- Caring for the Patient With Cancer at Home: A Guide for Patients and Families
- Anxiety, fear, and emotional distress
- Appetite, poor
- Bleeding or low platelet count
- Blood counts, changes in
- Blood in stool
- Blood in urine
- Fluids (lack of) and dehydration
- Grooming and appearance
- Hair loss
- Infection, increased risk
- Leg cramps
- Mouth, bleeding in
- Mouth dryness
- Mouth sores
- Nausea and vomiting
- Scars and wounds
- Shortness of breath
- Skin color changes
- Skin dryness
- Skin (pressure) sores
- Sleep problems
- Stomas (or ostomies)
- Swallowing problems
- Treatment at home
- Tubes and IV lines
- Weight changes
- When death is approaching
- To learn more
Blood in stool
Blood in the stool (poop) may be caused by irritation when moving the bowels. It can also be caused by straining very hard, by an ulcer or a tumor in the bowel, by hemorrhoids (enlarged blood vessels in or around the anus), or by a low platelet count. (See the section called “Bleeding or low platelet count.”)
What to look for
- Blood on toilet tissue
- Blood on underwear, sheets, or underpads
- Streaks of blood in stool
- Bright red blood from rectum
- Dark red or black bowel movements (But remember that eating beets can cause red stools, and iron tablets or bismuth medicines such as Pepto-Bismol® and Kaopectate® can cause black stools for 2 to 3 days. This is normal.)
What the patient can do
- Check how much blood is being passed.
- Don’t put anything in your rectum, including suppositories, enemas, thermometers, etc.
- Keep stool soft by taking in plenty of fluids and fiber.
- Use stool softeners if OK with your cancer team.
- Wash anal area very carefully with warm, soapy water, rinse well, and pat dry.
- Take a sitz bath (sitting in warm water), which may be helpful for hemorrhoids.
What caregivers can do
- Help the patient watch for bleeding.
- Offer extra fluids, fruits, and vegetables to keep the patient’s stool soft.
Call the cancer team if the patient:
- Has blood on toilet tissue 2 or more times
- Has blood streaks in stool
- Has bright red blood coming from rectum
- Has dark red or black stools
Last Medical Review: 06/08/2015
Last Revised: 06/08/2015