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Visible blood in the stool is usually coming from the end of the GI tract such as the anus or rectum.

The most common causes are hemorrhoids or rectal fissures, usually as a result of straining on hard stools. The treatment for this is mostly stool softeners and fiber. It can be from diverticula or other problems further up such as polyps, cancers or colitis (inflammation of the colon). Bloody diarrhea can be from infections.

Occasionally, it can come from further up the GI tract such as small bowel or the stomach. If this is the case there usually has to be a large amount of bleeding for it to come out visible in the stool. Sometimes bleeding from other sites, such as vaginal or urinary can be confused with rectal bleeding. In children especially, red foods (cranberries at Thanksgiving are common) can come out red and be confused with blood.

Rectal bleeding generally should be evaluated by a doctor. If it is a small amount on the tissue paper or visible in the toilette it can wait for a routine visit to be scheduled. Large amounts, clots, or bleeding associated with pallor, dizziness, shortness of breath or abdominal pain should be evaluated immediately in an emergency room.

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13y ago

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