A small amount of one-off bleeding from the bottom is not usually a serious problem. But a GP can check.
You might be bleeding from the bottom if you have:
A small amount of one-off bleeding can often go away on its own without needing treatment.
111 will tell you what to do. They can arrange a phone call from a nurse or doctor if you need one.
Get an urgent GP appointment
A GP may be able to treat you.
Ask your GP practice for an urgent appointment.
The GP will check what's causing your symptoms.
Bleeding from the bottom is sometimes a sign of bowel cancer.
This is easier to treat if it's found early, so it's important to get it checked.
If you have other symptoms, this might give you an idea of the cause.
Do not self-diagnose – see your GP if you're worried.
|Bright red blood and pain when pooing, itchy bottom, lumps||piles (haemorrhoids)|
|Bright red blood and pain when pooing – often after constipation||a small tear in your anus (anal fissure)|
|Bleeding with or without lumps, itching or pain||sexually transmitted infections (STIs) like genital warts, damage from anal sex|
|Bright red blood without pain||side effect of blood-thinning medication like warfarin or aspirin, broken blood vessels in the gut (angiodysplasia)|
Poo can look like it's mixed with blood if you have eaten a lot of red or purple foods like tomatoes and beetroot.
But it's sometimes a sign of something else. A GP can check if you're worried.
|Blood and yellow slime when pooing, irritated anus, non-stop bottom pain||anal fistula|
|Bloody diarrhoea with clear slime, feeling and being sick||tummy bug (gastroenteritis)|
|Bloody diarrhoea, tummy cramps and pain, feeling bloated||an inflammatory bowel disease (IBD) like ulcerative colitis or Crohn's disease|
|Blood in poo||bleeding in the anus, bowel or lower gut (gastrointestinal tract) from injury or another problem|
|Blood in poo, change in pooing habits (like looser poo, diarrhoea or constipation), slime with poo||bowel polyps, early signs of bowel cancer|
Poo can look very dark or black if you:
But it's sometimes a sign of something else. A GP can do a test to check this if you're worried.
|Dark or black poo||bleeding in the stomach or gut (gastrointestinal tract) – can be from injury or a side effect of blood-thinning medication like warfarin or aspirin|
|Dark blood or poo with tummy pain or cramps||stomach ulcer, diverticular disease and diverticulitis|
|Dark blood without pain||blood-thinning medication like warfarin or aspirin, angiodysplasia (broken blood vessels in the gut)|