This question was answered on Mon 06, Oct 2008 07:48am by Dr Bhupinder K, MD

Blood with the stool in the morning

    
Asked by Unregistered (Male; 61; taking medication for hypertension and high cholesterol.; Relevant drugs:taking atenelol, antara and lipitor ) on Mon 06, Oct 2008 02:38am

Every morning, the first time I have to relieve myself, my stool has blood on it. Not in the stool but mixed with it. It happened already two mornings in a row.

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Answer by Dr Bhupinder K, MD  on Mon 06, Oct 2008 07:48am:

Hello, Bloody stool means that there's some sort of injury or disorder located somewhere in your digestive tract. The closer the source of bleeding is to the anus, the brighter red the blood will be. This is because the bacteria in your digestive system work to break down the blood as it passes through. So the longer blood stays in your digestive tract, the darker it will become. If the bloody stool is bright red, then it could be due to hemorrhoids or anal fissures. The causes of bloody stool that is more maroon in color is intestinal polyps, inflammatory bowel disease or diverticulosis (diverticulosis causes significant bleeding) There is a possibility that the appearance of your stool was changed by something in your diet. Some foods, supplements and medicines have a tendency to turn your stool black. Are you taking iron pills or licorice? They can cause darkening of stools which people mistake for blood in the stools. Bacteria and parasitic infections can also cause these symptoms. Other causes of blood in stools are, aspirin or nonsteroidal anti-inflammatory medications and, polyps (small growths) and cancerous tumors (malignant growths of tissue). Diagnosis is by ultrasound abdomen. In some cases stool examination, sigmoidoscopy and colonoscopy may be needed. Pls consult a physician to find out the confirmatory diagnosis as treatment will depend on the same. Hope it helps.Take care and pls do keep me posted in case you have any additional queries.

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