Doctors Note Logo

Published on: 2/10/2026

Red Poop at 65+: When to Worry & 5 Causes Women Should Know

Red or maroon stool after age 65 can be caused by harmless foods or supplements, but it can also point to problems that need care. The five common causes women should know are hemorrhoids, anal fissures, diverticular bleeding, colorectal polyps or cancer, and medication-related bleeding. There are several factors to consider; seek medical advice sooner if episodes recur, there is no food trigger, blood is mixed into stool, or you have weakness, dizziness, belly pain, weight loss, bowel habit changes, a history of colon disease, or you take blood thinners, and see the complete guidance below for when home monitoring is reasonable versus urgent evaluation.

answer background

Explanation

Red Poop at 65+: When to Worry & 5 Causes Women Should Know

Seeing poop red can be surprising and uncomfortable—especially after age 65. While red stool is often harmless, it can sometimes signal a medical issue that needs attention. For older women, changes in digestion, medications, and long-term health conditions all play a role.

This guide explains what red poop can mean, when to worry, and five common causes women over 65 should know, using clear language and medically credible information. The goal is to inform—not alarm—so you can take sensible next steps.


What Does "Red Poop" Really Mean?

When people say poop red, they usually mean one of two things:

  • Red stool (the poop itself looks red or reddish)
  • Red blood seen on toilet paper, in the toilet bowl, or coating the stool

The shade matters:

  • Bright red often comes from the lower digestive tract (rectum or anus)
  • Dark red or maroon may come from higher up in the colon

Not all red poop is blood. Foods, supplements, and medications can change stool color—sometimes dramatically.


When Is Red Poop Not a Big Deal?

In many cases, red poop is temporary and harmless. Common non-serious reasons include:

  • Eating red foods (beets, red gelatin, berries)
  • Drinking red-colored beverages
  • Taking iron supplements or certain medications
  • Mild constipation causing small surface streaks of blood

If the red color:

  • Appears once
  • Goes away within a day or two
  • Happens after a clear food cause
    it's often safe to monitor at home.

When Should Women 65+ Worry About Red Poop?

Age matters. After 65, the risk of digestive conditions that cause bleeding increases. You should take red poop more seriously if any of the following are true:

  • It happens more than once
  • There is no clear food or medication explanation
  • You see blood mixed into the stool, not just on the surface
  • You feel weak, dizzy, or unusually tired
  • You have abdominal pain, weight loss, or a change in bowel habits
  • You have a history of polyps, diverticular disease, or cancer
  • You take blood thinners or anti-inflammatory medications

If you're noticing these warning signs and want to better understand what might be causing your symptoms, a free Rectal Bleeding symptom checker can help you assess the urgency and decide whether you need immediate medical attention.


5 Common Causes of Red Poop in Women Over 65

Below are five credible, well-recognized causes of red poop in older women, ranging from common to more serious.


1. Hemorrhoids (Very Common)

Hemorrhoids are swollen veins in or around the anus and are the most common cause of bright red blood in stool.

Typical signs:

  • Bright red blood on toilet paper
  • Blood coating the stool (not mixed in)
  • Itching or discomfort around the anus

Why it's common after 65:

  • Chronic constipation
  • Straining
  • Weakened tissue with age
  • Sitting for long periods

Hemorrhoids are usually not dangerous, but persistent bleeding still deserves a medical check, especially in older adults.


2. Anal Fissures (Small Tears)

An anal fissure is a small tear in the lining of the anus, often caused by passing hard stool.

Typical signs:

  • Sharp pain during or after bowel movements
  • Small amounts of bright red blood
  • A feeling of "paper-cut" pain

These can heal on their own, but recurring fissures may point to constipation or underlying bowel issues that need treatment.


3. Diverticular Bleeding

Diverticula are small pouches that can form in the colon wall, becoming more common with age.

Typical signs:

  • Sudden red or maroon-colored poop
  • Usually painless bleeding
  • May happen without warning

Diverticular bleeding can be significant and should always be evaluated by a doctor, even if it stops on its own.


4. Colorectal Polyps or Cancer

This is the cause people fear most—and it's also why red poop should never be ignored after 65.

Possible signs:

  • Blood mixed into stool
  • Ongoing changes in bowel habits
  • Unexplained weight loss
  • Fatigue or anemia

Colorectal cancer often starts with no pain at all, which is why screening and early evaluation are critical. Not all bleeding means cancer—but cancer should always be ruled out.


5. Medication-Related Bleeding

Many women over 65 take medications that can irritate the digestive tract or increase bleeding risk.

Common examples include:

  • Aspirin
  • Blood thinners
  • Anti-inflammatory pain relievers
  • Steroids

These medications can cause bleeding even without pain. Never stop a prescribed medication without speaking to a doctor, but do report any red poop promptly.


How Doctors Evaluate Red Poop

If you speak to a doctor about red poop, they may recommend:

  • A physical exam
  • Stool tests
  • Blood tests to check for anemia
  • Colonoscopy or imaging, depending on symptoms

This approach helps identify both common and serious causes safely and accurately.


What You Can Do Right Now

If you notice poop red in color:

  • Write down what you ate in the last 48 hours
  • Note how often it's happening
  • Check for other symptoms (pain, fatigue, dizziness)
  • Avoid straining during bowel movements
  • Stay hydrated and eat fiber unless told otherwise

If bleeding continues, worsens, or comes with other symptoms, do not wait.


A Calm but Clear Bottom Line

Red poop after 65 is often caused by manageable conditions, especially hemorrhoids or minor tears. However, age increases the importance of checking for more serious causes.

You do not need to panic—but you should pay attention.

If there is any chance the bleeding could be serious or life-threatening, speak to a doctor as soon as possible. Early evaluation saves lives and often leads to simpler treatment.

When in doubt, listen to your body, seek medical advice, and use reliable tools—like a free online symptom check—to guide your next step.

(References)

  • * Strate LL, Gralnek IM. Lower gastrointestinal bleeding in older adults: An updated review. Gastroenterology. 2016 May;150(6):1327-1338.e2. doi: 10.1053/j.gastro.2016.02.016. Epub 2016 Feb 25. PMID: 26922997.

  • * Tursi A, Scarpellini E, Pitocco D, et al. Diverticular Disease: From Epidemiology to Management. Front Pharmacol. 2021 Mar 1;12:656329. doi: 10.3389/fphar.2021.656329. eCollection 2021. PMID: 33737862.

  • * Fahey MT, O'Connell M, Cunningham D, et al. Colorectal cancer in older adults: an international perspective. J Geriatr Oncol. 2020 Jan;11(1):16-25. doi: 10.1016/j.jgo.2019.06.002. Epub 2019 Jun 15. PMID: 31213444.

  • * Begaj T, El-Masri R, Moinuddeen S, et al. Angiodysplasia of the gastrointestinal tract. World J Clin Cases. 2023 Jul 6;11(19):4498-4513. doi: 10.12998/wjcc.v11.i19.4498. eCollection 2023 Jul 6. PMID: 37456722.

  • * Theodorou G, Panou A, Katsi E, et al. Ischemic Colitis: A Review of Clinical Features, Diagnosis, and Management. World J Clin Cases. 2023 Nov 6;11(31):7395-7407. doi: 10.12998/wjcc.v11.i31.7395. eCollection 2023 Nov 6. PMID: 37986790.

Thinking about asking ChatGPT?Ask me instead

Tell your friends about us.

We would love to help them too.

smily Shiba-inu looking

For First Time Users

What is Ubie’s Doctor’s Note?

We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.

Learn more about symptoms

Rectal bleeding

Was this page helpful?

Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.