Blood during bowel movements in men, women and children bleeding without pain, burning with stool

According to studies, up to 18 ml of blood is released in almost 3% of the adult population after each bowel movement. And in 5% of healthy people, unchanged fluid mixes with feces. In 35% of cases, spotting may indicate intestinal dysfunction and indigestion. Due to the transition of hemoglobin to hematin, the likelihood of a tarry stool with a fetid odor increases. In medicine, it is called melena.

When mixing blood with diarrhea, we can talk about the following diseases:

  1. Gastric and duodenal ulcer. In this case, blood clots are secreted by intestinal bleeding, and since the connective tissue is constantly mixed with the contents of the intestine, the feces become brown.
  2. Severe forms of dysentery, accompanied by prolonged diarrhea, up to the exit from the anus of the rectum.
  3. The growth of malignant tumors in the gastrointestinal tract, followed by rupture of blood vessels.
  4. Ulcerative colitis and Crohn’s disease, in which deep wounds affect all layers of the intestine.
  5. Hemorrhoids, accompanied by alimentary and dyspeptic diarrhea. In the first case, an allergy to certain food products causes the problem, and in the second, a violation of the absorption of nutrients into the blood.

Visible rectal bleeding allows you to quickly determine the diagnosis and begin treatment. Hidden require a comprehensive examination through special devices.

It happens that a person feels great, but on the paper after each bowel movement there are still traces of blood. In this case, it is important to analyze the diet. Perhaps it contains additives and dyes that can change the natural color of feces. This refers to carmines, karmazin, erythrosine and ponso. The latter two are used in the manufacture of canned vegetables, pastries, biscuit cakes and casings for sausages.

Beetroot remains the most popular natural dye. It is enough to eat one serving of vinaigrette, and the next day the feces will turn red. Less commonly, a similar pattern is observed with the use of cherry and pomegranate juice.

If preference is given to products rich in chlorophyll, there is a high probability of staining of feces in green. With a deficiency of bilirubin, feces become gray. Frequent consumption of licorice promotes black masses.

In some cases, rectal bleeding causes anal sex. Moreover, almost 22% of respondents bleed without pain. According to proctologists, in the future anal intercourse can cause deformation and rupture of the rectal mucosa.

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Serious pathology

This list is headed by rectal fissures several millimeters wide. Given that processed decay products are almost 75% bacterial, it’s dangerous to delay treatment. Blood poisoning is possible.

Other pathologies include:

  1. Cirrhosis of the liver, as a result of which 500 to 1500 ml of blood can be released per day. With large blood loss, a fatal outcome is possible.
  2. Intestinal ischemia in 50% of cases is accompanied by minor rectal bleeding. Only with ischemic colitis, up to 900 ml of red discharge flows from the anus.
  3. Amoebiasis in the early days of the disease is dangerous due to hidden bleeding, but already at the end of the week a jelly-like mucus with blood clots comes out of the anus.
  4. Fecal peritonitis, fraught with prolonged intoxication of the body and multiple organ failure.
  5. Colon cancer In this case, blood is present in the feces, but it can only be seen under a microscope.

Even if bleeding does not cause pain, you need to undergo a full examination. So you can determine the cause of the disease in time, bypassing complications.

Blood during bowel movements in women without pain is a symptom of a variety of proctologic diseases. It appears one of the first, but rarely causes excitement in humans. And completely in vain.

Blood released during bowel movements or immediately after it can be a manifestation of a number of diseases. Therefore, a doctor’s consultation is mandatory. With mild bleeding, only a few drops of blood flow from the anus.

With moderate secretions in the feces, bloody clots can be noticeable, with severe – serious blood loss, anemia and loss of consciousness are possible.

Among the main causes of the appearance of blood with feces in women: hemorrhoids, polyps, cancer, anal fissures, diverticulosis.

The disease occurs with varicose veins located in the rectum. The basis of the symptom of the disease is red blood, which the patient can notice on paper. It appears due to damage to hemorrhoidal nodes by fecal masses. In this case, a woman may not feel pain at all. Bleeding with hemorrhoids is almost always moderate or heavy, and as a result lead to the development of anemia.

Hemorrhoids are treated with anti-varicose drugs that normalize blood supply and provide blood outflow from the pelvic organs.

The disease is most often found in those who suffer from constant constipation. Firm feces cause damage to the skin and mucous membranes. Blood discharge with this pathology is insignificant, occurs after emptying and does not mix with feces. Immediately with bowel movement, bleeding rarely occurs.

These are benign neoplasms, which, if untreated, can develop into a cancerous tumor. For a long time, they do not appear in any way; rarely, patients may have diarrhea or constipation.

They are due to a decrease in intestinal motor activity. When the polyps are damaged, the patient has bleeding of various profusion. The larger the size of the neoplasm, the stronger they are.

Most often, the blood mixes with bowel movements.

A pathology in which small protrusions form on the walls of the intestine. With their inflammation or damage in women during bowel movements, blood is noticeable. In addition, other symptoms are observed:

  • stomach ache;
  • increase in body temperature, etc.

The first thing to do is to normalize the intestines to prevent the formation of new diverticula. Therapy depends on the severity and neglect of the disease: drug therapy or surgical intervention to remove damaged tissue is possible.

The most common cancer, with the development of which blood comes out of the anus. Bleeding is possible at any stage of the disease. They can have a bright color or mix with feces. The intensity of the discharge also varies. If the tumor breaks up and bleeds, they are strong enough, since the disease affects large vessels.

Blood color

Blood with stool in women can be different, and its nature largely depends on the underlying disease. With anal fissures, discharge is carried out in small portions and is most often visible on napkins.

If the appearance of blood is caused by proctitis, streaks of mucus will be visible in the feces. When a patient is diagnosed with polyps, the size of the blood and its features are affected by the size of the neoplasms. But always in women during the stool noticeable blood.

A similar situation is characteristic of oncological diseases.

Colitis is a specific disease in which ulcers form on the mucosa. Pathology is manifested by loose stools, in which blood is present. A stomach ulcer is often accompanied by severe anal bleeding.

The nature of the discharge is directly related to the characteristics of a particular disease.

Blood discharge in the weak half of humanity has its own characteristics. In addition to the reasons listed above, they may appear in the following situations:

  • with endometriosis;
  • in the last months of pregnancy with perineal varicose veins;
  • with cancer after chemotherapy.

Toward the end of pregnancy, the growing uterus presses on all organs, as a result of which the walls of the rectum lose their elasticity and are easily damaged.

Another provoking factor is increased blood supply and a slight decrease in blood coagulation, which is important for the normal course of pregnancy. As a result, women have feces with blood.

Blood during bowel movements can occur with intestinal endometriosis. With this ailment, foci with cells that are very similar to the elements of the uterine mucosa are formed in various organs. Due to damage to the rectum, the patient suffers from abdominal pain. Later in the feces inevitably appears blood with mucus.

With the appearance of blood with feces in women, one should not delay a visit to the doctor and engage in self-treatment. Women should be screened by a number of specialists. Only they can establish the true cause of the appearance of blood secretions in the feces, conduct the necessary studies and prescribe adequate treatment.

The reasons why a woman has blood during bowel movements and after her bowel movement may be different. The main ones are digestive tract diseases or infectious diseases.

When is urgent help needed?

Feces with blood should be the reason for going to the hospital in such cases:

  • Profuse discharge of blood or scarlet clots.
  • Minor but prolonged bleeding from the anus. Drops of blood not only remain on toilet paper after a bowel movement, but also on underwear. Duration of bowel movement for more than a week.
  • Along with blood discharge, bloody vomiting occurs, the patient’s well-being worsens.
  • An increase in body temperature joins the feces with blood. This is always a sign of infection or inflammation.

When there is a blood discharge in the feces, you need to visit a proctologist. Bleeding caused by gastrointestinal diseases is always accompanied by additional symptoms in the form of nausea, vomiting, and abdominal pain.

  • if the bleeding is profuse and does not stop
  • if bleeding is accompanied by bloody vomiting
  • if bleeding is accompanied by discharge of blood from the nose, bruising and bruising
  • if bleeding is accompanied by a deterioration in general condition
  • if the temperature and intense abdominal pain increase in parallel with the bleeding

Gender Separation

The body of an adult male contains 5-6 liters of blood, while in 39% of women this figure does not exceed 4 liters. Given the structural features of the abdominal cavity and muscle tissue, we can talk about various manifestations of the disease.

In men

According to international studies, rectal bleeding more often occurs in men. In 54% of cases, this is facilitated by the abuse of alcohol and tobacco products. The latter violate blood coagulation and increase intestinal motility. That is why smokers with experience often have false urge to defecate. With intense straining, blood rushes to the veins of the anus faster. So hemorrhoidal seals are formed.

Intense physical labor can also disrupt blood circulation. Loaders, builders, steelmakers, debris, concrete workers and metallurgists are more often at risk. Every second of them, from hard work, has rectal bleeding.


A slight discharge of blood from the anus is observed during pregnancy and menstruation. This is facilitated by reduced locomotor activity, abuse of sweets, and in some cases, a shortage of water in the body. Rectal bleeding can also cause endometriosis. With such an ailment, an enlarged uterine mucosa affects other organs, including the rectum. And the allocation of blood from the anus is possible not only during menstruation, but also long before it begins.

Other causes of the disease in women include:

  1. Elevated levels of progesterone in the body of the expectant mother. This sex hormone is necessary for the bearing of the fetus, and it often becomes the cause of regular constipation.
  2. Reduced uterine tone after cesarean section. During this period, the body does not adapt well to new changes.
  3. Coagulation syndrome inside blood vessels.
  4. Thrombosis of tubular formations with subsequent necrosis of intestinal loops.
  5. Pelvic varicose veins due to frequent pregnancies.

Causes of Anal Bleeding

The manifestation of such a sign is usually associated with pathologies that develop in the rectum and large intestine, or rather, with violations of the integrity of their mucous surfaces.

This cannot be considered a commonplace problem. When it occurs during bowel cleansing or immediately upon completion of it, with or without pain, an urgent appeal to a medical institution is required to diagnose and choose methods of treating the disease that caused the appearance of blood in the feces.

Such bleeding can occur due to the development of various diseases:

  • hemorrhoids – blood is released immediately after bowel movement, it has a bright red color, not mixed with feces. She is on top of him;
  • colitis – the development of this pathology occurs during the inflammatory process in the digestive tract, and provokes the formation of ulcers. This disease often develops inside the large intestine;
  • anal fissure – blood discharge appears after the act of defecation, the amount of blood is small, there is a burning sensation;
  • constipation – inside the rectum there is a huge number of blood vessels damaged during stagnation of feces;
  • polyps – the amount of blood secreted may vary, it depends on the size and location of the polyp;
  • proctitis – the inner surface of the rectum, is covered with ulcers, leading to inflammation. A lot of mucus and blood is present in the stool;
  • gastritis – can provoke strong rectal spotting;
  • ulcer of the duodenum and stomach – during the development of the disease, a huge amount of blood is released, leaving during bowel movements, practically without pain, vomiting is noted, blood is present in the vomit, the stool is black in color, reminiscent of tar;
  • diverticulosis – pockets and protrusions form on the intestines, from time to time during bowel movements they are injured, blood is released, it is in the bowel movements;
  • malignant formations – blood is excreted exactly as in the presence of polyps inside the intestine;
  • varicose veins of the circulatory system of the esophagus;
  • HIV – not the disease itself causes a problem, but a reduced protective function of the body, which contributes to the rapid development of any disease, accompanied by bloody secretions that come out through the anus.


Often during a similar pathology, blood is released during and after bowel movements. Most often, you can see it on your underwear and toilet paper. Almost always, it is scarlet.

This symptom manifests itself after a hard and voluminous stool or after performing physically hard work. Blood clots during hemorrhoidal bleeding are located on the feces.

The main symptoms that indicate this pathology are red formations, sometimes having a bluish tint, falling out of the anus.

Anal fissures

Almost always, people who suffer from constipation have this problem. The combination of delay and solid feces, causes irritation of the anorectal zone due to soap or other hygiene products, contributes to the formation of micro-tears on the inner surface of the rectum.

Every attempt to go to the toilet, for this reason, turns into a real test. What provokes fear and the development of psychological constipation. Symptoms that indicate the presence of a crack inside the anal canal are severe pain during bowel movements, and the presence of blood in the stool.

An ailment is diagnosed when a tissue rupture is detected. The formation of a crack occurs where the skin connects to the mucous surface of the rectum.

Intestinal polyps

Polyps are formations of benign origin. They represent small balls with wide bases or legs. They do not appear in any way for quite some time. Sometimes patients have the appearance of stagnation of feces or diarrhea, which are associated with improper gastrointestinal tract.

This pathology is dangerous. Polyps often outgrow, becoming malignant tumors. Usually bleeding occurs from their surface, the larger its area – the easier it is to damage.

They are able to bleed, being at any stage of the development of the disease. There is a separation of blood from the anus without defecation. Not infrequently manifested by bleeding or bowel obstruction.

To establish their presence is easier when they are localized in one place in the intestine. After a digital examination, the specialist is able to identify it in time and prescribe adequate therapy to the patient.

Rectal bleeding caused by tumors that form inside the intestine can manifest itself in various ways. The color of the released blood is bright, it is part of the feces.

Their bleeding profusion is different. Indeed, when a tumor formation begins to decay, intense bleeding occurs. For the reason that large vessels are involved.

These diseases are characterized by the appearance of ulcerated areas on the surface of the intestine caused by the development of autoimmune pathologies.

They contribute to the formation of bleeding, along with which the patient develops strong pain in the abdomen, loss of appetite, and an increase in temperature. Feces are black. Heavy rectal bleeding begins.

With the development of this disease, the formation of pockets and protrusions of the intestinal walls occurs. It is complicated by frequent bloody discharge, intestinal growth and peritonitis.

Signs indicating diverticulitis – the appearance of severe pain in the lower abdomen, especially on the left side, anal bleeding, body temperature rises.

Central to this situation is the stabilization of bowel cleansing to prevent the appearance of other diverticula. Therapy is performed according to the neglect and severity of the disease. It must be carried out with medications or with the help of surgical intervention, when the removal of the affected areas of the intestine is performed.

These pathologies are manifested by profuse discharge of blood through the anus, an increase in body temperature, diarrhea, the appearance of nausea, vomiting, severe abdominal pain. These symptoms usually manifest amoebiasis, salmonellosis, dysentery.

Pregnant women

Often, anal bleeding occurs during pregnancy in women. The reason for this is the development of hemorrhoids. Often occurring constipation is a major factor in its formation. Also, the development of the disease occurs as a result of the formation of an anal fissure.

Such cases do not pose a serious threat. But, if, with the appearance of anal bleeding, severe pain is felt – you need to immediately visit a doctor for a consultation.

After childbirth

In women after childbirth, blood sometimes appears from the anus, due to the formation of rectal cracks or damage to the vessels located in the hemorrhoidal nodes due to severe stress during childbirth.

What to do?

With bleeding from the anus, it is required to establish the reason why it began and begin to heal. Early contact with a doctor guarantees the effectiveness of therapy.

If intense bleeding occurs, the first thing you need to do is stop it:

  • lay the patient on a horizontal plane;
  • apply ice to the lower abdomen;
  • call an ambulance.

To determine the cause of the disease, you need to make sure that these are not signs of a cancer or other dangerous intestinal pathology; an urgent examination by a proctologist is necessary. He will prescribe a number of necessary studies that contribute to the correct diagnosis.

Methods of diagnosis

To diagnose proctologists use various research methods that help identify the causes of rectal bleeding:

  • fecal analysis – allows you to determine the presence of blood, even when it is not visible visually. A study is prescribed if there is a suspicion of a disease in which bleeding from the anus appears;
  • irrigoscopy – to examine the intestine, it is filled with a contrast-colored substance, which contributes to a clear x-ray;
  • gastroduodenoscopy – an endoscopic examination that allows you to assess the condition of the internal surface of the gastrointestinal tract. This method is sometimes used when cauterizing ulcers;
  • rectoscopy – this type of study involves the intestinal sections located below. This method helps to determine the presence of hemorrhoids, anal fissures, various formations inside the intestine;
  • colonoscopy is an advanced method of rectoscopy. Used in determining changes in the structure of the colon.

There are many reasons that provoke the appearance of anal bleeding. Only a specialist is able to identify them, he will also prescribe adequate therapy. If the blood discharge after a while stops by itself, this does not at all indicate the disappearance of the cause.

This problem requires a serious attitude. After all, there are many different diseases, accompanied by the presence of blood in the feces.


Such a variety of causes that can be manifested by anal bleeding does not provide for a general treatment regimen for patients. This pathology is not a disease, but only its symptom, to eliminate it is necessary to treat the disease that has become the cause.

Often the blood secreted from the anus is not a sign of a serious pathology, but this does not eliminate the need to visit a proctologist. Self-medication is inappropriate here.

The methods of therapy are directly dependent on the cause of rectal bleeding.

Drug therapy – used for infections that caused this symptom. The alarm will disappear with the elimination of the cause.

An operative treatment method – is used when polyps, neoplasms, launched hemorrhoids are detected.

Contact method of treatment – used for stomach ulcers and 12 duodenal ulcers.

Combined treatment – it is often resorted to to achieve a greater effect in the treatment of the disease. For example, an ulcer is first cauterized, and then antibacterial therapy is prescribed.

The use of ice candles can be called the main way to stop the secretion of blood from the anus. It should be noted the specificity of this method. When using it, specialist advice is required.

This method helps to quickly narrow blood vessels and stop bleeding. To prepare such candles, you need pure water or herbal decoction. The fluid must be frozen.

Digestive diseases:Infections:
  • gastric and duodenal ulcer and erosive gastritis
  • esophageal varicose veins with thrombophlebitis of the spleen vein or with cirrhosis
  • tumors – colorectal cancer
  • intestinal tuberculosis
  • intestinal polyps
  • intestinal diverticulosis
  • Crohn’s disease, ulcerative colitis
  • hemorrhoids, anal fissures
  • dysentery
  • typhoid fever
  • hemorrhagic fever
  • enterovirus, rotavirus
  • helminthic invasions – amoebiasis, schistosoma, etc., with injuries to the intestinal wall
  • STDs – syphilis, herpes, rectal gonorrhea, venereal granuloma
Blood diseases:
  • leukemia
  • mesenteric thrombosis

Characteristic and description

In rare cases, bloody stools cause HIV infection. An accurate diagnosis and adequate treatment will require a full examination. At first, the color of feces will help to understand the reason for such a strange, but as yet painless pathology.

Red feces, for example, may indicate malignant tumors and polyps. The latter are outgrowths of the intestinal mucosa. When they reach abnormal sizes, up to 70 ml of blood is released daily from the anus. If this symptom is ignored, soon benign polyp cells will become malignant.

Cherry color of feces indicates pathologies of the colon. The main symptoms of this disease are growing stomach pains, flatulence and regular constipation. Together with feces in patients daily leaves up to 50 ml of blood with impurities of pus. Fecal scarlet is a sign of deep anal fissures and hemorrhoids. Dark clots may indicate intestinal diverticulum, and black feces may indicate duodenal pathology.

Gastric and duodenal ulcer and erosive gastritis

Peptic ulcer caused by bacteria proceeds undulating. Periods of relative well-being give way to exacerbations. If a peptic ulcer or erosion in gastritis is small, then they can manifest themselves only as “hungry” pains or pain immediately after eating. Over time, the ulcer grows wide and deep, eventually drilling the wall of the stomach or intestines. If a blood vessel is damaged, profuse and life-threatening bleeding can occur.

Diagnosis and treatment at the same time is carried out using gastroscopy: a ulcer defect is found and cauterized. After normalizing the condition, they treat inflammation in the stomach and remove harmful bacteria.

Rectal bleeding from the colon and rectum is more common, but blood in the stool can also appear with cracks in the anus.

The appearance of blood in the stool is not always a formidable symptom requiring the participation of a doctor. An insignificant, one-time appearance of scarlet blood, not mixed with stools with constipation, can be caused by overstretching and rupture of the anus by too hard feces and does not require medical intervention.

Blood color during rectal bleeding often depends on the site of bleeding in the gastrointestinal tract. As a rule, the closer the source of bleeding to the anus, the brighter the blood will be.

Thus, bleeding from the anus, rectum and sigmoid colon is usually bright red, and bleeding from the colon and transverse (transverse and large intestine a few meters from the anus) is usually dark red or maroon.

In some cases, bleeding from the anus may be black in color and smell unpleasant. Black, smelly and tarry stool is called melena.

Melena occurs when blood is in the colon long enough and enough time for the bacteria to multiply to break it down into chemicals (hematin), which are black.

Sometimes melena can be the result of bleeding from the right part of the colon. On the other hand, blood from the sigmoid colon and rectum usually does not stay in the colon long enough for bacteria to turn black.

Rarely, massive bleeding from the right colon, from the small intestine, or from a stomach or duodenal ulcer can lead to rapid blood transfer through the gastrointestinal tract and, as a result, bright red rectal bleeding.

In such situations, the blood moves so fast that there is not enough time for the bacteria to turn the blood into black, the patient’s condition is quickly aggravated.

Sometimes, bleeding from the gastrointestinal tract may be too slow to look like rectal bleeding or melena. This is hidden bleeding (not visible to the naked eye). Blood in the stool is detected only by analysis (fecal occult blood testing) in the laboratory.

Bleeding is often associated with anemia – loss of iron along with blood (iron deficiency anemia).

The reasons may be: tumors (malignant and benign) of the gastrointestinal tract, ulcerative colitis, Crohn’s disease, intestinal diverticula, etc.

Most often indicates bleeding from hemorrhoids of the rectum or cracks in the anus. Bright red blood in the feces is a characteristic sign for hemorrhoids.

Most often we are talking about the allocation of red blood without clots, in rare cases, the appearance of dark blood with clots is possible.

With hemorrhoids, the vast majority occurs during or immediately after a bowel movement, less often between bowel movements.

The release of red blood also occurs in colorectal cancer, so if bleeding occurs, you need to see a doctor for a digital examination, as well as a sigmoidoscopy or colonoscopy.

Black loose stools

Indicates massive bleeding from any part of the gastrointestinal tract. The black color of the stool is due to a change in blood under the influence of hydrochloric acid in the stomach.

The cause of such massive bleeding can be ulcers or erosion of the stomach or duodenum, varicose veins of the esophagus (manifestation of cirrhosis), some medications and toxic substances.

In addition, bleeding can be caused by malignant neoplasms of the gastrointestinal tract.

Since the cause of blood in the stool can be a deadly disease – cancer, it is necessary to see a doctor and undergo an examination.

Dysentery (shigellosis) is a disease caused by bacteria of the genus Shigella.

Bacteria most often affect the lower part of the colon, causing damage to the mucosa, which is manifested by frequent loose stools (10-30 times a day) with an admixture of blood, a large amount of mucus, pus.

Pronounced cramping abdominal pains, false painful urge to defecate – tenesmus are also characteristic; in addition, there is a pronounced intoxication – fever, chills, weakness, pain in the muscles and joints.

Amoebiasis is a protozoal infection (which means that the causative agent is the simplest – amoeba). Amoebas also infect the large intestine, causing frequent, loose stools in small portions mixed with blood, mucus and pus. Amoebiasis in the absence of adequate treatment is prone to a chronic course, which occurs as a result of the formation of chronic intestinal ulcers.

Balantidiasis is an infection caused by protozoa – balantidia. Symptoms of the disease are similar to manifestations of amoebiasis. Often the disease is asymptomatic or mild, but sometimes there is a long-term ongoing diarrhea with an admixture of blood.

What is hidden blood?

We are talking about blood secretions, which can only be really examined with a microscopic examination of feces. Hidden blood usually manifests itself in tumors of the intestine. If it is not detected in a timely manner, the ailment can enter an acute form or, worse, take a person’s life.

An analysis of feces for occult blood is prescribed in such cases:

  • streaks of blood and foam appeared in the feces;
  • every act of defecation is accompanied, if not painful, then by unusual sensations;
  • 10 percent weight loss;
  • causeless increase in body temperature;
  • the stool structure changes day by day.

In children, occult blood in the feces indicates the growth of bacteria in anal fissures, lactose intolerance and the consumption of food colors. The possibility of inflammatory processes in the digestive system should not be ruled out either.


Two-thirds of people over 45 suffer from hemorrhoids. The cause of the disease is varicose veins of the direct anorectal region. These veins can expand outside the anus and inside the rectum. Most often, these two options are combined.

  • itching in the anus
  • scarlet blood secretion during bowel movements
  • visible loss of nodes when straining or at rest
  • severe pain with infection and thrombosis of the node

Bleeding with hemorrhoids can be of different intensities: from a few drops during bowel movements to profuse discharge of blood, worsening the general condition and causing chronic anemia.

In any case, the diagnosis can only be made by a proctologist who will conduct a digital examination, rectoscopy or apply other methods.

  • The first step should always be the normalization of the stool. Constipation and too frequent bowel movements should be avoided. To do this, use fractional nutrition, include prunes, kefir, beets and other vegetables with fiber in the diet (see diet for hemorrhoids). In the absence of effect, plant-based mild laxatives can be used (Mukofalk, Senade, prebiotics with the active substance Lactulose, see all laxatives for constipation)
  • In the initial stages of the disease, symptoms may be relieved with medication. In order to stop bleeding, rectal suppositories are used (Natalsid, Proctosan, see suppositories for hemorrhoids). To relieve pain, pain medications (ointments from hemorrhoids) are used.
  • In case of progression of the disease, sclerotherapy and surgical treatment methods are used. The effect of the operations is good, but the risk of relapse remains (see external hemorrhoids: treatment, internal hemorrhoids).

Blood in the feces of an adult with mucus and streaks: causes – AntiHemor

The presence of blood in the feces in an adult is the first sign of a violation of the integrity of the vessels of the mucous membrane and intestinal tract. But we must take into account the fact that the appearance of red mucus in the feces is not always blood discharge.

Sometimes the color of feces changes due to the use of various products, for example, beets, tomatoes, sweet peppers or gelatin-based desserts.

If the stool is colored red, do not panic. First, think about what foods could provoke such a color.

The main cause of bleeding from the anus or the appearance of traces of blood in the feces in adults is various diseases of the rectum and other parts of the large intestine.

The detection of this problem often occurs unexpectedly – there is no feeling of discomfort, pain or other signs of illness. However, this is a dangerous symptom, indicating an unfavorable state of the body. You should not panic, but the cause of the appearance of blood impurities in the stool should be established as soon as possible.

As already mentioned, the detection of blood in the stool in an adult may indicate the presence of certain diseases.

The above diseases can to some extent affect the integrity of the mucous membranes or cause gastrointestinal, internal bleeding.

Harmless reasons

The appearance of black feces and even inclusions of red does not always indicate bleeding. Sometimes this is associated with the use of certain foods and medications:

  1. The half-digested remnants of the eaten berries (blueberries, currants), tomatoes can look like blood clots.
  2. The use of activated carbon, iron preparations lead to the appearance of black stool.
  3. When eating red beet dishes, the stool may turn raspberry-colored.
  4. Can change the color of the stool and food colors, which are part of various desserts and drinks.

However, it is better to show excessive vigilance than to miss a formidable signal.

Blood character

To answer the question of why blood appeared in the feces of an adult, you need to see how it looks. So, it can be fresh (scarlet), burgundy, black and hidden (meaning that blood in the stool cannot be detected with the naked eye).

  1. The analysis reveals occult blood. Bleeding of the upper gastrointestinal tract – gastric ulcer, colon polyps, colon cancer, cancer of the stomach, esophagus. As well as colorectal cancer, helminthic infestations.
  2. Bright red fresh blood. The presence of blood on toilet paper indicates possible diseases such as hemorrhoids, cracks in the anus, and cancer of the rectum.
  3. Diarrhea with blood, pain, temperature. Intestinal infections – salmonellosis, dysentery, etc.
  4. Mucus and blood in the stool of an adult is observed with ulcerative colitis, polyps, proctitis, and tumors in the rectum.
  5. Dark red clots, streaks of blood. Symptoms of inflammatory diseases of the gastrointestinal tract – dysbiosis, Crohn’s disease, ulcerative colitis, etc.

In order to establish the presence of latent blood in the feces, it is necessary to conduct appropriate tests.

This research method allows you to determine the presence of bleeding of the internal organs of the digestive system. Analysis is preceded by endoscopy of the stomach and intestines.

Detected hidden blood in the feces of an adult, a symptom of such ailments as:

  • duodenal ulcer or stomach.
  • violation of the integrity of the mucous membrane.
  • with ulcerative colitis.
  • malignant oncology.
  • polyps.

The preparation period for the analysis of feces for occult blood takes 7 days. During this time, it is necessary to adhere to a special diet, not to eat foods containing iron, any kind of medications, food additives.

It is important to detect occult blood in feces in time and make a conclusion about the current disease so as not to miss an important time for the most effective treatment.

In many cases, blood streaks during bowel movements are the result of prolonged inflammation in the large intestine. The reasons can be microflora disturbances, as well as the presence of parasites. In addition, scarlet streaks of blood appear after a long diarrhea, during intestinal, infectious diseases like dysentery or intestinal flu.

Bacteria and viruses violate the integrity of the walls of blood vessels located close to the internal intestinal surfaces. Intravascular, disseminated blood coagulation occurs, which is why such alarming signs appear.

It is worth paying attention to the constant streaks of blood in the feces in the following cases:

  • if it lasts more than 3 days in a row;
  • weight loss occurs;
  • drawing pains along the intestines and lower abdomen;
  • disturbed appetite;
  • blood traces were not preceded by constipation or diarrhea.

In such cases, blood in the stool can be a sign of diseases such as:

  • intestinal polyps;
  • diverticulitis;
  • rectal fissure;
  • bowel cancer.

The sooner you begin treatment for these diseases, the greater the chances of a full recovery and full health.

As already shown above, the most diverse diseases can be the causes of bleeding from the anus. For this reason, there is no single treatment that can solve the problem in any situation.

If after visiting a doctor you will have the exact cause of the bleeding (for example, hemorrhoids or anus fissure) established, then you can find detailed recommendations regarding the treatment of these diseases among other articles on the site.

The causes of blood in the stool in an adult can be different. Most often, this alarming symptom is caused by colon diseases. With bleeding from the stomach or small intestine, the blood has time to mix with feces, so it is invisible.

Only the color of the stool indicates the presence of blood – they become dark, sometimes black (tarry).

Knowing the main symptoms of the disease, an experienced doctor can understand what causes an admixture of blood in the feces and timely provide the patient with the necessary assistance.

It is these diseases that can cause a violation of the integrity of the intestinal walls and cause internal bleeding. In this case, scarlet blood appears in the stool or it acquires a dark, almost black color.

However, feces can become black for completely harmless reasons associated with the use of certain foods or drugs.

For example, red blotches resembling blood appear when eating certain vegetables, fruits or berries (beets, tomatoes, blueberries, currants). The stool may turn black after treatment with preparations containing activated charcoal or animal bile.

If the color of the bowel movements changes due to well-being, you should not panic. You need to remember what foods were on your table the day before, and pay attention to the appearance of feces in a day.

  • If everything returns to normal, then there is no reason for concern.
  • In cases where the alarming symptom persists, and the general condition worsens, a change in the color of feces may indicate the development of dangerous pathologies that require timely treatment.
  • An admixture of blood in the feces may not be visible to the naked eye, but this does not mean that there is no bleeding.
  • For such conditions, there is a special term – hidden blood in the feces of an adult, the reason for this phenomenon may be that the bleeding is rather weak, or its source is very high along the digestive tract.
  • In this case, the impurity of blood is insignificant, but it is present constantly and indicates the presence of such dangerous conditions as:

When an alarming symptom occurs, you must definitely pay attention to how the blood looks. It can be scarlet or stain black feces. But the most dangerous condition is hidden blood, which is not visible to the naked eye and its presence can be detected only with the help of a special analysis. What diseases does the different nature of the blood signal?

  • Fresh, bright red blood, released in a small volume after a bowel movement, indicates pathologies such as hemorrhoids, anus fissure, or rectal cancer.
  • Abundant loose stools with blood, accompanied by abdominal pain and fever, indicate intestinal infection or food poisoning.
  • The appearance in the stool of fresh blood and mucus are symptoms of diseases such as ulcerative colitis, polyposis, proctitis, and the development of a tumor process.
  • Clots or streaks of blood in the feces indicate the development of an inflammatory process in the intestine – Crohn’s disease, dysbiosis.
  • If the analysis reveals the presence of latent blood, this is a sign of an ulcer or cancer of the stomach, esophagus, rectum, polyps in the colon or helminthic invasions.

Let us dwell in more detail on common pathologies accompanied by the appearance of blood in the feces.

With hemorrhoids, the presence of blood in the feces is always associated with any damage to the wall of the rectum. The higher the source of bleeding, the less noticeable the blood to the naked eye. Therefore, it is most clearly seen when the final sections of the rectum are the source of bleeding.

With hemorrhoidal bleeding in the feces, scarlet blood is clearly visible in the form of small inclusions, clots or veins. Defecation is painful, there are traces of blood on the underwear and toilet paper, often the patient experiences pain when sitting, and sometimes at rest.

The danger of hemorrhoidal bleeding depends on the severity of the disease. At the initial stage of hemorrhoids after defecation, a small amount of red blood appears, and the bleeding stops on its own.

Blood streaks usually disappear from the stool after the exacerbation subsides.

But if this symptom persists for more than two days, and the patient’s well-being worsens and is accompanied by other disturbing signs – pain, irritation and edema of the anal area, you need to see a proctologist as soon as possible.

Severe stages of the disease can be accompanied by massive bleeding from hemorrhoidal nodes, which lead to significant blood loss and pose a direct threat to the life and health of the patient.

Anal fissure

Differential diagnosis of diseases of the digestive system, accompanied by the release of blood from the anus

Intestinal polyps

Usually bleeding from the anus can occur for a variety of reasons, ranging from the development of a crack in the anus and ending with infectious diseases, intestinal cancer, polyps, hemorrhoids and other problems.

Only the attending physician can determine the exact cause of the bleeding from the anus based on the results of various diagnostic procedures.

But if a person is in old age or has recently been treated for cancer, a malignant tumor, if bleeding has appeared in a person with HIV, if blood from the rectum in a pregnant woman, then the list of causes for the formation of such a symptom is narrowed significantly.

Determining the exact cause of blood in the feces, bloody diarrhea, spotting and anus, or profuse / not profuse bleeding from the anus or rectum, it is impossible to determine by symptoms alone.

Why is it impossible to make an accurate diagnosis of bleeding from the rectum based on only visible symptoms, abdominal pain, lower abdomen, secretions, fever?

1 Many symptoms of serious diseases with the appearance of spotting from the anus are similar.

For example, abundant spotting from the anus may appear due to prolonged constipation, hemorrhoids, cancer.

2 Bowel cancer and other dangerous diseases, according to the symptoms of their manifestation, are often similar to other, less dangerous problems that a person may not even pay special attention to. Meanwhile, cancer can develop into a more aggravated stage of development and the time that could be used for treatment will be missed.

3 In some cases, based on the statistics of medical institutions, symptoms in the form of blood in the stool of a person, the appearance of blood clots, bloody diarrhea, may appear immediately for several reasons.

That is, bleeding from the anus in women and men can be due to several reasons at once, several diseases.

So, for example, in people with hemorrhoids, bleeding or the appearance of scanty secretions from the anus may occur due to the development of intestinal cancer.

Based on all of the above reasons, doctors recommend that you consult a doctor with any painful symptoms that are associated with the appearance of bloody copious or not copious discharge from the anus.

Often, after treating a tumor, a malignant formation using radiation therapy, a symptom such as bleeding from the anus may appear.

Moreover, blood in the feces, periodic spotting in the feces, can appear long after the use of radiation therapy, radiation treatment of colon cancer, uterine cancer in women, prostate cancer in men and other organs that are located in the pelvic area.

Sometimes bleeding from the rectum in men and women due to the use of radiation treatment for cancer, may appear within a few sessions after the application of radiation therapy.

Moreover, spotting from the anus in this situation is usually not very plentiful, sometimes they are not even immediately noticed by a person, because he may not feel painful symptoms.

Bleeding from the anus may be profuse, it may not be, and streaks of blood appear along with mucus in the feces of a person.

If a person has discovered the above symptoms after treatment of a cancer with radiation therapy, he is advised to seek the help of a doctor so that he can advise on ways to treat this problem.

In a pregnant woman, the appearance of bloody discharge from the anus, streaks of blood in the feces, may be associated with any diseases that may appear in a non-pregnant woman. But the main reason for the appearance of bleeding from the anus in a pregnant woman is the formation of hemorrhoids. A problem like hemorrhoids is very common during pregnancy.

If symptoms in the form of blood from the anus, spotting in the feces appear in an infant or a child up to a year old, you should definitely show the child to a doctor and, if necessary, call an ambulance.

The appearance of symptoms such as spotting from the anus, the appearance of blood in the stool of a person, may appear due to the harmful effects of worms and other similar parasites.

Worms can damage the walls of the intestines, which leads to bleeding inside the small intestine. As a result, scarce, not plentiful spotting from the anus appears due to parasitism of worms and other harmful parasites. To confirm the diagnosis, you should take an analysis of feces for the presence of parasites in it.

In many cases, a person may simply not notice the rare streaks of mucus with blood in the feces that are caused by worms. It is believed that copious, obvious bleeding from the anus cannot be associated with the harmful effects of parasites and worms.

All the causes of the appearance of blood in the feces, traces of spotting in the feces of a patient with HIV are not directly related to the infection. That is, the appearance of bleeding from the anus is not a symptom of HIV infection.

Blood in the stool, blood clots with mucus in the feces or heavy bleeding from the anus may be the result of the development of other diseases that appeared due to HIV infection.

If a person with HIV infection has the above symptoms, he needs to consult his doctor so that he can determine the exact cause of bleeding from the anus, bloody diarrhea or blood clots in the feces, and based on the diagnosis, take measures to treat the existing problem.

People whose ages range from 50 to 80 years or more are most prone to the appearance of spotting from the rectum due to the more likely development of a wide variety of diseases.

So, for example, people aged 60, 70 years may develop an inflammatory process in the intestinal walls, which is called ischemic colitis. With this disease, a temporary violation of the blood supply to the affected area occurs.

In old age, bleeding from the anus may be a consequence of the development of thrombosis of mesenteric vessels, the appearance of increased fragility of blood vessels may occur. Because of this, there are spotting, blood with mucus, streaks of blood in the feces in the elderly.

Color and amount of bloodThe nature of the chairOther symptomsAdditional Survey Results
HemorrhoidsA small or moderate amount of scarlet blood on the surface of the feces or after bowel movementsMore common – chronic constipationItching in the anal area, pain during infection of the nodeOn examination, sometimes external nodes. With rectoscopy – internal hemorrhoids
Anal fissureA small amount of red bloodMore often – constipationSharp pain during bowel movements and hygiene proceduresOn examination, damage to the skin and rectal mucosa
Gastric and 12 duodenal ulcerWith perforation, a small amount of blood or heavy bleeding. Bloody vomiting, tarry stoolWithout features, with heavy bleeding – liquid due to a large amount of bloodThe previous “hungry” pain, with bleeding – pallor of the skin and weaknessWith gastroduodenoscopy, a peptic ulcer in the wall of the stomach, often through. Blood in the stomach
Esophageal vein hemorrhageBloody vomiting, black tarry stools, often heavy bleedingLiquidPrior heartburn, heaviness in the hypochondrium. With heavy bleeding – weakness, pallorWith gastroduodenoscopy – dilated veins in the esophagus, the presence of liquid blood, damage to the mucous membrane of the esophagus
Polyps and tumors of the intestineMore often – a small amount of blood. Heavy bleeding only with destruction of the intestinal wall. Scarlet to black tarry colorOften – intestinal obstruction. With rectal tumors – false urge to defecateAbdominal pain, weakness, weight loss in malignant tumors. Small polyps are usually asymptomatic.With colonoscopy, neoplasms in the intestine. Confirmation of the diagnosis after a biopsy (taking a piece of a tumor and examining it under a microscope)
Crohn’s disease, ULCMore often – chronic bleeding in the form of impurities of blood in the fecesConstipation, diarrheaAbdominal pain (over the entire surface or lower left), arthritis, dermatitisColonoscopy – extensive or local ulcerative lesions of the intestine
ИнфекцииInsignificant amount of bloodMore common – diarrheaAbdominal pain, fever, sometimes – skin rashesInflammatory changes in the blood test, often – pathogen excretion during fecal analysis

The delicate problem of anal fissures is found mainly in people with constipation. Delayed stool, hard stools in combination with irritation of the anorectal region with soap and hygiene products are fraught with microcracks of the skin and mucous membrane.

As a result, every trip to the toilet turns into torture. Fear of defecation causes psychological constipation, a vicious circle closes. The main symptoms of an anal fissure are blood in the stool and pronounced pain during bowel movements. The doctor makes a diagnosis after a crack is detected at the junction of the rectal mucosa into the skin.

Anal fissure treatment

  • Normalization of the stool. The best way – a diet rich in fiber, with plenty of fluids. In some cases, herbal laxatives are recommended.
  • The use of ointments with nitroglycerin or calcium channel blockers
  • Blockade (anesthesia) to break the vicious circle. After the disappearance of pain, the stool normalizes, the crack heals.
  • Surgical correction of the sphincter (elimination of his spasm)


If defecation does not cause pain, it is important to review the composition of the medication taken. For example, iron preparations change the natural color of feces, and individual antibiotics disrupt the structure. In another scenario, deepening of anal fissures caused by constipation is possible. In some cases, blood stool indicates bleeding in the upper gastrointestinal tract. And all because hemoglobin simply does not have time to come into contact with hydrogen chloride. Therefore, the blood retains its natural color.

Self-medication in this case is dangerous by complications from the digestive tract, cardiovascular and nervous systems. Improper treatment can cause diarrhea, nausea, vomiting, palpitations, and anemia.

Blood from the intestines. Treatment

There are many pathologies in which bleeding is possible. Moreover, this can speak not only about diseases of the rectum but also the entire digestive tract.

    One of the most common causes of blood is hemorrho />

Anal fissure, accompanied by sharp pains, blood appears after the process. Anal fissure

  • Bleeding in the esophagus. The chair is “black” and plentiful, in addition – bloody vomiting. Requires immediate hospitalization. Esophageal bleeding from varicose veins
  • Tumors and polyps in the rectum. There is not much blood, weakness and sudden weight loss are present. Scheme of polyps in the rectum
  • Infectious diseases. In addition, fever and abdominal pain may be present. Diverticulosis, small protrusions appear on the walls of the intestine, accompanied by pain and defecation with blood. Crohn’s disease. In addition to the appearance of blood, there is inflammation of the intestinal walls, constant pain, ulcers appear, and possibly an increase in temperature. Ulcers in the stomach or intestines. Blood manifests itself, as a rule, during an exacerbation. Quite a lot of diseases can be accompanied by the release of blood from the rectum during or after bowel movement. It is necessary to conduct additional diagnostic studies in order to make an accurate diagnosis.
  • Children are a special category, and blood in the stool can be observed from a very young age, which immediately causes panic in parents. Most often, this symptom is observed in babies who are breast-fed and says this is an allergy to any component of the mixture.

    If additional symptoms appear, such as fever, anxiety, incessant crying – you must immediately call an ambulance.

    After 12 months, the child becomes more active, learns the world around him, contacts with other children and household items, and practically pulls everything in his mouth. During this period, intestinal infections often develop, which are also accompanied by bloody discharge from the anus.

    The main causes of blood in children:

    • anal fissures;
    • allergy to cow’s milk;
    • nonspecific ulcerative colitis;
    • hemorrhoidal nodes;
    • exacerbation of gastritis or other inflammatory processes.

    A child may have UC, gastritis, or another gastrointestinal disease

    Do not self-medicate or practice traditional medicine. Children’s diseases can be easily corrected if diagnosed in time.

    Men are most often susceptible to diseases such as hemorrhoids, tumors, ulcers. This is one of the most common causes.

    The administration of hormonal drugs also affects, especially the long term, and blood in the stool can be a side effect.

    Hormone medications may cause slight bleeding.

    Genetic predisposition, men often have gastritis with high acidity, which, in the absence or inadequate treatment, quickly degenerate into ulcers.

    Gastritis with high acidity is accompanied by bleeding

    In women, blood after bowel movements most often occurs during pregnancy, especially in the later stages. The fetus presses on nearby organs. If after the birth the symptom does not disappear, it is necessary to consult a doctor.

    Bleeding during pregnancy

    Constipation can also be accompanied by the release of blood, this problem affects both men and women. Hard feces, scratching the walls of the intestines, can provoke cracks in the anus. It is necessary to review the diet, pay attention to plant foods, go in for sports. It is not recommended to constantly put enemas, this can lead to intestinal dysbiosis.

    Depending on the disease, blood can be observed after visiting the toilet or in the form of veins. By the color of a pale or pronounced crimson hue. The table provides a description of the blood and diseases that may be associated with this symptom.

    Liquid stool with bloodDoes not change its color, red or burgundy, in small quantitiesTumors, Crohn’s disease, diverticula.
    Blood goes separately, does not mix with feces. Most often drips or shows up, only on toilet paperBright scarlet, like cutsHemorrhoids or anal fissure.
    Feces mixed with blood and mucus (pus)Dark, clotted or redMalignant neoplasms, colitis.
    Loose stoolsBlackInternal bleeding, ulcers, as a side effect on the intake of certain medications.

    On the basis of blood secretions alone, a diagnosis is not made, do not panic, because sometimes blood can be confused with other waste products. So, when eating beets, feces can be painted in a crimson hue, there may be incompletely digested pieces that look like veins. In any case, an additional examination is required.

    Rectal diseases are treated by a proctologist, but spotting can also be with gastrointestinal diseases, then you need to contact a gastroenterologist. It’s best to go to the clinic you are attached to and start by visiting a therapist.

    The therapist will write a referral to a gastroenterologist or proctologist

    Based on the anamnesis (collection of patient complaints), passing a complex of tests and passing additional examination methods, you will already be referred to the right specialist. If a child falls ill, then you need to contact a pediatrician.

    When you go to the doctor or when you are admitted to the hospital (if you were taken by ambulance), a number of standard biochemistry tests and a clinic of blood, urine and feces, including occult blood, are prescribed.

    1. Finger examination. Essential for any suspected rectal disease.
    2. Colonoscopy is a visual examination of the rectum. Fibrogastroscopy is a visual examination of the esophagus and stomach. Anoscopy is an examination of the mucous membrane of the rectum. Sigmo >

    With heavy bleeding and if the stool is black, you must call an ambulance. In the meantime, she is driving, insert a cotton-gauze swab into the anus and take a horizontal position.

    You can not use drugs, even with severe pain – this can smear the clinical picture and make diagnosis difficult.

    If the amount of blood and color do not cause panic, then, in a planned manner, write to the clinic, but for now, you should review your diet. Include more fiber-rich foods.

    There are critical situations where blood in the stool can be a sign of a serious illness and can lead to death. Immediately call an ambulance in the following conditions:

    1. High fever, fever, severe pain, blood red diarrhea and vomiting.
    2. With heavy bleeding from the anus, which does not stop.
    3. When the general condition of the body worsens, for example, loss of consciousness.

    If bleeding does not stop, call an ambulance

    Do not forget that blood during bowel movement can be both a harmless cause that goes away on its own in a few days and a symptom of a serious pathology. If the blood does not disappear after a week, then it is better to visit a doctor. Do not bring the disease to an advanced stage. In the initial stages, all diseases can be treated quickly, without complications.

    What could be the cause of the appearance of blood during bowel movements? What studies will need to be done and which doctor should I go to?

    If a person’s state of health is in order, then usually, after bowel movement, blood is not present in the feces. Even if blood appears in small quantities, it is necessary to establish the causes as soon as possible and begin treatment. Most often, this is a manifestation of serious diseases of the intestine and digestive system as a whole.

    Often, if blood appears in the feces, this may indicate:

    • Hemorrhoids;
    • rectal fissure;
    • helminths;
    • infectious diseases.

    That is, in fact, spotting in the feces can occur even after severe poisoning, when the process of intoxication occurs or after taking potent drugs (especially antibiotics) – the weakened intestinal mucosa begins to bleed.

    In fact, the listed reasons, many people may not attribute to weighty arguments in order to start treatment. But these reasons can provoke more serious complications.

    For example, if a rectal fissure does not immediately begin treatment under the influence of feces entering the wound, severe inflammation of the intestine can develop, and soon its suppuration can develop.

    If this process goes further, then the development of peritonitis is possible.

    In newborns, bloody inclusions in the feces can appear with intolerance to milk protein or due to abnormalities in the development of intestinal vessels.

    But blood flows during bowel movements and for other reasons:

    • cirrhosis of the liver;
    • polyps of different parts of the intestine (most often found in adults, in children such ailments practically do not occur);
    • an ulcer of the stomach or some part of the intestine;
    • bowel or stomach cancer.

    Also, blood flows through the rectum after a trauma, due to which internal bleeding begins.

    But very often, even with serious diseases, spotting in the feces may not be accompanied by any more symptoms at all. This leads to the fact that many ailments can be diagnosed only in the late stages, when the probability of cure is much lower. Therefore, at the first appearance of bloody veins, it is necessary to immediately undergo an examination.

    Do not immediately sound the alarm!

    In women, during menstruation, blood in the stool can also appear. Treatment in this case is not required, since this does not go beyond the norm.

    Types of bleeding

    Methods of diagnosis

    If blood discharge in the feces is an isolated case, it is enough to consult a proctologist. With intense rectal bleeding, it is better to make an appointment with a gastroenterologist or infectious disease specialist. The occult blood can be detected by modern research methods:

    1. Sigmoidoscopy, with which you can quickly and almost painlessly examine the deep layers of the intestine, and, if possible, take biomaterial from the epicenter of the disease.
    2. Irrigoscopy is indicated for causeless pains in the stomach, spastic constipation, diarrhea and other pathologies of the gastrointestinal tract. More accurate data can be obtained using a barium mixture. If there is a suspicion of a tumor, it is better to use a thick suspension and air.
    3. Colonoscopy, with which you can quickly establish a diagnosis of specific symptoms and even neutralize the bleeding zone in the rectum.
    4. Gastroscopy, during which it is realistic to perform a biopsy and conduct a microscopic analysis of the cells.
    5. General analysis of feces with the determination of the exact content of protein, leukocytes, mucus, bilirubin, fatty acids and plant fiber. The reliability of the diagnosis in this case is only 75%, and in combination with other methods – 100%.
    6. Fibrogastroscopy is prescribed to remove polyps and stop rectal bleeding.

    In order to independently assess the severity of the condition, it is necessary to determine the type and color of blood secretions, their intensity. After that, it will be clear in which department bleeding occurred.

    Next, you should evaluate your overall health. If there is weakness, nausea, vomiting, headache, discomfort in the abdomen, dizziness or a rise in body temperature, then it is better to go to the hospital. This can be an intestinal infection, a stomach ulcer or a duodenal ulcer, malignant neoplasms of the gastrointestinal tract.

    Any bleeding, even slight, should be treated.

    Which doctor should I contact if there is blood during bowel movements?

    When blood appears in the feces, it does not matter in men or women, you need to visit a therapist and proctologist. In the future, you may need the help of a gastroenterologist. If the child has blood stool, then the baby should be immediately shown to the pediatrician.

    Before treating bleeding from the anus, it is necessary to find out its cause. After going to the hospital, the doctor will prescribe an examination.

    • analysis of feces for occult blood;
    • coprogram;
    • analysis of feces for worm eggs;
    • sigmoidoscopy – examination of the large intestine at a distance of up to 40 cm;
    • rectal examination of the lower rectum;
    • visual inspection of the anus.

    To clarify the diagnosis, instrumental diagnostic techniques may be required – ultrasound of the large intestine, gastrointestinal X-ray and colonoscopy.

    Hidden bleeding is detected by the Gregersen reaction. 3 days before the test, you can not eat meat, fish, iron preparations and brush your teeth. The result is positive if, after treatment with acetic acid, the feces acquired a blue or green color.

    If bleeding from the upper gastrointestinal tract, the gastroenterologist is involved in the diagnosis. On examination, the doctor palpates the stomach, performs an ultrasound of the stomach and small intestine. Additionally, gastroscopy or fibrogastroduodenoscopy may be required.

    Esophageal varicose veins

    Violation of blood circulation in the liver with cirrhosis, hepatitis, tumors and parasitic diseases leads to increased pressure in the other veins of the body. Including in the veins of the esophagus and stomach. The disease does not make itself felt for a long time, it usually manifests itself in advanced stages.

    Manifestations of varicose veins of the esophagus:

    • heartburn, belching, heaviness after eating
    • pain in the liver
    • bleeding (vomiting of scarlet blood, with defecation – dark stools)

    Bleeding usually occurs after overeating or physical exertion. Most often, the blood volume is insignificant, but its regular loss leads to anemia. Sometimes bleeding is profuse.

    • treatment of underlying liver disease
    • antacids (to reduce heartburn and damage to the esophagus)
    • with heavy discharge – the introduction of a special inflated balloon into the esophagus to stop bleeding
    • surgical treatment of portal hypertension (the creation of artificial connections between the veins of the liver)

    Blood clot from the anus: causes, possible complications, treatment

    The appearance of blood from the anus always indicates a serious disease in the intestine. If a blood clot comes out of the anus during bowel movements, it is necessary to discard the false shame and immediately contact a proctologist.

    The condition will not go away on its own, but may exacerbate the problem.

    In addition, there is a risk of anemia and the development of weakness, performance is lost, a person is embarrassed to enter into an intimate relationship and suffers from pain.

    Even small strings or blood clots in the anus should not be ignored. Especially if there are disturbing symptoms such as soreness, fullness or squeezing, burning sensation when emptying.

    A standard visual inspection cannot give a complete picture, so a comprehensive examination is necessary.

    It includes anoscopy of the rectal opening, colonoscopy of the entire intestine and other modern diagnostic methods.

    Correctly determine the possible cause will help patient observation. If the blood clot from the anus has a dark saturated shade, the wound is located in the small intestine. With black anthracite color, we are talking about trauma to the stomach or esophagus. If veins are damaged near the anus or paraproctitis, a bright scarlet thrombus comes out.

    Proctologists have proven that hemorrhoids are more and more often formed and diagnosed in young people. This is due to the emergence of a large number of professions requiring prolonged monotonous sitting on a chair or in a computer chair.

    In the absence of physical activity, the vessels lose their tone and cease to intensively pump lymph, supplying the small pelvis and rectum with useful substances. Such physical inactivity leads to inflammation and fluid accumulation in certain areas.

    Signs of this unpleasant pathology are:

    • drawing pains and discomfort in the lower abdomen;
    • itching and burning in the rectum;
    • mucous discharge in feces;
    • blood clot from the anus, which appears with severe straining.

    The last symptom is a clear sign of the internal form of hemorrhoids. Injured cones form near the anus inside the rectal canal, press on it and provoke constipation.

    If the stool stagnates, it can damage the swollen vessel and lead to bleeding.

    A clot is a blood clot that closes the wound and often comes out with increased pressure (a sharp change in posture, lifting weights, prolonged sitting on the toilet).

    Similar remedies for the treatment of hemorrhoids are available in tablets. They should be taken for at least 6 weeks. During this time, the tone returns to the vessels, their walls noticeably strengthen and begin to work more fully. The patient notes that the heaviness in the lower abdomen disappears, pain and burning disappear.

    To reduce inflammation and the speedy healing of wounds inside the rectal passage, special suppositories can be used. They are made on the basis of glycerin or natural fat, contain antiseptic components and vitamins. When a blood clot from the anus appears, it is better to use:

    • Rectobelol;
    • Methyluracil;
    • Advance Relief;
    • Hepatrombin.

    Internal hemorrhoids should be treated under the strict supervision of a proctologist. With the passage of feces, an infection or microbes often get into the internal wound, suppuration begins. This threatens with sepsis of the blood, the appearance of fistulas in the perineum, painful paraproctitis and other complications.

    1. unbearable pain during emptying;
    2. the release of blood and mucus from the anus;
    3. upon visual inspection on the sphincter ring, an open wound can be seen;
    4. the patient often pulls and bakes in the lower abdomen.

    Often a person notices that a blood clot came out of the anus during a bowel movement. This is a clear sign that the crack is rising higher and urgent help is needed. To stop bleeding and slightly dry the wound, at home, you can use a hemostatic sponge with collagen fibers. The quick effect is guaranteed by the drugs Vikasol or Ditsion. They instantly narrow the capillaries and reduce pressure near the injured area.

    With anal fissures, there is always an increased risk of getting an infection and an abscess in the lower intestine. For disinfection and healing, it is better to use candles with healing herbs and components:

    • belladonna extract;
    • sea ​​buckthorn oil;
    • Procto Glivenol;
    • Heparin.

    After the patient is emptied, a painful spasm suffers, which can be removed with suppositories with an analgesic. Candles Anuzol, Anestezol or Relief will do. They quickly dissolve in the rectal passage and envelop the fissure with an invisible film. Damaged mucous membranes drag out and dry out, and pathogenic bacteria do not interfere with the regeneration process.

    Another reason for the allocation of blood clots from the anus is thrombosis of the hemorrhoid. This dangerous complication occurs when the plexus falls out of the anus and is pinched by the sphincter. Injury provokes the appearance of blood, acute pain and swelling in the perineum. It develops rapidly, accompanied by high temperature. Symptoms specific to the problem:

    1. near the anus a rounded cone of a dark blue color is formed;
    2. it is difficult for the patient to sit on a hard surface, it hurts to walk;
    3. there is a feeling of a foreign body in the perineum;
    4. the pain is pulsating.

    In such a situation, the proctologist urgently needs to get a clot from a clogged vessel to eliminate blood stasis. The operation consists in notching the falling out node and clearing the accumulated blood clots.

    At the same time, a specialist can remove other hemorrhoid cones to prevent the recurrence of a dangerous complication. Further treatment consists of rehabilitation with venotonics and anti-inflammatory drugs.

    The wound should be treated with ointments:

    With the appearance of blood secretions and clots, a person needs to more often monitor and measure the level of hemoglobin. Its sharp fall leads to oxygen starvation, a constant feeling of weakness and fatigue, headaches and insomnia. Prevention consists in maintaining a proper diet rich in proteins and vitamins, maintaining an active lifestyle.

    For the treatment and prevention of anal bleeding, suppositories with glycerin or methyluracil in the composition will be required. These drugs act locally, and their components are absorbed into the blood faster than tablets. The possibility of allergic reactions in this case does not exceed 4%, but in order to avoid side effects, self-medication is not worth it. Among other equally popular means: antihemorrhoids ointments, injectable solutions and sponges with collagen.

    Dosage is prescribed individually after examination. At the same time, it is important that hemostatic drugs are used in combination with anti-inflammatory drugs. This will speed recovery. A salt-free diet will also contribute to improving well-being.

    What does the color of blood mean?

    By the color of the blood during defecation, the localization of bleeding can be determined: in which section of the gastrointestinal tract blood loss occurred.

    If the source of bleeding is in the anus, then there is always red blood. The closer the place of blood loss, the brighter the spotting. Features by type and color:

    • With damage to the lower sections of the gastrointestinal tract (rectum and sigmoid colon, anus), there is bright red blood.
    • Dark red or burgundy discharge appears when bleeding in the colon and transverse intestine.
    • Black or tarry blood (melena) from the anus without pain indicates blood loss in the upper gastrointestinal tract, for example, with a stomach ulcer or duodenal ulcer.
    • The appearance of red blood during defecation, not mixed with feces, indicates anal fissures or bleeding from hemorrhoids. The person also feels itching and burning in the anus. Blood may drip separately after the end of the bowel movement or remain on toilet paper. Scarlet color can also indicate colorectal cancer.

    Digestive Tumors

    Tumors of the stomach and intestines very often manifest themselves for the first time precisely with an admixture of blood in the feces or bleeding. Depending on the location of the tumor, the color and amount of blood will vary: the lower the source, the scarier and brighter the discharge.

    With cancer of the intestines and esophagus, the blood has a dark color, often accompanied by bloody vomiting. Other symptoms of tumors of the digestive system are pain, diarrhea or constipation, signs of intestinal obstruction, and general symptoms of cancer (weight loss, weakness, anemia).

    Tumors are diagnosed with CT, MRI, colonoscopy and rectoscopy. With timely diagnosis, neoplasms are amenable to surgical removal and are successfully treated with chemotherapy. Intestinal tumors, for example, develop over the years and decades, and therefore have a good prognosis in the early stages. But unfortunately, oncology in the early stages is rarely detected, only by chance when examined for another reason, because at first the cell mutation and tumor growth are asymptomatic, so a person does not consult a doctor in a timely manner.

    The causes of the appearance of blood and mucus in the feces of a child – why do discharge from the anus appear during bowel movements?

    When blood appears in the feces, it does not matter in men or women, you need to visit a therapist and proctologist. In the future, you may need the help of a gastroenterologist. If the child has blood stool, then the baby should be immediately shown to the pediatrician.

    Bloody stools in a child may look different. Pure blood or blood clots may appear from the baby’s rectum. Feces can be coated with blood or evenly mixed with it.

    With some pathologies, a lot of mucus appears in the feces, and because of the blood, such a stool becomes similar to currant or raspberry jelly. Diarrhea with an admixture of blood also occurs, and with some types of bleeding, the stool with blood becomes dark and sticky (resembling tar). Such feces are called melena.

    Blood color in feces

    To identify the cause of defecation with blood, it is important to assess the color of the stool, because in case of bleeding, a blood tint will help to understand from which section of the digestive tract it started.

    Bright red

    If the blood in the feces is scarlet, this often confirms that its source is in the lower intestine. With such secretions, the mother usually sees blood and poop separately (they do not mix with each other).

    The most common causes of bright red blood in the stool of a child are anal fissures and hemorrhoids. With a crack, the child will complain of pain in the anus during bowel movements, and there will be traces of blood on the toilet paper. Such a problem in children is usually caused by too hard feces or difficulties with its excretion (constipation).

    With hemorrhoids, blood can drip from the anus and fall into the stool, and the child complains of itching, pain, a sensation of a foreign body in the anus. Most often, hemorrhoids in childhood are provoked by constipation, prolonged stay on the pot, long frequent crying, low activity or congenital structural features of hemorrhoidal veins.

    You can find out about the causes of hemorrhoids in infants from Dr. Komarovsky’s program.

    Also, the causes of red blood getting into the feces of children are:

    • Polyps in the rectum.
    • Ulcerative colitis.
    • Meckel’s diverticulum.
    • Proctitis.
    • Tumors in the large intestine.
    • Crohn’s disease.

    If the contents of the diaper or pot become dark in color, and the blood and feces are mixed evenly, this is a more unfavorable sign, since it may indicate bleeding in the upper digestive system, for example, in the stomach.

    The blood that is released during such bleeding, during passage through the digestive tract, is exposed to enzymes and microbial flora, as a result of which the stool darkens (becomes black).

    If the baby has recently undergone surgery, dark stool with blood is an alarming sign that appears when internal bleeding occurs. At the same time, the crumbs will also have other signs of bleeding, for example, pallor, weakness, dizziness.

    Causes of Infant

    In infants, the appearance of blood in the feces is often associated with constipation, which provokes either the feeding of a nursing mother, or an improperly selected mixture, or a violation of the rules for introducing complementary foods.

    Also, in a child of the first year, intestinal infections are often found, in which blood can enter the stool, and the stool itself becomes liquid.

    Impurities of blood in feces in children are often observed with diarrhea. Such a clinical picture can occur during an infectious process in the large intestine, for example, caused by E. coli that enters the child’s body through unwashed hands or contaminated food.

    Infection, a symptom of which is diarrhea with blood, can also be caused by viruses (for example, rotavirus).

    The excretion of feces with blood and mucus is characteristic of dysentery. With such an infection in a child, in addition to stool disorders, fever, headaches, weakness, cramping abdominal pains, frequent urges to defecate are noted.

    In addition, liquefaction of feces and blood impurities in it are found in:

    • Food poisoning.
    • Parasitic infection.
    • Affected intestines with drugs.
    • Allergic reactions.
    • Inflammatory bowel disease.
    • Surgical diseases, for example, bowel obstruction.
    • In the first days after birth, an admixture of blood in the stool may be associated with swallowing it during childbirth. A child can also swallow blood with nosebleeds at an older age, during an operation to remove tonsils or polyps. This blood will cause black stool.
    • An admixture of blood in the stool can be associated with damage to the upper digestive tract (stomach or small intestine) and lower (large intestine and anus).

    It is possible to determine the gastrointestinal tract with bleeding that has already occurred when examining the stool. When the upper sections are affected, the stool completely turns black (doctors call it chalk).

    Bleeding from the stomach may also be accompanied by vomiting of black color as well – vomit resembles coffee grounds.

    This color is associated with the reaction of hemoglobin with hydrochloric acid of gastric juice. As a result of this interaction, hematin hydrochloride is formed, and it has a black color.

    • Black stool can cause some foods and medicines:
    1. iron preparations;
    2. bismuth preparations;
    3. Activated carbon;
    4. some antibiotics;
    5. beets, blueberries, chocolate, gelatin, etc.

    Bleeding from the lower gastrointestinal tract is characterized by the appearance in the feces of liquid blood of a darker or scarlet color. The amount of blood can also be different: sometimes feces are completely stained, sometimes blood is found only on toilet paper.

    One of the causes of gastrointestinal bleeding in children is juvenile polyps.

    The most common causes are:

    • anal fissures;
    • hemorrhoids;
    • allergy to cow’s milk protein or soy protein;
    • intestinal infections;
    • nonspecific ulcerative colitis;
    • Hirschsprung disease;
    • Crohn’s disease;
    • intestinal intussusception;
    • juvenile polyps;
    • Meckel’s diverticulum and other diseases.

    An anal fissure, or tear of the mucous membrane of the anus, occurs during an act of defecation with a high density and fecal mass. Such anus microtrauma can occur at any age of the child with constipation.

    The bowel movement is accompanied by pain (in young children there is a grimace of facial pain, while older children complain of pain).

    Blood is usually released scarlet, in small amounts on the surface of the last portion of feces or on toilet paper.

    Damage to the anus can also have other causes: mechanical injury when combing with a child (for example, with helminthic infestation with pinworms) or with the careless introduction of an anal thermometer when measuring temperature, etc.

    Hemorrhoidal bleeding develops in children with long-term constipation. Blood in this case is scarlet, marked on top of feces and on toilet paper. Exacerbation of hemorrhoids also causes pain in the rectum. The amount of blood released may be greater than with an anus crack.

    The manifestation of an allergy to milk or soy proteins in the form of blood stained stools or blood streaks is more common in children of the first year of life. Such symptoms can occur when receiving adapted mixtures, and when breastfeeding, if the nursing mother consumes cow’s milk or soy products. The stool in the child is liquid, vomiting is often noted.

    Bloody bowel movements occur in children, adults and the elderly. For all categories of ages, the causes remain the same with different degrees of probability. In children, anal fissures are characteristic, for adult men and women – hemorrhoids, and in older people – chronic constipation.

    To determine the exact cause, you must consult a doctor. A specialist in the nature of feces and blood color will establish a preliminary diagnosis, which will be confirmed by an additional examination of the gastrointestinal tract.

    During a bowel movement, blood can escape from the anus along with feces. In adult men and women, this pathology is usually caused by damage to the mucous membrane of the colon and / or rectum.

    Rectal bleeding is a clear deviation from the physiological norm and is atypical for a healthy body. Regardless of the presence or absence of pain with the appearance of blood during bowel movements, a person is recommended to seek help from a qualified specialist. Timely diagnosis will establish the true causes of the pathology and choose an effective treatment.

    The most common cause of feces with blood in women and men is hemorrhoids. For this reason, the blood will not be mixed with feces and will have a scarlet color. Often with hemorrhoids, patients experience chronic constipation.

    With hemorrhoids, blood can appear both during stool and after bowel movement. In the latter case, the opened bleeding will be drip.

    Blood discharge from the anus appears after hard and volumetric stools. In such cases, blood clots can remain on the stool, as with anal fissures. Sometimes they are caused by severe physical exertion.

    The more indicative symptoms of hemorrhoids are bluish-red formation from the rectum. To clarify the diagnosis, hemorrhoidal nodes are examined.

    Exacerbation of hemorrhoids during gestation is far from uncommon. In pregnant women, hemorrhoids are bleeding due to frequent constipation. Hemorrhoidal bleeding can continue after childbirth.

    With this disease, inflammation develops in the gastrointestinal tract, the mucous membrane of the colon becomes the place of localization.

    Colitis can be caused by the following infections:

    • typhoid fever;
    • salmonellosis;
    • dysentery;
    • enterovirus and rotavirus infections;
    • hemorrhagic fevers;
    • helminthic infestations – amoebiasis, schistosam.

    Pathogens can also be syphilis, herpes, venereal granuloma, rectal gonorrhea.

    With an anal fissure, blood flow from the rectum is observed in small portions. Most often, blood appears after hard stools. At the same time, pain and burning are felt in the anus.

    Intestinal and other infections

    Many infectious diseases adversely affect the intestines, leading to the formation of ulcers, erosion, and inflammatory changes. Often, bleeding occurs, sometimes very profuse. So, dysentery begins with copious watery stools, and then rare bowel movements appear mixed with mucus and blood. Typhoid fever is diagnosed with a high fever, a characteristic rash on the stomach and the appearance of dark stool due to bleeding.

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    Tatyana Jakowenko

    Editor-in-chief of the Detonic online magazine, cardiologist Yakovenko-Plahotnaya Tatyana. Author of more than 950 scientific articles, including in foreign medical journals. He has been working as a cardiologist in a clinical hospital for over 12 years. He owns modern methods of diagnosis and treatment of cardiovascular diseases and implements them in his professional activities. For example, it uses methods of resuscitation of the heart, decoding of ECG, functional tests, cyclic ergometry and knows echocardiography very well.

    For 10 years, she has been an active participant in numerous medical symposia and workshops for doctors - families, therapists and cardiologists. He has many publications on a healthy lifestyle, diagnosis and treatment of heart and vascular diseases.

    He regularly monitors new publications of European and American cardiology journals, writes scientific articles, prepares reports at scientific conferences and participates in European cardiology congresses.