Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: September 12, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for Blood in Stool of a 6-Month-Old

Single Most Likely Diagnosis

  • Anal Fissure: This is a common cause of rectal bleeding in infants, often due to the passage of hard stools. The pain associated with an anal fissure can lead to further stool withholding, creating a vicious cycle.

Other Likely Diagnoses

  • Allergic Colitis: This condition is often associated with cow's milk protein allergy and can cause blood in the stool. It's a common issue in infants who are formula-fed or have been introduced to cow's milk products.
  • Gastrointestinal Infection: Viral or bacterial infections can cause inflammation and bleeding in the gastrointestinal tract, leading to blood in the stool.
  • Intussusception: Although more common in older infants, intussusception can occur in 6-month-olds and is characterized by the telescoping of one portion of the intestine into another, leading to bowel obstruction and potentially bloody stools.

Do Not Miss Diagnoses

  • Intestinal Intussusception: As mentioned, this condition requires prompt diagnosis and treatment to prevent complications such as bowel ischemia and necrosis.
  • Meckel's Diverticulum: A congenital anomaly of the small intestine that can cause significant bleeding due to the presence of ectopic gastric mucosa.
  • Hirschsprung's Disease: A condition characterized by the absence of ganglion cells in the distal bowel, leading to obstruction and potentially bloody stools.

Rare Diagnoses

  • Juvenile Polyposis Syndrome: A rare condition characterized by the presence of multiple polyps in the gastrointestinal tract, which can cause bleeding.
  • Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease and ulcerative colitis are rare in infants but can present with bloody stools among other symptoms.
  • Vascular Malformations: Rare congenital anomalies of the blood vessels within the gastrointestinal tract that can cause bleeding.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.