Blood In Your Poo: What Does It Mean – And What Should I Do About It?

Published on

19/5/2025

LivingCare

The LivingCare Group

LivingCare

The LivingCare Group

It's a moment that stops you in your tracks: noticing blood when you go to the toilet. Your mind immediately jumps to worst-case scenarios: "Is this serious? Could it be cancer?" That knot of anxiety in your stomach is entirely natural.

You're not alone in this experience. Rectal bleeding affects millions of people each year, and whilst it understandably causes alarm, it's often far less severe than feared. The key lies in understanding what different types of blood mean, recognising when to act quickly, and knowing where to get expert care without delay.

At LivingCare, our gastroenterology specialists see patients every day who are going through this alarm. With clinics in Leeds and Sheffield, we provide rapid access to consultant-led care, modern diagnostic procedures, and most importantly, peace of mind when you need it most. 

Understanding What the Blood Tells You

Not all blood in the stool appears the same, and these differences provide crucial clues about what's happening in your digestive system.

Bright Red Blood: Usually from Lower Areas

Fresh, bright red blood typically signals bleeding from the lower digestive tract. The most common causes include:

Haemorrhoids (piles) – swollen blood vessels around the anus that affect up to 75% of people at some point in their lives. The blood is usually on the surface of your poo, or showing up on the toilet paper when you wipe.

Anal fissures – these are small tears in the delicate skin around the anus, often caused by hard stools or straining. You may experience sharp pain alongside the bleeding.

Inflammatory bowel conditions – these can cause ongoing inflammation and bleeding in the colon. This includes things like ulcerative colitis or Crohn's disease.

Dark, Tarry Poo: A Sign from Upper Areas

Black, sticky, tar-like stools (called melaena) usually indicate bleeding higher up in your digestive system. The blood appears dark because it's been digested during its journey through your body. Common causes include:

  • Stomach ulcers
  • Problems with the oesophagus
  • Upper intestinal bleeding

Blood Mixed Throughout: Deeper Investigation Needed

When blood appears mixed in with your stool, rather than just on the surface, it may suggest:

  • Colorectal polyps that have started bleeding
  • Inflammatory bowel disease affecting deeper areas
  • Digestive tract infections
  • In some cases, bowel cancer

The Most Common Culprits

Understanding the most common causes will stop you worrying – and help you take appropriate action.

Haemorrhoids: The Usual Suspect

Haemorrhoids cause more rectal bleeding than any other condition. These swollen blood vessels develop due to increased pressure from straining, pregnancy, chronic constipation, or sitting for long periods. Whilst uncomfortable, they're rarely serious and often improve with simple treatments.

Anal Fissures: Small Tears, Sharp Pain

These tiny cracks in the anal skin often result from passing hard stools. The pain is typically sharp and occurs during bowel movements, with bright red blood visible on the tissue or the stool's surface.

Diverticular Disease: Age-Related Changes

Some people have small pouches (diverticula) forming in the colon wall as they age. This affects about half of people over 50. When these become inflamed or infected, they can bleed and cause abdominal pain alongside changes in bowel habits.

Inflammatory Bowel Disease: Chronic Conditions

Crohn's disease and ulcerative colitis cause long-term inflammation in the digestive tract. These conditions often involve blood in stools alongside diarrhoea, abdominal cramping, and fatigue.

Polyps and Cancer: Less Common but Important

Most colorectal polyps are benign growths that may bleed occasionally. However, persistent bleeding can sometimes indicate bowel cancer, particularly when accompanied by weight loss, changes in bowel habits, or ongoing abdominal discomfort.

When Immediate Action is Essential

Some situations require urgent medical attention:

Call 999 or Visit A&E If You Experience:

  • Heavy, continuous bleeding that won't stop
  • Black, tarry stools with feeling generally unwell
  • Bleeding accompanied by severe abdominal pain
  • Signs of anaemia: weakness, dizziness, pale skin, breathlessness
  • Vomiting blood alongside rectal bleeding

Book a Consultation Promptly If You Notice:

  • Any blood in the stool persisting beyond a few days
  • Changes in bowel habits alongside bleeding
  • Unexplained weight loss or persistent fatigue
  • New bleeding if you're over 50
  • Bleeding with a family history of bowel cancer

How LivingCare Provides Peace of Mind

When you discover blood in your stool, waiting weeks for answers isn't acceptable. At LivingCare, we've designed our gastroenterology services around what patients actually need.

Rapid Access When You're Worried

Our consultant gastroenterologists can typically see you within days, not weeks. We understand that digestive symptoms cause significant anxiety, and quick access to expert care makes all the difference.

Comprehensive Diagnostic Capabilities

We offer the full range of investigations you might need:

Colonoscopy – the gold standard for examining the entire colon to identify bleeding sources

Flexible sigmoidoscopy – for assessing the lower colon and rectum

Gastroscopy – to examine the upper digestive tract thoroughly

qFIT testing – a simple home test detecting microscopic blood traces

Expert, Consultant-Led Care

Our gastroenterologists specialise in diagnosing and treating digestive conditions. They combine technical expertise with genuine compassion, ensuring you feel supported throughout your care journey.

Modern, Comfortable Facilities

Our Leeds and Sheffield clinics feature state-of-the-art diagnostic equipment in environments designed for your comfort and privacy.

What Happens at Your Consultation

During your appointment, our gastroenterologist will:

  1. Listen carefully to your complete symptom history
  2. Perform a gentle examination which may include assessing the anal area
  3. Explain potential investigations like colonoscopy or blood tests
  4. Create a personalised plan for investigation and treatment
  5. Answer all your questions to ensure you feel fully informed

Most patients find that professional assessment quickly alleviates anxiety and ensures early detection of any issues requiring treatment.

Protecting Your Digestive Health

Whilst not all causes of rectal bleeding are preventable, you can reduce your risk:

  • Maintain a high-fibre diet with plenty of fruits, vegetables, and whole grains
  • Stay well-hydrated to prevent constipation and hard stools
  • Avoid straining during bowel movements
  • Exercise regularly which will help digestion stay healthy
  • Don't hold it when you need to do a poo, go promptly

Don't Wait – Take Action Today

Blood in your stool should never be ignored, even when you suspect a simple cause like haemorrhoids. Early investigation provides peace of mind and ensures serious conditions are caught when most treatable.

At LivingCare, we make accessing specialist care straightforward. Our consultant gastroenterologists offer rapid appointments, comprehensive testing, and expert treatment across Yorkshire.

Stop worrying about what might be wrong. Contact LivingCare today to book your consultation and take control of your digestive health.

Call 0113 539 4646 to book your appointment, or visit our gastroenterology pages for more information about our services.

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