9 doctors weighed in:
My 4 year olds as friends of blood on the ends of each piece of poop. What could cause this?
9 doctors weighed in

Dr. James Ferguson
Pediatrics
5 doctors agree
In brief: Likely a fissure
Strands of bright red blood on poo is generally coming from a small fissure in the anal skin or just inside.
Blood will begin tobreakdown after it is exposed to any material, so blood from the stomach would be coffee ground like/ small intestine dark and tarry/ lg intestine current jelly like. Sometimes inflamation near the anus will generate bloody mucous & rarely strep a can cause a proctitis.

In brief: Likely a fissure
Strands of bright red blood on poo is generally coming from a small fissure in the anal skin or just inside.
Blood will begin tobreakdown after it is exposed to any material, so blood from the stomach would be coffee ground like/ small intestine dark and tarry/ lg intestine current jelly like. Sometimes inflamation near the anus will generate bloody mucous & rarely strep a can cause a proctitis.
Dr. James Ferguson
Dr. James Ferguson
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2 doctors agree
In brief: Fissure
Likely this is just from a small anal tear and is harmless.
If it persist though, this is concerning. The bigger concern is the persistent constipation that is leading to anal tearing. Consider a constipation friendly diet with plenty of fruits and veggies and moderate fiber. And don't forget the water.

In brief: Fissure
Likely this is just from a small anal tear and is harmless.
If it persist though, this is concerning. The bigger concern is the persistent constipation that is leading to anal tearing. Consider a constipation friendly diet with plenty of fruits and veggies and moderate fiber. And don't forget the water.
Dr. Shontae Buffington
Dr. Shontae Buffington
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Dr. Zuheir Said
Pediatrics
1 doctor agrees
In brief: Anal fissures
Blood staining stools could be related to anal fissuring either external or internal, these fissuring could be related to constipation , crohn disease, rarely ulcerative colitis, others such as allergy, and child abuse.

In brief: Anal fissures
Blood staining stools could be related to anal fissuring either external or internal, these fissuring could be related to constipation , crohn disease, rarely ulcerative colitis, others such as allergy, and child abuse.
Dr. Zuheir Said
Dr. Zuheir Said
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