Blood in Stool

Other names

Hematochezia
Melena
Rectal bleeding
Lower gastrointestinal bleeding
Upper gastrointestinal bleeding (if black/tarry stools)

Synopsis

Blood in stool refers to the presence of blood mixed with or coating bowel movements. It can appear as bright red blood (hematochezia) or dark, tarry stools (melena), depending on the source of bleeding in the gastrointestinal (GI) tract. Bright red blood typically originates from the lower GI tract (rectum, anus, colon), while dark blood indicates bleeding from the upper GI tract (stomach, small intestine).

Causes range from minor conditions, such as hemorrhoids or anal fissures, to more serious conditions like inflammatory bowel disease (IBD), colon polyps, or cancer. Prompt evaluation is essential, especially when the cause is unknown or symptoms persist.

Types:

  • Hematochezia: Bright red blood, often from the rectum or colon.

  • Melena: Black, tarry stool from digested blood (upper GI bleeding).

  • Occult bleeding: Invisible blood detected only through stool tests.

Common Causes (Risk Factors):

  • Hemorrhoids: Swollen veins in the rectum or anus causing bright red blood.

  • Anal fissures: Small tears in the anal lining, typically from hard stools or straining.

  • Diverticulosis: Pouches in the colon wall that can bleed.

  • Gastrointestinal ulcers: Bleeding from stomach or duodenal ulcers.

  • Inflammatory bowel disease (IBD): Crohn’s disease or ulcerative colitis can cause bleeding.

  • Colon polyps or colorectal cancer: Can cause bleeding, especially in older adults.

  • Infections: Certain bacterial infections can inflame and bleed the intestinal lining.

  • Angiodysplasia: Fragile blood vessels in the colon.

  • Medications: NSAIDs (e.g., ibuprofen), blood thinners can irritate or bleed the GI tract.

More Severe Causes (Complications):

  • Severe anemia: From chronic blood loss leading to fatigue, weakness, dizziness.

  • Shock: From acute, heavy bleeding (rare but serious).

  • Delayed cancer diagnosis: If bleeding is caused by malignancy and not investigated.

  • Gastrointestinal perforation: In severe ulcerative or inflammatory conditions.

When to See a Doctor or Specialist (Gastroenterologist, Colorectal Surgeon):

  • Persistent or recurrent bleeding in stool.

  • Blood in stool accompanied by pain, weight loss, or changes in bowel habits.

  • Black, tarry stools (melena).

  • Symptoms of anemia: Fatigue, paleness, dizziness.

  • Family history of colon cancer or IBD.

  • Bleeding associated with diarrhea or fever.

Natural Remedies

Fiber-Rich Diet: Softens stool, reduces straining, prevents hemorrhoids and fissures. Include oats, flaxseed, fruits, vegetables, and whole grains.

Probiotics: Support gut flora balance and reduce inflammation, particularly in IBD or infections. Include fermented foods or supplements.

Aloe Vera Juice (Inner Leaf): Soothes GI lining, reduces inflammation in mild digestive tract issues. Use under guidance, especially in IBD.

Slippery Elm or Marshmallow Root: Provide mucilage to soothe and coat the intestinal lining. Consume as tea or supplement.

Omega-3 Fatty Acids (DHA, EPA): Reduce inflammation in the digestive tract, helpful in IBD. Include fish oil supplements.

Curcumin (Turmeric): Anti-inflammatory, supports gut health, may reduce bleeding in IBD. Take with black pepper for better absorption.

Zinc Carnosine: Supports mucosal healing and ulcer repair in the stomach and intestines. Supplement under professional guidance.

Hydration: Maintains soft stool consistency, reducing straining and preventing fissures. Aim for at least 8–10 glasses of water daily.

Avoid Irritants (Alcohol, NSAIDs, Spicy Foods): Reduces GI tract irritation and bleeding risk. Minimize or eliminate during flare-ups.

Stress Management (Yoga, Meditation): Helps reduce IBD flare-ups and improve bowel function. Practice regularly.

Ingredients

These raw ingredients are often used in alternative medicine to treat this condition.

slippery elm bark
omega-3 fatty acids
zinc
vitamin C
selenium
aloe vera
alpha lipoic acid
curcumin
green tea
magnesium
marshmallow