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Doctor insights on: Blood In Stool Unexplained Weightloss Normal Colonoscopy

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What causes steatorrhoea, highish blood amylase & occasionally lipase, loose pale stools? Normal abdominal ultrasound, CT and colonoscopy.

What causes steatorrhoea, highish blood amylase & occasionally lipase, loose pale stools? Normal abdominal ultrasound, CT and colonoscopy.

Not absorbing fat: Fat in stool can cause bulky foul smelling stool that floats, oily or greasy appearance. Fat in stool is not absorbed by digestive tract. Temporary steatorrhea may result from dietary changes or intestinal infections. Steatorrhea that is persistent may result from block of the biliary tract, pancreatitis or intestinal malabsorption. Need pancreatic lipase to break down ingested fat. ...Read more

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Dr. Heidi Fowler
2,007 doctors shared insights

Losing Weight (Definition)

Many people resolve to lose weight in the New Year for different reasons. For those who are overweight or obese, there are many health benefits to losing weight. It can help decrease your chances of developing diseases including diabetes, heart disease, high blood pressure, osteoarthritis, and even certain types of cancer. Low-calorie diets combined with increased physical activity are thought to be most effective long term. The healthiest weight loss regimen, therefore, is one that consists of making lifestyle changes that incorporate a balanced diet ...Read more


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Sudden Small Amts of mucus in stool every other day intermittent with loose stools for 2 wks. Fbc normal, stool parasite test negative. Colon cancer?

Sudden Small Amts of mucus in stool every other day intermittent with loose stools for 2 wks. Fbc normal, stool parasite test negative. Colon cancer?

Probably not: Cause of mucus in stool usually secondary to an inflammatory process such as colitis. This could also causes loose stools. Most Ca's are asymptomatic when small. As they get larger they obstruct , bleed and occasionally perforate. Colonoscopy can easily define problem. ...Read more

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Normal colonoscopy but blood in stool, what's wrong?

Normal colonoscopy but blood in stool, what's wrong?

See below : The colon is so huge that sometimes the camera doesn't catch a small bleed. Colonoscopies are important to make sure you don't have inflammation in the colon and it rules out serious causes. You might have a blood vessel that bleeds on and off. Or it might be something in the anal area like a crack in the wall causing some bleeding when you wipe. Also the bleed could be from above the colon. ...Read more

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Mucus in stool Everyday. GI dr says its ibs. Blood test and stool culture normal. Colonoscopy not done. Can ibs cause mucus in stool Everyday?

Mucus in stool Everyday. GI dr says its ibs. Blood test and stool culture normal. Colonoscopy not done. Can ibs cause mucus in stool Everyday?

Mucus on stool: Mucus discharge occurs in up to 50% of patients with irritable bowel syndrome, with or without pain. Mucus may also be produced in response to partial obstruction, chronic constipation, rectal dysfunction, infection, & even from secretory villous tumors of the rectum, among others. ...Read more

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Abdominal pain, frequent mucus loose stools, All negative H.pylori antigen, blood stool sample, CBC, ESR, CRP, Ferrin, celiac screening.? Is IBS ?

Abdominal pain, frequent mucus loose stools, All negative H.pylori antigen, blood stool sample, CBC, ESR, CRP, Ferrin, celiac screening.? Is IBS ?

That is: a likely conclusion but you should consult with the doctor ordering all these tests, and who also examined you. This is where you should seek your diagnosis ...Read more

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Normal stool in morning followed by several looser stools throughout day, feeling incomplete evac. Had bowel troubles going on four years, mutliple blood tests/stool tests/ abdom us all normal. Ibs?

Normal stool in morning followed by several looser stools throughout day, feeling incomplete evac. Had bowel troubles going on four years, mutliple blood tests/stool tests/ abdom us all normal. Ibs?

?IBS: Irritable bowel syndrome is truly a diagnosis of exclusion and once everything else is ruled out, can be made. Possibly you have this condition. See your GI and ask if they think you have ibs. Decreasing stress, starting to really concentrate on your diet, avoiding any trigger foods, and increasing fiber can help, and there are some medications that can help as ell, best wishes. ...Read more

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Constant lower pelvic pain/Painful to pass gas and stool/nausea/fatigue/ mucus in stool. colonoscopy/egd/ct scan/ /stool test normal. any ideas?

Constant lower pelvic pain/Painful to pass gas and stool/nausea/fatigue/ mucus in stool. colonoscopy/egd/ct scan/ /stool test normal. any ideas?

Constipation: You mentioned that all the test are normal. Constipation can cause nausea, fatigue, pelvic heaviness, and painful to pass stool and gas due to exertion. Drink a lot of water/fluid, increase fibers in your diet, and chew your food well before swallow. Drink a glass of slightly warm water with little salt early in the morning. Exercise regularly, everyday walk is good. Try probiotics. Consult GI doc ...Read more

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Blood in stool rectal bleeding and alternating constipation and loose stool. Is it cancer?

Blood in stool rectal bleeding and alternating constipation and loose stool. Is it cancer?

Blood in stool: Suspicious but your age is in your favor unless a strong family history of colon or breast cancer. Likely another cause. I would see your PCP. ...Read more

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Bad gas pain upper ab pain and constipation. Negative colonoscopy endoscopy full body CT scan normal blood test thyroid blood work normal. I'm lost?

Bad gas pain upper ab pain and constipation. Negative colonoscopy endoscopy full body CT scan normal blood test thyroid blood work normal. I'm lost?

I'd say IBS like,,,,: I would say that this is a case of ibs or irritable bowel syndrome. You have gas and constipation, with pain. This is a classic presentation. You could likely improve these symptoms dramatically with a diet high in fiber, with vegetables and fruit along with enough protein from meats. More fluid consumption also helps. Best of luck. ...Read more

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Uc flare with thin stools, chunks of blood in stool, and frequency. Egd, colonoscopy, biopsies & digital perianal & rectal exam all normal. confused?

Uc flare with thin stools, chunks of blood in stool, and frequency. Egd, colonoscopy, biopsies & digital perianal & rectal exam all normal. confused?

UC is long-term: Ulcerative colitis is a lifelong inflammatory disease of the lining of the large intestine and rectum, that may have systemic consequences, is often relapsing, and can lead to colon cancer. Flares may occur acutely, even after an unremarkable colon evaluation. Don't delay in ruling out superimposed infection, & seeking help from your gastroenterologist. Call him/her now-- ...Read more

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Do I have cancer? Loose stools3X per day sticky, vague nausea for 1 year. CBC and Stool occult normal. Small iron def. anemia.

Do I have cancer? Loose stools3X per day sticky, vague nausea for 1 year. CBC and Stool occult normal. Small iron def. anemia.

Need to examine: Iron deficiency anemia in women is usually due to menstrual blood loss. Diarrhea itself is not a marker for cancer, you are unlikely to have it. However, it would be prudent to consult a gastroenterologist as there may be treatment for you and you may not need to put up with loose stools 3x per day. Wish you good health. ...Read more

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Gastro recommended CT and colonscopy for mild abdominal pain/gas. 23 yrs old. If CT scan shows nothing, is colonoscopy necessary? no bloody stools

Gastro recommended CT and colonscopy for mild abdominal pain/gas. 23 yrs old. If CT scan shows nothing, is colonoscopy necessary? no bloody stools

Options available: CT scan of the abdomen may be indicated but not for mild pain alone. If the symptoms are progressive and there is concern for Cancer(unlikely in your age group), then only I would consider doing a CT. Similarly Colonoscopy is not indicated because of pain alone.If there is bowel irregularity or blood in stool Colonoscopy is reasonable to do. In your case I would watch /monitor for 4-6 weeks, then ...Read more

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Normal colonoscopy but blood in stool, what's wrong?

See below : The colon is so huge that sometimes the camera doesn't catch a small bleed. Colonoscopies are important to make sure you don't have inflammation in the colon and it rules out serious causes. You might have a blood vessel that bleeds on and off. Or it might be something in the anal area like a crack in the wall causing some bleeding when you wipe. Also the bleed could be from above the colon. ...Read more

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Is it normal to have blood in stool after colonoscopy?

Is it normal to have blood in stool after colonoscopy?

Sometimes: During a colonoscopy, your surgeon or gastroenterologist may have taken biospies or removed polyps. These will occasionally bleed, and result in blood in your stools. If the bleeding is associated with significant abdominal pain and cramping, notify your doctor immediately. ...Read more

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Blood in stool 5 days after colonoscopy, normal? Feels like razor blades when doing a poo

Blood in stool 5 days after colonoscopy, normal? Feels like razor blades when doing a poo

You : Don't say if any biopsies or polyp removal were done. Be sure to not take Aspirin or other nsaids. Razor blades sound like a possible tear or fissure. Best to call your endoscopist and inform them of this situation and let them decide how to follow this. ...Read more

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Please help, blood in stool (colonoscopy normal, ) MRI shows narrowing of small bowel don, t know what this signifys?

Please help, blood in stool (colonoscopy normal, ) MRI shows narrowing of small bowel don, t know what this signifys?

Crohn's disease (IBD: Crohn's disease atype of ibd (inflammatory bowel disease) is one of the causes for blood in stool. Normal colonoscopy suggests that colon is not involved. Mri is useful to avoid radiation and detect complications such as fistula, abscess, or sinuses. ...Read more

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Blood in stool. Colonoscopy showed mild proctitis inflammation. Biopsies normal. Gi not worried, no treatment, no diagnosis. . Should I be worried. ?

Blood in stool. Colonoscopy showed mild proctitis inflammation. Biopsies normal. Gi not worried, no treatment, no diagnosis. . Should I be worried. ?

No: I suspect this is a mechanical process causing a bit of inflammation and tissue injury. We're not going to do anything when the biopsy is normal and there's no mass lesion. If your physician is agreeable, a diet with some more fiber might help. ...Read more

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Having green stool for couple of months. On n off Pain in lower right of abs. Colonoscopy n endoscopy with biopsy normal. What's going on? Have ext and int hemorrhoids. Blood in stool might from hem

Having green stool for couple of months. On n off Pain in lower right of abs. Colonoscopy n endoscopy with biopsy normal. What's going on? Have ext and int hemorrhoids. Blood in stool might from hem

See answer + comment: Although not enough information is provided to give you specific advise the following may be helpful: Green stool indicates that your food is moving through your intestines more quickly than usual and not giving your bile a chance to turn the normal brown color. By itself, this is not a sign of a specific illness. Abdominal pain with normal studies may be due to the Irritable Bowel Syndrome. ...Read more

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65 yr old lady complain of chronic fatigue n anemia n blood in stool. Endoscopy n colonoscopy are normal. What's it? What do next?

65 yr old lady complain of chronic fatigue n anemia n blood in stool. Endoscopy n colonoscopy are normal. What's it? What do next?

Small bowel: Assuming the source of anemia is from the gut (anemia may be from other sources)...The gut includes the small bowel and large bowel (colon). Egd evaluates the esophagus and stomach. Egd can miss dieulafoy lesions or avms. Colonscopy is very good but not perfect. If both egd and colonoscopy are negative and accurate, then bleeding can be from the small bowel. Capsule endoscopy could be considered. ...Read more

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Fistulotomy & lis done. Short colonoscopy-normal. After 1.5 month from surgery bowl movement small amount of blood in stool and little mucus.Normal?

Fistulotomy & lis done. Short colonoscopy-normal. After 1.5 month from surgery bowl movement small amount of blood in stool and little mucus.Normal?

Possibly: If you have kept stools soft for at least 6 weeks following your procedure then the majority of healing should be done. If you have been constipated due to pain medications then you may have caused some minor bleeding. Keep stools soft for at least 3 months following such a procedure. ...Read more

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When liver cirrhosis blood in stool made colonoscopy there is no proof bleeding everything is normal what is reason for bleeding? How can i diagnose

When liver cirrhosis blood in stool 
made colonoscopy there is no proof bleeding everything is normal what is reason for bleeding?
How can i diagnose

EGD is next.: People with cirrhosis can get varicose (dilated veins) within the esophagus which can bleed. If the colonoscopy didn’t show anything then the next step should be EGD for a look at the esophagus. Blood testing as well to see if you’re anemic and/or coagulopathic. ...Read more

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Uc flare with thin stools, chunks of blood in stool, and frequency. Egd, colonoscopy, biopsies & digital perianal & rectal exam all normal. confused?

UC is long-term: Ulcerative colitis is a lifelong inflammatory disease of the lining of the large intestine and rectum, that may have systemic consequences, is often relapsing, and can lead to colon cancer. Flares may occur acutely, even after an unremarkable colon evaluation. Don't delay in ruling out superimposed infection, & seeking help from your gastroenterologist. Call him/her now-- ...Read more

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Traces of blood in stool 2 days ago. Normal CBC. Colonoscopy found hyperemia and erosions in rectum. Doctor prescribed melasamine. Normal stool now. Will I have to deal with IBD from now on?

Traces of blood in stool 2 days ago. Normal CBC. Colonoscopy found hyperemia and erosions in rectum. Doctor prescribed melasamine. Normal stool now. Will I have to deal with IBD from now on?

Do you have anyone: in your family with crohn's or ulcerative colitis because studies have shown a strong genetic component. Once you have been diagnosed with IBD, it normally is controlled with diet and/or medication. According to the CDC, about 2/3- 3/4 of patients with crohns may undergo surgery. In ulcerative colitis, once the colon is removed, there will be no more flare ups as the colon is now gone. ...Read more

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What to do if I have blood in stool but clean colonoscopy?

What to do if I have blood in stool but clean colonoscopy?

Blood in stool: If the colonoscopy is negative and the bleeding is bright red and low volume it is likely hemorrhoidal in origin. At this early stage usually an anal ointment will help symptoms. ...Read more

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Is blood in stool common after having your first colonoscopy test?

Is blood in stool common after having your first colonoscopy test?

Depends on whether: A polyp was removed or biopsies were taken and even then should only be scant blood for a day or so. Anything more than that and you need to call the doctor who performed the colonoscopy promptly and inform them of this occurrence. Better to be safe. ...Read more

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Had colonoscopy in 2002, was fine. Had one recently, microscopic blood in stool, can you get coloncancer within 10 yrs? 64 yr old female.

Had colonoscopy in 2002, was fine. Had one recently, microscopic blood in stool, can you get coloncancer within 10 yrs? 64 yr old female.

Absolutely...: There are several biologic pathways by which cells grow into cancer--this is particularly true with colon cancer. "interval colon cancers" are defined as presenting relatively soon after a negative colonoscopy exam. This phenomenon is well-defined & well-recognized in the medical literature, distinct from missed or regrowing lesions, & accepted as inevitable despite current screening strategies. ...Read more

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Red streaks of blood in stool - but colonoscopy is clear. What could it be?

Pain?: Is there pain associated with your bowel movements? The blood could be due to an anal fissure. If there is no pain related the blood could be from a hemorrhoid. Either way it is important to discuss this with your gastrointestinal doctor to find the source of the bleeding. ...Read more

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I have blood in stool. I've had 4 colonoscopy. Negative results. Had diverticulitis before. What could my problem be?

I have blood in stool. I've had 4 colonoscopy. Negative results. Had diverticulitis before. What could my problem be?

Maybe not colonic...: Evaluation is always appropriate for re-bleeding from the gut. Black stool often means bleeding from upper GI tract; grape jelly stool from small bowel; silver stool from biliary tree; burgundy stool from right colon; red blood from left colon to anal canal. Any accompanying symptoms? Do you take NSAID's, over-use alcohol, smoke tobacco, have other risks (AVM's for example)--lots to consider. ...Read more

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Saw a GI for microscopic blood in stool, confirmed by FIT. Flat out refused a colonoscopy as I feel this was just an incidental finding. Is this ok?

Saw a GI for microscopic blood in stool, confirmed by FIT. Flat out refused a colonoscopy as I feel this was just an incidental finding. Is this ok?

Possible mistake?: ...its a warning sign. May be predictable (e.g. rectal trauma, fissure, hemorrhoids with straining), but evaluation is always appropriate. A rule of thumb (but not absolute): black stool means bleeding comes from upper GI tract; grape jelly stool from small bowel; silver stool from biliary tree; burgundy stool from right colon; red blood from left colon to anus; occult blood is anyone's guess. ...Read more

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I have UC and my blood in stool came back my GI dr knows about it I'm havering a colonoscopy but what can I do for now I don't get it for a month?

I have UC and my blood in stool came back my GI dr knows about it I'm havering a colonoscopy but what can I do for now I don't get it for a month?

Advice from your doc: If you have had blood in your stool before, and have seen a gastroenterologist, then some treatment has probably already been prescribed. This could be medication such as sulfasalazine, other oral or enema medications including Asacol (mesalamine) or Lialda, or even cortisone. Call your doctor back to make sure she/he doesn't want you to increase or change your medication before your colonoscopy. Good luck! ...Read more

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Dr. K. Mujib Haque
437 doctors shared insights

Gastrointestinal Bleeding (Definition)

A long tube runs from the mouth to the anus. It includes, in order, the mouth, throat, esophagus, stomach, small intestine (duodenum, jejunum, ileus), caecum, the ascending, transverse, descending, and sigmoid colon (or large intestine) and the rectum. The space inside that tube , the lumen, is considered to be outside of the body. When we bleed into that space ...Read more


Dr. Charles Cattano
2,047 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more