Blood in Stool: Common Causes and Diagnostic Tests

Discover the common causes of blood in stool and the tests used to diagnose them, from hemorrhoids to more serious conditions.

Sep 19, 2026 3 min read

Blood in stool, also known as rectal bleeding, can be a concerning symptom that may indicate various underlying conditions. It's important to understand the potential causes and the diagnostic tests that can help identify the source of the bleeding.

What is blood in stool?

Blood in stool refers to any bleeding that occurs in the digestive tract and is visible in bowel movements. It can appear as bright red blood, dark maroon blood, or even black, tarry stools. The appearance of the blood can provide clues about where the bleeding is occurring in the digestive tract.

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Common causes of blood in stool

There are several potential causes for blood in stool, ranging from benign to serious conditions:

  • Hemorrhoids: Swollen veins in the lower rectum or anus that can cause bright red bleeding during bowel movements.
  • Anal fissures: Small tears in the lining of the anus, often due to passing large or hard stools, which can cause pain and bleeding.
  • Diverticulosis: Small pouches that form in the walls of the colon and can bleed.
  • Inflammatory bowel disease (IBD): Conditions like Crohn's disease or ulcerative colitis that cause inflammation in the digestive tract and can lead to bleeding.
  • Colorectal polyps or cancer: Growths on the inner wall of the colon or rectum that can bleed.
  • Gastrointestinal infections: Certain infections can cause inflammation and bleeding in the digestive tract.

Diagnostic tests for blood in stool

To determine the cause of blood in stool, doctors may recommend several diagnostic tests:

  • Fecal occult blood test (FOBT): A test that checks for hidden (occult) blood in the stool.
  • Colonoscopy: A procedure that uses a camera to examine the entire colon and rectum for abnormalities.
  • Sigmoidoscopy: Similar to a colonoscopy but focuses on the lower part of the colon.
  • Endoscopy: A procedure that examines the upper part of the digestive tract.
  • Imaging tests: Such as a CT scan or MRI, which can help identify sources of bleeding.

Frequently asked questions

What does it mean if I have bright red blood in my stool? Bright red blood usually indicates bleeding from the lower digestive tract, such as from hemorrhoids or anal fissures.

Can certain foods cause blood in stool? While certain foods can change the color of stool, they do not typically cause bleeding. If you notice blood, it's important to consult a healthcare provider.

Is blood in stool always a sign of cancer? No, blood in stool can be caused by a variety of conditions, not just cancer. However, it is important to investigate the cause with a healthcare provider.

When to see a doctor

If you notice blood in your stool, it's important to consult a doctor to determine the cause. Seek immediate medical attention if you experience large amounts of blood, severe abdominal pain, dizziness, or fainting.

Remember, this information is for educational purposes only and any decisions regarding your health should be made in consultation with your healthcare provider.

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