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Blood on stool
May 2024: First episode of bright red streak on stool resolved with laxative.
Jan 29, 2025: Significant bright red dripping after bowel movement → stopped after laxative + antibiotics + bleeding stopper. DRE was normal.
Feb 20, 2025: Bowel cramps/inflammation, lasted 4 days → resolved with medicines. Temporary 2-3 kg weight loss, later regained.
Mar 24, 2025: Minor bright red streak on stool with
burning.
July 6, 2025: Constipation, 2-3 unsatisfactory motions, anal rim burning, slight watery red stain on finger while washing. Later stools without blood.
Aug 2025 (current): For past few days, dark brown sticky stool, incomplete evacuation, no visible fresh blood.
Weight has been stable/increasing for >3 months. No fatigue, no black/tarry stool. Can u help me identify the problem.
Answers (31)
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Hello i am dr yash goyal .follow up for consultation
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DRE is normal... which means no hemorrhoids and fissure
Next Steps
sigmoidoscopy or colonoscopy
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You can consult me directly on Practo, or reach out via WhatsApp:
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? Stomach or duodenal ulcers? Kindly consult with me on 94 two six eight six 78 nine six.
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
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As per your history, looks like tou have anal fissure.
Consult a general surgeon offline. You need to be examined before initiating specific treatment.
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Hi,
First of all thanks for such a detailed history. I understand you've been suffering for a while.
You might be having fissures -one or more, piles or a stomach ulcer.
Next Steps
all your issues require an examination by a surgeon and a consultation with a medical gastroenterologist.
Health Tips
kindly do not take this lightly
it needs management at the earliest and intervention.
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You are wasting your time by writing such huge stories.
Please consult a General Surgeon in your area for a physical examination. He is the only person who can diagnose whether you have piles or a fissure or if there is any evidence of cancer.
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It might be anal fissure or hemorrhoids. Drink plenty of water. Fibre rich diet. Take laxatives. If symptoms persists get examined by surgeon.
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For proper guidance, please consult a surgeon, as a detailed examination is essential.
Long-term management mainly includes:
Diet: Focus on a high-fiber diet and adequate hydration.
Medications: Use laxatives or lubricants if advised by your doctor.
Exercise: Regular physical activity is equally important — even a daily walk helps.
Remember, the more active you are, the more active your bowel will be.
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There is need for a proper anal examination and stool test. Consult a surgeon
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May be due to analfissuer,
Take good diet adequate in fiber ,
If still having problem consult nearby general surgeon and get further examination done
Next Steps
Use stoolsoftners like dulpholac 10-15 ml daily at bed time ...
Health Tips
Maintain good bowelhabits,have good diet
take adequate water .
have a healthy life style
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It has to be something internally..There cant be a symptoms without a cause..visit a good gastroenterologist
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If you want to discuss your problem in more detail, feel free to to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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Please consult a gastroenterologist physically.
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Fissure.
Change life style n diet plan drastically.
Use or isabgol husk two teaspoon two times for prolonged times is BENIFICIAL.
Locally apply anovate with 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 3 weeks for complete healing.
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This is a case of fissure.
You may use a stool softener.
Next Steps
Improve diet rich in Iron and Vitamin C.
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Hello, I am Dr. Romain Rajan, General Physician.
Your case has been allotted to me.
I understand your concern. Rectal bleeding and bowel disturbances can be worrying, but from your detailed history, it appears to follow a constipation-related pattern most often due to minor anal fissure or hemorrhoids, which are both common and manageable.
1. Advices
Maintain soft, regular stools â take Isabgol husk or a gentle laxative such as Cremaalax or Lactulose syrup at bedtime for a few weeks.
Drink at least 3â4 litres of water daily and include fruits like papaya and banana in your diet.
Take a warm sitz bath twice daily for 10â15 minutes (use lukewarm water with a pinch of salt). It improves healing and reduces burning.
2. What to Monitor
Reappearance of bright red blood in stool.
Any new change in stool colour to black or tarry.
Fatigue, weight loss, or persistent abdominal pain.
3. Management
You may apply Anovate or Lignocaine jelly locally after bowel movement for relief. Avoid straining, spicy food, and prolonged sitting.
If the bleeding or burning continues despite these measures, a physical examination or sigmoidoscopy may be advised to confirm the diagnosis and rule out internal hemorrhoids or mucosal inflammation.
4. When to Consult a Doctor Immediately
Continuous bleeding for more than 2â3 days.
Black or tarry stool.
Severe pain, dizziness, or fatigue.
Every patientâs situation is unique. For accurate diagnosis and lasting relief, itâs important to discuss your medical history and symptoms in detail.
ð You can reach out to me directly for this case, and also connect with me in future for any medical consultation.
I am available on Practo or on WhatsApp at 85271646 seven seven for a one-on-one consultation, where youâll receive:
⢠A personalized treatment plan
⢠Safe medicine adjustments (if required)
⢠Quick follow-ups to track your recovery
Take care, wishing you good health.
Best regards,
Dr. Romain Rajan
General Physician
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Need few more details
Kindly connect.
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From the pattern, it appears to be due to an anal fissure or mild hemorrhoids related to constipation. Since DRE was normal and there’s no weight loss or black stools, serious causes are unlikely.
Try a high-fibre diet, hydrate well, use a stool softener, and do sitz baths. If bleeding recurs or persists, get a proctoscopy/colonoscopy done to rule out internal causes.
Next Steps
1. Keep stools soft
Drink 2.5–3 L of water daily.
Add fiber: papaya, guava, banana, oats, soaked raisins, salads.
If still constipated, take Isabgol (1 tbsp in warm water) or Lactulose syrup (10–15 ml at bedtime).
2. Local care for anal area
Take sitz bath (sit in warm water with a pinch of salt for 10–15 mins, twice daily).
After washing, gently pat dry — don’t rub.
Apply Lidocaine + Diltiazem/Nitroglycerin ointment (if prescribed) for healing and pain relief.
3. Avoid straining during motion
Don’t sit too long in the toilet.
Go as soon as you feel the urge — delaying worsens constipation.
4. Avoid spicy, oily, or junk food — they irritate the anal lining.
5. Exercise regularly — even 20–30 min walking daily helps regulate bowel movement.
6. If you notice again:
Persistent bleeding >1 week,
Blood mixed with stool (not just coating it),
Black/tarry stool,
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On the basis of history you told there could be IBD
ONLY Colonscopy could rule out get it done as soon as possible
For further consultation you could contact through practo only
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Did you get colonoscopy done?
My advice will be either get colonoscopy done or get markers done first
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Take a glass of milk daily.
Thanks.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Avoid spicy food
Avoid coffee and tea in empty stomach
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Dr. Shivam Mishra
General Physician
5 yrs exp
Mumbai
Hello
Thank you for describing your history in such detail — it really helps in understanding the pattern.
From your timeline, the episodes of bright-red blood after passing stool, associated with constipation and anal burning, strongly point toward anal fissure or internal hemorrhoids (piles) rather than any serious intestinal disease.
Since the bleeding is bright red, appears after straining, and your weight and energy are stable, we can safely say this is most likely a local anorectal cause. The recent dark brown sticky stool and feeling of incomplete evacuation could indicate mild constipation with mucus or minor dietary changes, not internal bleeding (black/tarry stool would suggest that).
However, because the issue is recurrent for almost a year, I would recommend:
A proper proctoscopy or sigmoidoscopy to confirm if there are fissures or piles.
Stool occult blood test (to rule out upper GI source).
A tailored plan including stool-softening regimen, local ointment, sitz baths, and dietary correction.
These problems are completely treatable when handled in a systematic way.
If you’d like me to review your reports and guide you with an exact medicine + diet plan to permanently stop recurrence, you can message me privately on WhatsApp at nine three two six zero two zero five three six for a detailed consultation.
We’ll fix your digestion, ease constipation, and ensure you never face this bleeding again.
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Dr. Jaswanth Sowmya Thalathoti
General Physician
8 yrs exp
Guntur
You need physical consultation from a surgeon
Also try not to take laxatives too often
Next Steps
Avoid spicy food
Eat green leafy vegetables
Drink plenty of water
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Dr. Sanghpriya Gautam
General Physician
6 yrs exp
Delhi
Connect please
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Apply annovate cream
Take tab imol plus
Tab cipro tz twice daily
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