noticed blood streaks in the stool. The blood looked very fresh and bright red, as if it had just been discharged. I would like to know what might be causing this situation?

Doctor's answer (1)
Dr. Shen Yonghua

Passing stool with fresh blood is a symptom that requires attention and may be caused by various factors:

1. Hemorrhoids: One of the most common causes, especially internal or mixed hemorrhoids, often presenting as bleeding during or after bowel movements. The blood is bright red and does not mix with the stool. It may be accompanied by anal pain or itching.

2. Anal fissure: Constipation or hard stools can cause tearing of the skin or mucous membrane around the anus, resulting in pain and bleeding.

3. Inflammatory bowel disease: Conditions such as Crohn's disease and ulcerative colitis can cause intestinal inflammation, ulcers, and bleeding.

4. Polyps: Polyps within the intestines may bleed, especially when injured during bowel movements.

5. Rectal or colon cancer: Although other symptoms might be more prominent, blood in the stool may be an early sign of cancer.

6. Infections: Certain bacterial or parasitic infections can cause intestinal inflammation and bleeding.

7. Vascular abnormalities: Conditions such as angiodysplasia or vascular malformations may lead to bleeding.

When experiencing the symptom of fresh blood in the stool, it is advisable to seek medical attention promptly. Additionally, maintaining a light diet, avoiding spicy and irritating foods, and ensuring regular bowel movements may also help alleviate symptoms.