Seeing blood when you go to the bathroom can be scary, especially if you are not feeling any pain. It is easy to jump to worst-case scenarios in your head. But the truth is, there are several common reasons why you might notice blood in your stool without any pain, and many of them are treatable and not dangerous.
So, let’s talk about what could be going on and what you can do about it.
Here are some common possible reasons why you might be seeing blood without feeling pain.
● Haemorrhoids (Piles)
This is the most common cause of blood during bowel movements, and many people don’t even realise they have them. Haemorrhoids are swollen veins in or around your rectum and anus. They can bleed when irritated, but they do not always hurt.
If you are seeing bright red blood and there is no pain, an internal haemorrhoid is a likely cause.
● Anal Fissures
These are small tears in the skin around the anus. While they often cause a stinging or burning sensation during bowel movements, they can also bleed with little to no pain. You might see a few drops of blood on the tissue or in the toilet.
● Colon Polyps
Polyps are small growths on the inner lining of the colon or rectum. Most don’t cause any symptoms, especially in the early stages. But some can bleed slowly over time. Since the bleeding is internal and not due to irritation or injury at the exit point, there’s often no pain. Most polyps are harmless, but some can turn into colorectal cancer if left untreated.
● Colorectal Cancer
This is a more serious cause, but it’s not usually the first explanation, especially if you're young and otherwise healthy. Colorectal cancer can cause bleeding that’s often invisible to the eye (called occult bleeding), but in some cases, you might notice blood in your stool. This bleeding is typically painless in the early stages.
● Rectal Ulcers
In rare cases, solitary rectal ulcers can cause bleeding. These are small open sores inside the rectum. They’re not always painful, but they might be linked with straining or chronic constipation.
The colour of the blood you see can give important clues about where the bleeding is coming from:
Even though some causes of blood in the stool are minor, it’s important not to ignore them completely. Here are some signs that you should definitely get checked by a doctor:
● The bleeding lasts more than a couple of days
● You notice a lot of blood
● You have other symptoms like diarrhoea, constipation, stomach pain, or weight loss
● Your stool looks very dark, almost black (this can signal bleeding higher up in your digestive system)
● You feel dizzy, weak, or very tired
If you are over 45 or if you have a family history of colon cancer or polyps, it’s even more important to take bleeding seriously and discuss it with a healthcare provider.
Pooping blood without pain can definitely feel alarming, but in many cases, it is caused by something common and treatable. That said, bleeding is your body’s way of telling you that something needs attention. Even if it is not urgent, it is always smart to have it checked out, especially if it does not go away quickly or if you notice other symptoms.