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Hi, Ive Had Some Blood In My Stool, A Fair

Posted on Thu, 18 Oct 2018

Question: hi, ive had some blood in my stool, a fair ammount which isn't normal for me. about two a tea spoon? also it was on my toilet paper about the same ammount. it was red blood. should i be concerned? thanks

Answered by Dr. Ramesh Kumar (1 hour later)

Brief Answer:
Yes you should be concerned.

Detailed Answer:
Hello and Welcome to 'Ask A Doctor' service.
I have reviewed your query and here is my advice.

Generally, blood coming from higher levels (stomach and small bowel) converts into a dark coal black colour due to the changes the blood has in the bowel. It is the bleeding from lower parts (colon) that will show as bright red blood.So in your case seems that lower gut is involved.
Have you ever had a colonoscopy done?
I would recommend you to have a colonoscopy every 5-10 years.
Even if you have had this test in the last 5 years it might be recommended to repeat it as you are having this bleeding.
A CBC would be a good test to be done if you suspect bleeding to see if you are developing anaemia as a complication of bleeding and need treatment for it or not.
Thirdly get a proctoscopic examination of rectal canal done to rule out possibility of hemorrhoids or fissures.
Hope i was helpful.
Follow ups are welcome.
Thanks!

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Ramesh Kumar (1 hour later)

hi, thanks so much for your answer. i wanted to let you know i had no pain either. i do have low iron levels off and on and ive never really had those investigated. i havent had a colonoscopy done ever. ill ask my doctor and for the other test. is anemia a likely cause for issues with the lower gut? and can certian foods or alcahol cause the bleeding? thanks again!

Answered by Dr. Ramesh Kumar (6 hours later)

Brief Answer:
Follow up.

Detailed Answer:
Hi again'
"I had no pain either"-Pain is not present in internal hemorrhoids.
Low iron can be very likely related to bleeding problems.
An issue with lower gut can cause anemia because of continuous loss of blood from small bleeding points.
Yes, excess alcohol could be a cause of bleeding.
Hope I was helpful.
Follow-ups are welcome

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Ramesh Kumar (2 days later)

hi, we spoke a couple of days ago about blood in my stools today I had some more blood but it wasnt as much and it was on the stools should i go get tested for bowel cancer? im not straining, still have no pain but im just concerned. thanks

Answered by Dr. Ramesh Kumar (26 minutes later)

Brief Answer:
Go for colonoscopy.

Detailed Answer:
Hello again,
As episodes are repeating again and again definitely yes you should go for colonoscopy.
Thanks!

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Above answer was peer-reviewed by : Dr. Remy Koshy