[39M] Noticing intermittent bright red blood in stool

Patient Description

A 39-year-old male has been experiencing intermittent episodes of bright red blood in his stool, approximately 1/4 cup in amount, every few months for the past five years. The patient's stool consistency is soft, and there have been no changes in bowel habits, energy levels, or weight. No severe abdominal pain or other symptoms have been reported. The patient's medical history is unremarkable with no known chronic illnesses or conditions. Currently, the patient is taking tadalafil and has no known drug allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Hemorrhoids: These are swollen blood vessels in the rectum or anus that can be just inside the anus or under the skin around the anus. They are a common cause of bright red blood in the stool.

    • Treatment often involves over-the-counter creams, ointments, pads or suppositories. In some cases, hemorrhoids may require more significant treatment.
  • Anal fissures: These are small tears in the lining of the anus, often caused by constipation. They can cause bright red blood in the stool.

    • Treatment often involves increasing fiber intake, sitz baths, and applying topical anesthetics.
  • Polyps or colorectal cancer: Although less likely given your age and lack of other symptoms, polyps or colorectal cancer can cause blood in the stool. The risk increases with age, especially after age 50.

    • Treatment may involve surgery, radiation therapy, or chemotherapy.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

It's important to consult with a healthcare provider about your symptoms. They may suggest a colonoscopy or other tests to further investigate the cause of the bleeding.

In the meantime, try to maintain a diet high in fiber to prevent constipation and straining during bowel movements, which can exacerbate conditions like hemorrhoids and anal fissures.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Dizziness, fainting, or a rapid heart rate (which could indicate significant blood loss)
  • Black, tarry stools or bright red blood in large amounts
  • Unintentional weight loss, changes in bowel habits, or other new symptoms

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

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People Also Ask


What are the common causes of bright red blood in the stool?

Common causes of bright red blood in the stool include hemorrhoids, anal fissures, and less commonly, polyps or colorectal cancer. Hemorrhoids and anal fissures are often related to straining during bowel movements.


How can hemorrhoids be treated at home?

Hemorrhoids can often be treated at home with over-the-counter creams, ointments, pads, or suppositories. Increasing fiber intake, staying hydrated, and taking sitz baths can also help alleviate symptoms.


When should I be concerned about blood in my stool?

You should be concerned about blood in your stool if you experience severe abdominal pain, dizziness, fainting, rapid heart rate, black tarry stools, large amounts of bright red blood, unintentional weight loss, or changes in bowel habits. These symptoms warrant immediate medical attention.


What tests might a doctor recommend to investigate blood in the stool?

A doctor might recommend a colonoscopy or other diagnostic tests such as a sigmoidoscopy or stool tests to investigate the cause of blood in the stool. These tests help identify any underlying conditions such as polyps or colorectal cancer.


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