What causes blood in the stool?

Aug 21, 2024 Source: Cainiu Health
Disease description:

Recently, I have been having trouble passing stool, and when I do, there is blood present. Doctor, I would like to ask, what causes blood in the stool?

Doctor's answer (1)
Dr. Shen Yonghua

Rectal bleeding can be associated with various causes, some of the common ones are as follows:

1. Hemorrhoids: One of the most common causes, especially internal hemorrhoids. The blood is usually bright red and separates from the stool.

2. Anal fissures: Pain during bowel movements, often accompanied by a small amount of bright red blood.

3. Inflammatory bowel disease: These chronic conditions may cause inflammation, ulcers, and bleeding in the intestinal mucosa, with blood possibly mixed into the stool.

4. Infections: Certain bacterial, viral, or parasitic infections can cause diarrhea, abdominal pain, and rectal bleeding.

5. Vascular abnormalities: Such as angiodysplasia, which is more common in elderly individuals and can cause chronic, small amounts of rectal bleeding.

6. Medication factors: Long-term use of nonsteroidal anti-inflammatory drugs or other anticoagulant medications may damage the gastrointestinal mucosa, leading to bleeding.

7. Rectal polyps: These are often caused by dietary factors, genetics, or inflammation, and commonly manifest as rectal bleeding and anal prolapse. Although the amount of bleeding from polyps is generally small, long-term presence may lead to other complications.

Medical attention should be sought promptly when experiencing rectal bleeding.