Blood in Your Stool? Why Your Gut Is Bleeding & Medically Approved Steps

Seeing blood in your stool can be alarming. It's not something to ignore — but it's also not always a medical emergency. In many cases, the cause is treatable and not life-threatening. The key is understanding why it may be happening and knowing when to take action.

This guide explains the most common causes of blood in stool, what different types of bleeding can mean, and medically approved next steps.

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What Does Blood in Stool Look Like?

Not all blood in stool looks the same. The appearance can give important clues about where the bleeding is happening in your digestive tract.

You might notice:

• Bright red blood on toilet paper or in the toilet bowl
• Dark red or maroon stool
• Black, tarry stool (often sticky and foul-smelling)
• Blood mixed into the stool
• Occult (hidden) blood detected only on lab testing

The color matters because it suggests where the bleeding may be coming from:

• Bright red blood usually comes from the lower colon, rectum, or anus.
• Dark or black stool often means bleeding higher up in the stomach or small intestine.

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Common Causes of Blood in Stool

There are several medically recognized causes of gastrointestinal bleeding. Some are mild. Others require prompt medical care.

1. Hemorrhoids (Very Common)

Hemorrhoids are swollen veins in the rectum or anus. They are one of the most common reasons for bright red blood in stool.

You may notice:

• Blood on toilet paper
• Mild discomfort or itching
• Pain during bowel movements

Hemorrhoids are often linked to:

• Constipation
• Straining
• Pregnancy
• Sitting for long periods

While uncomfortable, they are usually not dangerous.

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2. Anal Fissures

An anal fissure is a small tear in the lining of the anus.

Symptoms often include:

• Sharp pain during bowel movements
• Bright red blood
• Burning afterward

Fissures are commonly caused by hard stools or chronic constipation.

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3. Diverticular Bleeding

Diverticula are small pouches that can form in the colon wall. If one bleeds, it can cause sudden, noticeable blood in stool — sometimes a significant amount.

This type of bleeding:

• May not cause pain
• Can stop on its own
• Sometimes requires medical treatment

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4. Inflammatory Bowel Disease (IBD)

Conditions like Crohn's disease and ulcerative colitis cause chronic inflammation in the digestive tract.

Symptoms may include:

• Blood mixed with stool
• Diarrhea
• Abdominal pain
• Weight loss
• Fatigue

IBD requires ongoing medical management.

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5. Colon Polyps or Colorectal Cancer

Polyps are growths in the colon that can sometimes bleed. Some polyps can become cancerous over time.

Colorectal cancer may cause:

• Blood in stool
• Change in bowel habits
• Unexplained weight loss
• Persistent abdominal discomfort

Not every case of blood in stool means cancer. However, persistent or unexplained bleeding must be evaluated — especially if you are over 45 or have a family history of colorectal cancer.

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6. Stomach Ulcers or Upper GI Bleeding

If the bleeding happens in the stomach or small intestine, stool may appear black and tarry.

Causes can include:

• Peptic ulcers
• Long-term NSAID use (like ibuprofen)
• H. pylori infection

Black stool should always be evaluated by a healthcare professional.

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When Is Blood in Stool an Emergency?

Seek immediate medical attention if you experience:

• Heavy or continuous bleeding
• Dizziness or fainting
• Rapid heartbeat
• Weakness
• Black, tarry stool with lightheadedness
• Severe abdominal pain

These symptoms may indicate significant blood loss and require urgent care.

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Medically Approved Steps to Take

If you notice blood in your stool, here are responsible next steps.

1. Stay Calm — But Don't Ignore It

Occasional small amounts of bright red blood from hemorrhoids may not be urgent. However, recurring bleeding should always be evaluated.

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2. Pay Attention to Patterns

Make note of:

• Color of the blood
• Amount
• Pain level
• Changes in bowel habits
• Other symptoms (fever, weight loss, fatigue)

This information helps doctors identify the cause faster.

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3. Review Medications

Certain medications increase bleeding risk, including:

• NSAIDs (ibuprofen, naproxen)
• Blood thinners
• Aspirin

Do not stop prescribed medication without speaking to a doctor — but mention it during your visit.

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4. Consider a Symptom Assessment

If you're unsure what might be causing your symptoms, using a free AI-powered blood in stool symptom checker can help you understand possible causes and determine how urgently you should seek care.

It does not replace medical evaluation, but it can guide your next steps with personalized insights based on your specific symptoms.

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5. Speak to a Doctor

Any of the following situations require medical evaluation:

• Blood in stool lasting more than a few days
• Recurring episodes
• Age over 45 with new bleeding
• Family history of colorectal cancer
• Accompanying abdominal pain
• Unexplained weight loss
• Anemia or fatigue

Doctors may recommend:

• Physical exam
• Stool testing
• Blood tests
• Colonoscopy
• Endoscopy

These tests help identify the source of bleeding and guide treatment.

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How Doctors Treat Blood in Stool

Treatment depends entirely on the cause.

Examples include:

• Hemorrhoids: Fiber supplements, hydration, topical creams, minor procedures
• Anal fissures: Stool softeners, topical medications
• Ulcers: Acid-reducing medication, antibiotics for H. pylori
• IBD: Anti-inflammatory or immune-modifying medications
• Polyps: Removal during colonoscopy
• Cancer: Surgery, chemotherapy, or radiation depending on stage

Early detection significantly improves outcomes, particularly for colorectal cancer.

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Can Diet and Lifestyle Help?

Yes — especially if constipation or hemorrhoids are involved.

Helpful habits include:

• Eating high-fiber foods (fruits, vegetables, whole grains)
• Drinking plenty of water
• Avoiding straining during bowel movements
• Exercising regularly
• Limiting prolonged sitting

However, lifestyle changes alone are not enough if the bleeding source is internal or more serious.

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What About Hidden Blood?

Sometimes blood in stool isn't visible. Routine screening tests can detect microscopic bleeding.

This is why colorectal cancer screening is recommended starting at age 45 for average-risk adults.

Even if you feel fine, screening saves lives.

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The Bottom Line

Blood in your stool is a sign that something in your digestive tract is bleeding. The cause may be minor — like hemorrhoids — or more serious, such as inflammatory bowel disease or colorectal cancer.

Here's what matters most:

• Don't panic.
• Don't ignore it.
• Pay attention to patterns.
• Get evaluated if bleeding persists or comes with other symptoms.
• Seek urgent care for heavy bleeding or weakness.

If you are unsure what your symptoms mean, use Ubie's free blood in stool symptom checker to better understand possible causes and receive guidance on your next steps — then follow up appropriately.

Most importantly, speak to a doctor about any bleeding that is ongoing, severe, or accompanied by concerning symptoms. Gastrointestinal bleeding can sometimes signal life-threatening conditions, and timely evaluation makes a real difference.

Your body is giving you information. Listen to it — and act wisely.