Nursing care plan for blood in stool

Nursing care plan for blood in stool


Blood in stool is a medical condition wherein red blood is observed in the feces. It is commonly referred to as melena or hematochezia and is caused by a variety of conditions such as hemorrhoids, anal fissures, diverticular disease and colorectal cancer.


  • Examination: Visible observation of red blood in the stools can be noticed to diagnose this condition.
  • Diagnosis Tests: Diagnostic tests such as sigmoidoscopy or colonoscopy or fecal occult blood test needs to be conducted to confirm the condition and also rule out other underlying diseases.

Nursing Diagnosis

  • Ineffective tissue perfusion: The blood in stool indicates that there is some issue with the tissue perfusion and hence it has to be addressed.
  • Pain: Pain and discomfort may be experienced due to the infection.


  • Increase of oxygen levels in the bloodstream: Through the nursing care plan, oxygen levels must be increased to effectively reverse the condition.
  • Decrease in the presence of blood in stool: The plan should provide strategies which help reduce the bleeding within the affected area and eliminate the root cause.


  • Medication: Medication such as iron supplement, antidiarrheal medications, antibiotics, anti-inflammatory, anti-clotting medication, antispasmodic and pain relievers must be prescribed by the doctor.
  • Diet Modification: High-fiber food, adequate fluids, iron and zinc-rich food, probiotics and garlic are to be included in the diet to facilitate speedy recovery.


  • Medication: These drugs address the underlying cause and stop further bleeding.
  • Diet modification: Healthy foods provide the necessary nutrients that promote healing and stimulate the intestinal tract.


The patient must be regularly monitored to check for a decrease in blood in stool, improved texture, less pain and discomfort.


Blood in stool is a medical condition that requires proper care and treatment to address the underlying cause and prevent further damage and life-threatening complications. A timely diagnosis, efficient nursing care plan and regular monitoring along with other health advice by the doctor is important for a successful recovery.


  1. What is the main cause of blood in stool?
    The primary cause of blood in stool is tissue damage or irritation in the digestive tract.
  2. What are the risk factors associated with blood in stool?
    Risk factors associated with blood in stool include certain lifestyle habits like smoking, poor nutrition, long-term use of certain medications, drinking alcohol, etc.
  3. When should I seek medical advice?
    If you observe any signs of rectal bleeding, you should immediately seek medical advice from a medical professional.
  4. What preventive measures can be taken?
    One of the best ways to prevent rectal bleeding is to maintain a healthy lifestyle with a balanced diet, regular exercise, and quitting smoking and drinking alcohol.
  5. What other tests may be performed?
    Other medical tests such as digital rectal examination, endoscopy, stool test, and X-ray may be recommended to further evaluate and treat the cause of the condition.

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