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Blood in Stool: Causes & Treatment in Bhopal

Toilet Mein Khoon Aana — Kya Karna Chahiye?

Piles, fissure, polyps, or colitis — find out why you are bleeding and get effective treatment.

When to See a Doctor Urgently for Blood in Stool

While piles and fissures are the most common causes, see a doctor immediately if you notice:

  • Large amounts of blood (more than a few drops) in the toilet
  • Dark, tarry, or black-coloured stool (could indicate upper GI bleeding)
  • Blood in stool with severe abdominal pain
  • Unexplained weight loss with rectal bleeding
  • Change in bowel habits (diarrhoea or constipation lasting more than 2 weeks)
  • Feeling dizzy, weak, or fainting — signs of significant blood loss
  • Age above 40 with new-onset rectal bleeding

Why Is There Blood When You Go to the Toilet?

Seeing blood in the toilet or on toilet paper can be alarming. The good news is that in most cases, the cause is a treatable condition like piles (bawasir) or a fissure (tear in the anus lining). However, it is important to get examined by a doctor to rule out more serious causes.

At R.K. Hospital, Indrapuri, Bhopal, Dr. Rajesh Kanungo (Senior Surgeon with 34 years experience) has treated thousands of patients with rectal bleeding. A proper examination takes just a few minutes and can give you peace of mind and the right treatment.

Common Causes of Blood in Stool

1. Piles / Hemorrhoids (Bawasir) — Most Common

Piles are the most common cause of blood in stool, affecting nearly 50% of adults at some point. They are swollen, inflamed veins in the rectum and anus.

How to identify:

  • Bright red blood on toilet paper, in the bowl, or dripping after passing stool
  • A lump or swelling near the anus that may come out during bowel movements
  • Itching, mucus discharge, discomfort around the anus
  • Internal piles often bleed without pain; external piles may be painful

Treatment at R.K. Hospital: Medications and lifestyle changes for Grade 1-2 piles. Laser and stapler surgery for Grade 3-4 piles. See our piles surgery cost guide.

2. Anal Fissure (Guda Mein Daraar)

A fissure is a small tear in the thin lining (mucosa) of the anus. It is often caused by passing hard, large stools during constipation.

How to identify:

  • Sharp, cutting pain during bowel movements — the key difference from piles
  • Pain that may last minutes to hours after passing stool
  • Small amount of bright red blood on stool or toilet paper
  • Visible crack or tear in the skin around the anus

Treatment: Most acute fissures heal in 4-6 weeks with stool softeners, high-fiber diet, sitz baths, and ointments. Chronic fissures that don't heal may need a minor surgical procedure (lateral internal sphincterotomy) performed by Dr. Kanungo.

3. Colorectal Polyps

Polyps are small growths on the inner lining of the colon or rectum. Most polyps are harmless, but some can develop into cancer over time if not removed.

How to identify:

  • Blood in stool that may not be visible to the naked eye (occult blood)
  • Change in bowel habits
  • Often discovered during colonoscopy or endoscopy
  • More common after age 50

Diagnosis: Endoscopy (LGI/UGI) is available at R.K. Hospital. Polyps can be removed during the procedure itself.

4. Colitis (Colon Mein Sujan)

Colitis is inflammation of the colon (large intestine). It can be caused by infections, inflammatory bowel disease (ulcerative colitis, Crohn's disease), or reduced blood supply.

How to identify:

  • Bloody diarrhoea with mucus
  • Abdominal cramps and urgency to pass stool
  • Fever in infectious colitis
  • Weight loss in chronic inflammatory bowel disease

Treatment: Dr. Mohit Sikka (MBBS, MD, General Medicine) manages colitis with medications. Blood tests and endoscopy help determine the type and severity.

What the Colour of Blood Tells You

Blood ColourLikely SourcePossible Cause
Bright RedLower GI (rectum, anus)Piles, Fissure, Polyps
Dark Red / MaroonColonColitis, Diverticular disease
Black / TarryUpper GI (stomach, duodenum)Ulcer, Gastritis — Seek urgent care

Related Pages

Frequently Asked Questions — Blood in Stool

What is the most common cause of blood in stool?
The most common cause of blood in stool is piles (hemorrhoids/bawasir). Piles cause bright red blood on the toilet paper, in the toilet bowl, or on the surface of stool. They affect nearly 50% of adults at some point. Other common causes include anal fissure (a small tear in the anus lining causing pain and bleeding), polyps, and colitis. At R.K. Hospital, Dr. Rajesh Kanungo examines patients thoroughly to determine the exact cause before recommending treatment.
Is blood in stool always serious?
Not always, but it should never be ignored. While piles and fissures (the most common causes) are not life-threatening, blood in stool can sometimes indicate more serious conditions like polyps, inflammatory bowel disease, or in rare cases, colorectal cancer. The colour of blood provides clues: bright red blood usually points to a lower GI cause (piles, fissure), while dark or black stool (tarry stool) suggests upper GI bleeding which is more urgent. We recommend getting examined at R.K. Hospital so the cause can be identified and treated early.
Can piles cause heavy bleeding?
Yes, advanced piles (Grade 2-4) can cause significant bleeding, sometimes enough to cause anaemia (low haemoglobin) if left untreated over months or years. If you are passing large amounts of blood, feeling dizzy or weak, or if bleeding continues for more than a few days, consult Dr. Rajesh Kanungo at R.K. Hospital immediately. Treatment options range from medications and lifestyle changes for early stages to laser treatment and stapler surgery for advanced piles.
What is the difference between piles and fissure?
Piles (hemorrhoids) are swollen veins in the rectum and anus, while a fissure is a small tear or cut in the lining of the anus. Key differences: Piles cause painless bleeding (especially internal piles) with a lump near the anus. Fissure causes sharp, cutting pain during bowel movements along with a small amount of blood. Fissure pain can last for hours after passing stool. Both conditions are treatable at R.K. Hospital. Dr. Kanungo will examine you and recommend the appropriate treatment.
What tests are done for blood in stool at R.K. Hospital?
At R.K. Hospital, we perform a thorough evaluation: Digital rectal examination (DRE) by Dr. Rajesh Kanungo, proctoscopy to visualize internal hemorrhoids and fissures, blood tests including CBC to check haemoglobin levels, endoscopy (upper and lower GI) when needed to rule out polyps or other causes, and ultrasonography if an abdominal cause is suspected. All tests are available under one roof at our Indrapuri hospital. Call 0755-4260605 for appointment.
How much does piles treatment cost in Bhopal?
At R.K. Hospital, piles treatment cost depends on the grade and type of treatment: Non-surgical treatment (medications, lifestyle changes) costs Rs. 2,000-5,000. Laser or stapler surgery for advanced piles costs Rs. 30,000-60,000. Fissure treatment ranges from Rs. 2,000 for medications to Rs. 20,000-35,000 if surgery is needed. R.K. Hospital accepts 34+ insurance companies for cashless treatment. For exact cost estimate, call 0755-4260605.

Noticing Blood in Stool? Don't Ignore It.

Most cases are treatable piles or fissures, but getting checked rules out serious causes.

Private, respectful consultation. Quick diagnosis. Effective treatment at R.K. Hospital, Indrapuri.

226, C-Sector, Indrapuri, Raisen Road, Bhopal (M.P.) 462022 | Near ESIS Hospital, Bima Hospital

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