2

votes

Blood in Stool?

Answered on August 19, 2014
Created November 29, 2010 at 2:14 PM

I am a 27 year old female, relatively active (meaning I workout 3-4 times a week), and have been eating paleo for 6-7 months. Sometimes when I go to the bathroom, I feel a sharp pain and I find little traces of bright red on the toilet paper. There's also some drops in the toilet, too.

This used to happen often in my pre-paleo days, and then when I started paleo, it rarely happened. Now I notice it happens after a 'cheat' of grains or nuts. (I'm still trying to figure out exactly what it's related to)

When I asked my doctor about this previously he said it was a fissure, which is what I'm thinking it is now. I'm considering going to ask him again, but I'm curious what the paleo world thinks - last time my doctor told me to increase my grains and fiber...

So my guess is that while my gut was healing, I didn't have this problem. Now when I have grains/nuts I'm irritating my stomach/digestion again and it takes a while to heal after it's been affected.

I've been taking probiotics for a few months and just added enzymes a few days ago, hoping that would help!

Any ideas/recommendations/thoughts?

Update: I've been taking Mag Citrate for just over a week now and things are much 'nicer'. Dr B, you asked if I was itchy... I wasn't before, but now I am a bit. What does that mean? Any recommendations? Thanks!

Ea776df66c8277321b167e2ee3f22574

(316)

on August 01, 2011
at 01:01 AM

No, I wouldn't say I experienced any of those symptoms you mentioned. Maybe mild anxiety, but not depression or fatigue. Over the past few months I have realized I can attribute this problem to eating gluten (which I RARELY do now), or sometimes it happens a day or two before I get my period (and get a bit constipated, sorry for tmi).

77877f762c40637911396daa19b53094

(78467)

on July 04, 2011
at 03:23 PM

have you had anxiety, depression, fatigue correlated with when you had blood regularly in the toilet?

Af1d286f0fd5c3949f59b4edf4d892f5

(18472)

on March 22, 2011
at 09:33 PM

@42 - downgraded? what about all the other recommednations? asdf was just answering the question based on personal experience.

A6cffe7397214f338ae098613eea6737

(50)

on March 12, 2011
at 08:12 PM

Although his/her idea is worth staying on this page; just in case someone will benefit from the hint.

A6cffe7397214f338ae098613eea6737

(50)

on March 12, 2011
at 08:09 PM

I second gluten sensitivity. Classical tests (including endoscopies) most likely won't uncover damage, so I'd try elimination diet first.

Ea776df66c8277321b167e2ee3f22574

(316)

on December 09, 2010
at 03:26 PM

Hi again - thanks for the recommendations. I've been taking Mag Citrate for just over a week now and things are much 'nicer'. Dr B, you asked if I was itchy... I wasn't before, but now I am a bit. What does that mean? Any recommendations? Thanks!

65125edd5aafad39b3d5b3a8b4a36bb7

(6082)

on November 30, 2010
at 12:31 PM

That would be the best way to really see what's going on. Though, if you were taking the enzymes before and after the blood showed up, it could be fine. You just have to be able to say with certainty that you never missed a dose of the enzymes. If you can't you should probably take them out as well. (If you want to be absolutely sure)

E46d4f7e35e46ee4e8211ab4bc852023

(1510)

on November 30, 2010
at 04:29 AM

In any case, if you're doubtful of the fissure explanation, I'd see a gastroenterologist for a second opinion. Internal bleeding can be a very serious thing.

62ed65f3596aa2f62fa1d58a0c09f8c3

(20807)

on November 30, 2010
at 03:48 AM

Sounds like you need to solve the constipation prob in order for the fissure to heal. The other doc probably thought fiber would help with that but is not up on the latest research showing fiber often causes more problems then it solves when it comes to gut irritation. Magnesium is a much better route as most people are magnesium deficient anyway such that added magnesium would be healthful in more than one way. You will have to play with dosage to see what works for you individually. Ironically, milk of magnesia is a old traditionaly treatment, around before the current love of fiber.

C53665c3f012fa1ede91033b08a8a6e7

(2269)

on November 30, 2010
at 03:12 AM

Downgraded because I really doubt you're a gastroenterologist and have examined this patient personally.

4781cf8ae1bfcb558dfb056af17bea94

(4359)

on November 29, 2010
at 10:26 PM

I have taken whatever dose is on the bottle (and often half that dose) and noticed effects.

Ea776df66c8277321b167e2ee3f22574

(316)

on November 29, 2010
at 07:39 PM

Sounds like I have a lot to look forward to! How much magnesium citrate should I take? I appreciate your help!

77877f762c40637911396daa19b53094

(78467)

on November 29, 2010
at 07:08 PM

HAHA Jay, good lookin out on the "soft serve" quote!

Ea776df66c8277321b167e2ee3f22574

(316)

on November 29, 2010
at 06:45 PM

Do you think I should stop taking the enzymes so I can really see what's affecting me?

Ea776df66c8277321b167e2ee3f22574

(316)

on November 29, 2010
at 05:54 PM

Oh no, sorry that wasn't clear. Yes, I am constipated. Although it's just kinda the norm so I don't really notice it much anymore.

4781cf8ae1bfcb558dfb056af17bea94

(4359)

on November 29, 2010
at 04:39 PM

Agree with Dr. B; it's probably a fissure. Try magnesium citrate to soften your poo - a few weeks of soft-serve and you should heal.

Ea776df66c8277321b167e2ee3f22574

(316)

on November 29, 2010
at 03:13 PM

Thanks, Dr. B. Yes, there is a bit of sharp pain at the beginning, but no itchiness. I don't have any of the other symptoms that you mentioned. I really appreciate your insight. (No worries about the other risk factor you mentioned!) Do you think I should go to my doc or just be more vigilant about healing my gut?

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9 Answers

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2
77877f762c40637911396daa19b53094

(78467)

on November 29, 2010
at 03:34 PM

Ok so we have ruled out anal sex as a risk factor! And no constipation?! The fact that you had the problem before starting the paleo diet (and it went away after starting) leads me to believe something is going on in your gut. Perhaps you have a gluten sensitivity since you say that when you have grains it causes the bleeding. Also, google "leaky gut syndrome". This is what grains (gluten) and phytates cause.

If I were you, I probably would not go to my doctor just yet. The fact that you can control your symptoms with diet leads me to believe it is controllable on your part. If it gets worse, or you have other symptoms then definitely go to your doctor.

So no straining when you go to the bathroom, right?!

Ea776df66c8277321b167e2ee3f22574

(316)

on November 29, 2010
at 05:54 PM

Oh no, sorry that wasn't clear. Yes, I am constipated. Although it's just kinda the norm so I don't really notice it much anymore.

A6cffe7397214f338ae098613eea6737

(50)

on March 12, 2011
at 08:09 PM

I second gluten sensitivity. Classical tests (including endoscopies) most likely won't uncover damage, so I'd try elimination diet first.

3
65125edd5aafad39b3d5b3a8b4a36bb7

on November 29, 2010
at 05:53 PM

This is a great opportunity to try some real disciplined self-experimentation. You should try doing a very serious elimination diet to determine what the cause is.

Go pure paleo till the condition goes away. Then reintroduce one potential causative food for a week.

If condition is still good, remove that food and then introduce a different one.

Do this until you have exhausted the candidates or the blood reappears.

Keep a rock-solid food journal throughout.

Ea776df66c8277321b167e2ee3f22574

(316)

on November 29, 2010
at 06:45 PM

Do you think I should stop taking the enzymes so I can really see what's affecting me?

65125edd5aafad39b3d5b3a8b4a36bb7

(6082)

on November 30, 2010
at 12:31 PM

That would be the best way to really see what's going on. Though, if you were taking the enzymes before and after the blood showed up, it could be fine. You just have to be able to say with certainty that you never missed a dose of the enzymes. If you can't you should probably take them out as well. (If you want to be absolutely sure)

3
77877f762c40637911396daa19b53094

(78467)

on November 29, 2010
at 02:38 PM

Sounds like it could be hemmorhoids or anal fissures. The fact that the blood is bright red means it is most likley coming from the anus, rectum or sigmoid colon. A darker color, almost black tar like, indicates it is coming from the upper GI ( stomach, small intestine, etc.) Is there any pain associated with your bowel movements or do you have any pain or itchiness at all?

Do you have any other symptoms i.e. diarrhea, lack of appetite, nausea? Also, not to sounds crude, but anal intercourse is a huge risk factor for anal fissures as that significantly increases the chances of tearing of the anal lining.

So your doctor told you to increase your grain intake. Apparently he needs to learn the truth and not just succumb to what he hears!

Ea776df66c8277321b167e2ee3f22574

(316)

on November 29, 2010
at 03:13 PM

Thanks, Dr. B. Yes, there is a bit of sharp pain at the beginning, but no itchiness. I don't have any of the other symptoms that you mentioned. I really appreciate your insight. (No worries about the other risk factor you mentioned!) Do you think I should go to my doc or just be more vigilant about healing my gut?

4781cf8ae1bfcb558dfb056af17bea94

(4359)

on November 29, 2010
at 10:26 PM

I have taken whatever dose is on the bottle (and often half that dose) and noticed effects.

Ea776df66c8277321b167e2ee3f22574

(316)

on November 29, 2010
at 07:39 PM

Sounds like I have a lot to look forward to! How much magnesium citrate should I take? I appreciate your help!

77877f762c40637911396daa19b53094

(78467)

on November 29, 2010
at 07:08 PM

HAHA Jay, good lookin out on the "soft serve" quote!

62ed65f3596aa2f62fa1d58a0c09f8c3

(20807)

on November 30, 2010
at 03:48 AM

Sounds like you need to solve the constipation prob in order for the fissure to heal. The other doc probably thought fiber would help with that but is not up on the latest research showing fiber often causes more problems then it solves when it comes to gut irritation. Magnesium is a much better route as most people are magnesium deficient anyway such that added magnesium would be healthful in more than one way. You will have to play with dosage to see what works for you individually. Ironically, milk of magnesia is a old traditionaly treatment, around before the current love of fiber.

4781cf8ae1bfcb558dfb056af17bea94

(4359)

on November 29, 2010
at 04:39 PM

Agree with Dr. B; it's probably a fissure. Try magnesium citrate to soften your poo - a few weeks of soft-serve and you should heal.

Ea776df66c8277321b167e2ee3f22574

(316)

on December 09, 2010
at 03:26 PM

Hi again - thanks for the recommendations. I've been taking Mag Citrate for just over a week now and things are much 'nicer'. Dr B, you asked if I was itchy... I wasn't before, but now I am a bit. What does that mean? Any recommendations? Thanks!

2
5de2fffda92c0bf2be7ede10cad55546

(1781)

on November 30, 2010
at 06:53 AM

I'd also suggest increasing your dietary fat intake. This will drastically soften and shrink the stool. Definitely agree to remove all grains and fibre too. I eat no fibre (meat and eggs) and have small soft stools that are very easy to pass, no effort at all.

2
C53665c3f012fa1ede91033b08a8a6e7

(2269)

on November 30, 2010
at 03:17 AM

If you had a fissure, you probably still do. They take ages to heal.

I think you just need to give it time and stop the cheats. All those years I thought fiber and psyllium were supposed to be good for me... grr.

For a good laugh, google "Bob the anal fissure".

2
E46d4f7e35e46ee4e8211ab4bc852023

(1510)

on November 30, 2010
at 12:37 AM

I had the same symptoms at 20, which were diagnosed as colitis. If you think you might have that, I would recommend that you immediately discontinue grains, nuts, starches, fruits, and vegetables, because fiber = pain. Then it's up to you how long you want to keep that stuff out and how you want to integrate it back in. For me, giving it up for 2 weeks is usually enough for healing and then I bring the veggies and nuts back in.

E46d4f7e35e46ee4e8211ab4bc852023

(1510)

on November 30, 2010
at 04:29 AM

In any case, if you're doubtful of the fissure explanation, I'd see a gastroenterologist for a second opinion. Internal bleeding can be a very serious thing.

0
9722850c9a1c47b79edf7c4233040248

(1276)

on March 22, 2011
at 07:23 PM

I had this happen for the first time a few months ago after a corn chip binge (bright blood, no straining). I'm pregnant, hence the binge :P plus pregnancy does funky things to your digestive tract if your diet isn't perfect. Now it recurs whenever I get way too much fiber, and I get hemmorhoids with just a teensy bit too much fiber. So, what works for me is to go very easy on the fiber and heavy on the fats to help things along. I also drink bone broth after an episode. Not sure if it helps, but it might, and it tastes good!

These were certified gluten-free chips, so I know the issue wasn't gluten. Maybe I'm sensitive to large amounts of corn. Well, probably everyone is sensitive to that amount of corn....

0
2a3f39ac30a953979e8f39457df81b1f

on March 22, 2011
at 06:58 PM

This sounds like you have a gluten sensitivity. If this only occurred after you had grains, then that's definitely the cause of the bleeding. I have leaky gut and celiac sprue disease and once finally off all foods I couldn't eat, I bled a little, which I believe is a process that allowed my body to cleanse myself out and clear out the toxins within (this only happened twice and it was within the first month of discontinuing "bad" foods for me (dairy, grains, soy, corn). I think that you should stick to a paleo diet (the diet I'm on now) because it really has done wonders for me. Maybe think about taking probiotics too.

0
6af6892d6aed65b3d15136102e59d170

(8)

on November 30, 2010
at 01:27 AM

this is ulcerative colitis, i have this condition, went away with a couple of pills of Apriso (mesalamine)

C53665c3f012fa1ede91033b08a8a6e7

(2269)

on November 30, 2010
at 03:12 AM

Downgraded because I really doubt you're a gastroenterologist and have examined this patient personally.

A6cffe7397214f338ae098613eea6737

(50)

on March 12, 2011
at 08:12 PM

Although his/her idea is worth staying on this page; just in case someone will benefit from the hint.

Af1d286f0fd5c3949f59b4edf4d892f5

(18472)

on March 22, 2011
at 09:33 PM

@42 - downgraded? what about all the other recommednations? asdf was just answering the question based on personal experience.

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