Differential Diagnosis for Blood in Stool
Single Most Likely Diagnosis
- Diverticulosis: This condition is a common cause of painless, bright red bleeding, especially in older adults. The presence of diverticula in the colon can lead to erosion of blood vessels, resulting in bleeding.
Other Likely Diagnoses
- Hemorrhoids: Internal or external hemorrhoids can cause bleeding, especially during bowel movements. The bleeding is typically bright red and may be associated with pain or discomfort.
- Anal Fissures: Tears in the lining of the anus can cause painful bleeding during or after bowel movements.
- Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease and ulcerative colitis can cause chronic inflammation and bleeding in the gastrointestinal tract.
- Gastrointestinal Infections: Infections such as food poisoning or gastrointestinal viruses can cause inflammation and bleeding in the colon.
Do Not Miss Diagnoses
- Colon Cancer: Although less common, colon cancer is a critical diagnosis to consider, as it can present with occult or overt blood in the stool. Early detection is crucial for effective treatment.
- Angiodysplasia: Vascular malformations in the colon can cause bleeding, especially in older adults. This condition may not be immediately life-threatening but can lead to significant blood loss if not addressed.
- Ischemic Colitis: Reduced blood flow to the colon can cause inflammation, bleeding, and potentially life-threatening complications if not promptly treated.
Rare Diagnoses
- Meckel's Diverticulum: A congenital anomaly of the small intestine that can cause bleeding due to the presence of ectopic gastric mucosa.
- Intussusception: A condition where a part of the intestine telescopes into another, which can cause bowel obstruction and bleeding. It is rare in adults but more common in children.
- Vascular Disorders: Conditions like hereditary hemorrhagic telangiectasia or blue rubber bleb nevus syndrome can cause vascular malformations leading to gastrointestinal bleeding.
- Gastrointestinal Lymphoma: A type of cancer that can cause bleeding, although it is much less common than other causes of gastrointestinal bleeding.