Arten von Blut im Stuhl

Auflagerungen von Blut auf dem Stuhl oder Blut im Stuhl sind ernst zu nehmende Zeichen, die auf eine Krankheit oder zumindest auf eine gesundheitliche Störung deuten. Es ist unabdingbar, nach der Ursache zu suchen. Dazu sollte man mit dem Aufsuchen eines Arztes auf keinen Fall zu lange warten. Insgesamt werden drei differenzierte Arten von Blut im Stuhl unterschieden. Eine davon ist die sogenannte okkulte Blutung. Diese Blutbeimengung ist mit den Augen nicht erkennbar. Das okkulte Blut im Stuhl kann darum nur durch einen Test, den Hämoccult-Test, festgestellt werden. Bei Blut im Stuhl, welches sichtbar ist, spricht der Mediziner von peranalem Blutabgang. Das Blut ist meistens von hellroter Farbe und wird durch den Darm abgesondert. In der Fachsprache wird das hellrote Blut im Stuhl als Hämatochezie bezeichnet. In fast allen Fällen, bei denen Blut im Stuhl auftritt, handelt es sich um eine untere Gastrointestinalblutung. Dies bedeutet, dass die Quelle der Blutung im unteren Magen-Darm-Trakt, zwischen Zwölffingerdarm und Anus (After), zu suchen ist. Ungefähr neunzig Prozent der Patienten sind von diesen meist leichteren Blutungen betroffen. Selten treten durch Volumenmangel verursachte, lebensbedrohliche Blutungen auf.

Für Blutungen im oberen Magen-Darm-Bereich, den oberen Gastrointestinalblutungen, sind häufig Magengeschwüre oder Geschwüre im Bereich des Zwölffingerdarms verantwortlich. Geschwüre in der Speiseröhre kommen dagegen weniger oft vor. Starke Blutungen im oberen Bereich können auch durch Einnahme von Protonenpumpenhemmer (Protonenpumpen-Inhibitoren), die die Bildung von Magensäure verhindern sollen, entstehen. Dabei wird ebenfalls rotes Blut im Stuhl sichtbar. Dunkles Blut im Stuhl wird als Teerstuhl oder Meläna bezeichnet. Der Stuhl hat einen üblen, stechenden Geruch und ist schwarz-rötlich gefärbt. Der Kontakt von Blut mit Magensäure gibt dem Stuhl diese Farbe. Dazu sind die Blutbeimengungen klebrig und glänzend. Blut im Stuhl kann im schlimmsten Fall ein Symptom für Darmkrebs sein. Aus diesem Grund sollte der Betroffene schnellstmöglich ärztliche Beratung in Anspruch nehmen, um die Ursache, warum Blut im Stuhl ist, herauszufinden und entsprechend zu behandeln.

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