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Blood in stool...
Hlo dr, from two days i am having blood in stool red blood and this happens frequently like every 6 to 8 months... What is the cause of this and how to treat...
Answers (18)
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Painless blood in stool could be problematic if Piles and anal fissure has been ruled out.
Colonoscopy is necessary for this point and mucosal biopsy.
investigation - CBC ,ESR, CRP, stool examination ,USG whole abdomen.
Physical examination and gastroenterologist consultation also advised.
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+154
May be
Haemorrhoid
Anal fissure
Is the stool.is very hard??
If so
Syr duphalac 15 ml at night after dinner.
Locally apply anovate/ shield ointment by index finger first on buthole than gently push inside the anus rotate the finger to cover anal mucosa completely before n after defication two times for two weeks for complete healing.
You know u need to change life style n diet plan drastically , whenever you don't you get blood.
Adv
Proctoscopy an outdoor procedure under general surgeon to know what exactly the lesion is.
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Do the following,
1. Stool test for microscopy and culture
2. Stool test for Calprotectin
3. Blood tests: CBP, ESR, CRP, LFT, KFT
4. Flexible sigmoidoscopy with mucosal biopsies
5. See gastroenterologist as at your age, must exclude IBD (ulcerative colitis and Crohn’s disease)
All the best.
www.jgsr-health-education.in
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Bright red blood in stool that:
• Appears for 1–2 days
• Recurs every 6–8 months
• Is red (not black)
Most commonly suggests:
✔ Hemorrhoids (Piles) – most common
Especially if:
• Blood is seen on toilet paper
• Blood drips after stool
• Associated with constipation
• Straining during motion
✔ Anal fissure
If there is:
• Sharp pain while passing stool
• Burning sensation
Less common but important to rule out:
• Polyps
• Inflammatory bowel disease
• Infection
• Colorectal pathology (especially if age >40)
Bright red blood usually means lower anal canal source, not stomach or upper intestine.
If bleeding is recurrent every few months, hemorrhoids are very likely.
Next Steps
Immediate measures:
✔ Increase fiber (25–30 g/day)
✔ Drink 2.5–3 liters water daily
✔ Avoid straining
✔ Sitz bath (warm water sitting) 10–15 minutes twice daily
✔ Use topical hemorrhoid ointment (if mild piles suspected)
If constipation present:
• Add stool softener (like lactulose or ispaghula husk)
⸻
You must see a doctor if:
• Bleeding lasts more than 3–4 days
• Blood mixed inside stool
• Unintentional weight loss
• Change in bowel habits
• Severe pain
• Age above 40 (colonoscopy may be advised)
Since this is recurrent, a physical examination (proctoscopy) is recommended to confirm diagnosis rather than assuming.
Health Tips
• Avoid long sitting on toilet
• Do not delay urge for stool
• Reduce spicy and very oily food
• Maintain healthy weight
• Regular physical activity improves bowel movement
Very important:
If you are under 40 and bleeding is fresh red and associated with straining, hemorrhoids are most likely.
But because it is recurring every 6–8 months, a one-time evaluation by a physician is advisable to confirm and prevent complications.
If you tell me:
• Your age
• Whether there is pain while passing stool
• Whether you have constipation
I can guide you more specifically.
Recurrent bleeding should not be ignored — early evaluation makes treatment simple and prevents long-term issues.
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Need detailed history
Kindly consult for further guidance
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Fresh red blood in stool at your age is most commonly due to piles or a small tear, especially if it comes and goes. It is usually not serious but should not be ignored.
Take plenty of water and fiber, and avoid straining. Consult me for proper diagnosis and treatment.
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Please share if you have constipation, abdominal cramps, do you lift or push heavy objects?In your age rectal bleeding could be due to piles or infection.
Please consult a gen surgeon physically for clinical evaluation.
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Along with this dp you have any pain/ burning while defecation..
Any history of constipation
Any mass felt at the time of passing stool
All this history is necessary to make your diagnosis along with examination
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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Need some more details kindly consult
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Main cause behind this is constipation. Due to constipation its make hard stool and these stool rupture the anal canal wall and causes anal fissure.so main stay of treatment is lifestyle modifications and dietary changes.drink plenty of water and increase fiber in diet. For now you need medical treatment for 3 to 4 days so please consult me on practo for further management and evaluation.
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Hello,
Fresh red blood in stool occurring occasionally (every 6–8 months) at your age is most commonly due to hemorrhoids (piles) or an anal fissure, especially if you have constipation or hard stools.
Common causes:• Passing hard stool / straining• Constipation with low-fiber diet• Small tear (fissure) in anal canal• Internal hemorrhoids
Next Steps
What you can do (for 1–2 weeks):• Take a stool softener like Lactulose 15–20 ml at bedtime or Isabgol husk with warm water.• Apply local ointment for fissure/piles (like Anovate or lidocaine + nifedipine preparation) 2–3 times daily and after passing stool.• Warm sitz bath (sit in lukewarm water) for 10–15 minutes twice daily.• Increase fiber (fruits, vegetables, oats) and drink 2–3 liters water daily.• Avoid straining and prolonged sitting on the toilet.
Health Tips
Important: Since this is recurring, you should get a clinical examination by a surgeon/proctologist once to confirm the diagnosis.
Red flag symptoms (need urgent evaluation):• Weight loss• Weakness/anemia• Blood mixed inside stool (not just on surface)• Persistent bleeding >1–2 weeks• Family history of bowel disease
Most cases are benign and treatable, so don’t worry.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Would be hemorrhoids
Do consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Could be fissure or haemorrhoids
Call take a consultation wil guide u
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Commonly it's due to constipation, if it is bright red blood in stool
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Divya Shukla
General Physician
3 yrs exp
Lucknow
Hello dear, you have blood on stool since 6-8 months it could be because of constipation and that lead to torning of anal canal.
Can you plz tell if the blood comes always or only when you get constipated.
The blood is always fresh red or it is black also some time.
Is there any skin tag coming from your anal canal.
Is there any other symptom other than this.
Next Steps
Take more fiber and water in your diet.
Avoid fast food and spicy food.
Health Tips
take care of yourself and you can contact me on practo.
thank you
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.