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Published on: 1/30/2026
Blood in stool in women can stem from common issues like hemorrhoids or anal fissures, infections, inflammatory bowel disease, or medications, but it can also signal colon polyps or colorectal cancer or diverticular bleeding; color gives clues, and black tar-like stools need urgent care. There are several factors to consider, including how often it happens, how much blood there is, other symptoms like pain, fever, diarrhea, or dizziness, and your age or family history; speak to a doctor if bleeding recurs or is heavy. See below to understand more.
Seeing Blood in Stool can be surprising and worrying, especially if it happens for the first time. For women, the causes can range from common and minor issues to more serious medical conditions. Understanding what blood in your stool might mean—and when to take action—can help you respond calmly and appropriately.
This guide explains the possible reasons for Blood in Stool in women, what different appearances can suggest, and when it's important to speak to a doctor. The goal is to inform without causing unnecessary fear, while still being honest about situations that need medical care.
Blood in Stool refers to blood that appears:
The blood may look:
The color and amount of blood can give clues about where the bleeding is coming from in the digestive system.
Many causes of Blood in Stool are not life-threatening, especially when the bleeding is light and short-lived. Below are some of the more common explanations.
Hemorrhoids are swollen veins around the anus or lower rectum and are one of the most common causes of Blood in Stool.
Typical signs include:
Hemorrhoids are common during pregnancy, after childbirth, and in people who strain during bowel movements.
An anal fissure is a small tear in the lining of the anus, often caused by passing hard or large stools.
You may notice:
While painful, anal fissures usually heal with proper care.
Sometimes, what appears to be Blood in Stool is actually menstrual blood.
This can happen:
If you're unsure, using a tampon or menstrual cup before a bowel movement can help clarify the source.
Certain bacterial, viral, or parasitic infections can irritate the intestines and cause bleeding.
Other symptoms may include:
Infections are more likely if you've recently traveled, eaten undercooked food, or had contact with contaminated water.
Conditions like Crohn's disease and ulcerative colitis can cause ongoing inflammation in the digestive tract.
Blood in Stool related to IBD may be accompanied by:
IBD often requires long-term medical management.
Some medications can irritate the stomach or intestines or increase bleeding risk.
Examples include:
Always tell a doctor about any medications or supplements you're taking.
While less frequent, some causes of Blood in Stool require prompt medical attention.
Colon polyps are growths in the colon that can bleed. Some polyps can become cancerous over time.
Important points for women:
Blood in Stool may be the first noticeable sign, which is why it should never be ignored.
Small pouches can form in the colon wall and may bleed suddenly.
Bleeding can be:
This condition is more common as people age.
In rare cases, conditions like bowel endometriosis can cause bleeding from the rectum, especially around the time of menstruation.
The appearance of the blood can offer clues, though it cannot replace a medical diagnosis.
Bright red blood
Dark red or maroon blood
Black, tar-like stools
You should speak to a doctor if:
These could be signs of a serious or life-threatening condition.
If you're experiencing symptoms and want to better understand what might be causing them, Ubie offers a free AI-powered Blood in stool symptom checker that can provide personalized insights in just a few minutes and help you determine whether you should seek medical attention.
If you notice blood in your stool, listen to your body and speak to a doctor, especially if symptoms are ongoing, worsening, or could be life threatening or serious. Getting clear medical advice is the safest way to protect your health and peace of mind.
(References)
* Strate LL, Kuntz J. Acute Lower Gastrointestinal Bleeding. N Engl J Med. 2023 Mar 23;388(12):1106-1114.
* Siegel RL, Miller KD, Wagle NS, Jemal A. Colorectal Cancer Statistics, 2023. CA Cancer J Clin. 2023 Mar;73(2):95-125.
* Staroselsky A, Vaisbuch E, Shveiky D, et al. Hemorrhoids in pregnancy: a review. J Matern Fetal Neonatal Med. 2020 Jan;33(1):16-24.
* Petersen A, Brand T, Fischer A, et al. Gender-related differences in inflammatory bowel disease. Int J Colorectal Dis. 2019 Jun;34(6):957-972.
* Strate LL, Feuerstein JD, Bianchi LK. Diverticular Disease. N Engl J Med. 2019 Mar 21;380(12):1122-1131.
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