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HomeAnswersAyurveda Specialistblood lossI noticed blood in middle of stool. Why?

What causes blood in stool?

What causes blood in stool?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At May 28, 2019
Reviewed AtNovember 30, 2023

Patient's Query

Hello doctor,

From the last few days and sometimes, not regularly, I noticed blood in the middle of the stool. Reasons I do not know. I am a vegetarian, and do not drink coffee or any tea. Since a long time, I am suffering from joints problem. One doctor says it is gout but always my uric acid level is low. But on average I feel my joint problem is also normal. This blood is due to summer heat or not? Please guide me.


Welcome to icliniq.com.

I have read your complaints carefully and got your issues. You have two major complaints, bleeding per rectum and joints pain. I would like to explain it. In case of bleeding per rectum when it comes before defecation indicates hemorrhoids, however, after defecation indicates fissure in ano. Mostly, it happens in those persons who have chronic constipated bowel. In hemorrhoids, there is bleeding without pain however in fissure in ano with pain and burning. And regarding your second issue there are several causes to joints pain. Raised uric acid is one of them. Other causes may be due to rheumatoid arthritis or osteoarthritis or others. So you should go for proper investigations to evaluate its right diagnosis.

The Probable causes

Acidity, indigestion, constipation, rheumatoid arthritis or osteoarthritis.

Investigations to be done

Per rectum examination to rule out fissure in ano or hemorrhoids. Uric acid, RA factor, X-ray of affected joints.

Differential diagnosis

Fissure in ano, hemorrhoids, gout, rheumatoid arthritis, osteoarthritis.

Treatment plan

To provide proper medications, need your complete disease history with latest investigation reports.

Preventive measures

Avoid spicy and fried junk foods. Drink plenty of lukewarm water in morning before defecation. Quit smoking and drinking, if you have these habits. Eat seasonal leafy vegetables and seasonal fruits. Do regular kapalbhati and pranayana like anuloma vilom nadi sodhan and bhramari.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ishwar Chandra Rai
Dr. Ishwar Chandra Rai

Ayurveda Specialist

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