Seeing blood in your stool (or bloody diarrhea) is alarming, and it is always a sign that you need to see a doctor. Do not attempt to self-treat this symptom. This guide explains the potential causes of blood in stool in Bali and reinforces why immediate medical evaluation is not just recommended, but necessary.

The First Step: Don’t Panic, But Act Promptly
While this symptom is serious, the first step is to remain calm. Panicking will not help. Most causes of bloody diarrhea in travelers are treatable with modern medicine, but the key is to act quickly and get a proper diagnosis. This condition is a severe form of traveler’s diarrhea, a topic we cover in full in our Ultimate Guide to Bali Belly.
What Does Blood in Your Stool Mean?
Finding blood in your stool indicates that there is bleeding somewhere along your digestive tract. The most common cause for a traveler in Bali is an infection.
The Most Common Cause: Bacterial Dysentery
The presence of blood and mucus in diarrhea is clinically known as Dysentery. For travelers, this is most often caused by invasive bacteria (such as Shigella, Campylobacter, or Salmonella). These are not the typical bacteria that cause mild Bali Belly; these aggressive pathogens can damage the lining of your intestines, causing it to bleed. This is a significant infection that almost always requires a specific course of antibiotics prescribed by a doctor.
Differentiating by Color:
- Bright Red Blood (Hematochezia): This typically indicates bleeding in the lower part of the colon or the rectum. The blood appears red because it hasn’t had time to be digested.
- Black, Tarry Stool (Melena): This can indicate bleeding higher up in the digestive tract, such as the stomach or small intestine. The blood turns black after being exposed to digestive acids. Both are equally serious and require a doctor’s visit.
Why You Absolutely Cannot Treat This at Home

When wondering what to do for blood in diarrhea, self-treatment is not a safe option.
You Need the Right Antibiotics
Over-the-counter remedies will not work against these invasive bacteria. A doctor must diagnose the likely pathogen and prescribe the correct medication to clear the infection. Understanding when antibiotics are needed for Bali Belly is key; this is one of those times.
The Risk of Complications
Ignoring dysentery allows the harmful bacteria to continue damaging your intestinal lining. This not only prolongs the illness but significantly increases your risk of severe dehydration due to the constant loss of fluids and electrolytes. In rare cases, an untreated invasive infection can lead to more serious systemic complications, which is why prompt medical treatment is so important.
The message is simple: blood in your stool is your body’s clear signal to seek professional medical help. Listen to it. This is a major red flag.
To learn about other warning signs, read our guide to all Bali Belly Red Flags.
This is a Clear Sign to See a Doctor. Do Not Wait.
Our medical team is ready to provide an urgent diagnosis and the necessary treatment to address the underlying infection.
Frequently Asked Questions (FAQ) about Bloody Diarrhea
It was only a very small amount of bright red blood. Is it still serious?
Yes. Any amount of blood in the stool that cannot be explained (e.g., by hemorrhoids) is considered abnormal and requires a medical evaluation to determine the cause. It’s always best to be safe and get it checked out.
What is the medical term for this condition?
Diarrhea containing blood and mucus is clinically known as Dysentery. It indicates an inflammatory disorder of the intestine, most often caused by an infection.
I ate beetroot or dragon fruit. Could it be that?
Yes, certain foods with strong red pigments can turn your stool red. However, if you have not eaten these foods, or if you are at all unsure, you should always assume it is blood and see a doctor.
Will I need to provide a stool sample?
Possibly. A doctor will decide based on your clinical evaluation. A stool sample can be analyzed to identify the exact bacteria or parasite (like in amoebic dysentery) causing the infection, which helps in choosing the most effective antibiotic.
How quickly do antibiotics work for bacterial dysentery?
With the correct antibiotic, patients often start to feel a significant improvement within 24 to 48 hours. It is crucial to complete the entire course of antibiotics as prescribed, even if you feel better.
Is it safe to take Loperamide (Imodium) if I have bloody diarrhea?
Absolutely not. Taking anti-diarrheal medicine when you have an invasive bacterial infection is dangerous. It can trap the harmful bacteria inside your system longer, potentially worsening the infection.
What will happen if I ignore it and wait for it to go away?
You risk the infection becoming more severe, leading to extreme dehydration, and potentially developing more serious complications. It is not a symptom that should ever be ignored.
Is dysentery common in Bali?
While standard traveler’s diarrhea is common, dysentery in Bali is less common but does occur. It is usually linked to consuming significantly contaminated food or water.
I’m scared to go to a clinic. What can I expect?
You can expect a professional and confidential environment. A doctor will calmly listen to your symptoms, perform an examination if necessary, and explain the treatment plan clearly. Our goal is to make you feel safe and cared for.
Can stress cause blood in stool?
It is highly unlikely for stress to be the primary cause of new-onset bloody diarrhea. The cause is almost always a physical condition, like an infection or inflammation, that needs to be diagnosed by a doctor.