Red tomato skin like pieces in stool can be a cause for concern and may indicate an underlying health issue. While it is normal to see food remnants in your stool, such as corn kernels or seeds, red tomato skin-like pieces in stool may suggest bleeding in the digestive tract or problems with digestion. In this article, we will explore the common causes of red tomato skin-like pieces in stool, diagnostic tests to determine the underlying cause, and possible treatment options. Understanding the potential causes and seeking prompt medical attention can help you receive the proper treatment and prevent further health complications.

Common causes for unprocessed food pieces in your stool?

Have you ever noticed undigested food particles in your stool? It’s not uncommon to see pieces of food that haven’t been broken down properly during digestion. There are several reasons why this might happen.
One common cause of unprocessed food pieces in stool is a lack of digestive enzymes. Digestive enzymes are substances produced by the pancreas that help break down food in the small intestine. If you don’t have enough digestive enzymes, some of the food you eat may not be properly digested, leading to undigested food particles in your stool.
Another reason for unprocessed food pieces in your stool is a condition called malabsorption. Malabsorption occurs when your body is unable to absorb nutrients from the food you eat. This can be caused by a variety of factors, including celiac disease, Crohn’s disease, and other digestive disorders.
Certain foods are also more difficult to digest than others. For example, foods high in fiber, such as whole grains, fruits, and vegetables, can be difficult to digest for some people. If you’re not used to eating a lot of fiber, your body may not be able to digest it properly, leading to undigested food particles in your stool.
In some cases, unprocessed food pieces in your stool can be a sign of a more serious underlying condition, such as inflammatory bowel disease or pancreatic insufficiency. If you’re experiencing other symptoms along with undigested food in your stool, such as abdominal pain, diarrhea, or weight loss, it’s important to see a doctor for further evaluation.
The undigested food-related health conditions
Undigested food in your stool can be a sign of underlying health conditions. One condition that can cause red tomato skin-like pieces in stool is diverticulitis. Diverticulitis is a condition in which small pockets or sacs called diverticula form in the lining of the colon and become inflamed or infected.
Another condition that can cause undigested food in your stool is inflammatory bowel disease (IBD). IBD is a chronic condition that causes inflammation in the digestive tract. Symptoms of IBD include abdominal pain, diarrhea, and weight loss, as well as the presence of undigested food in the stool, including red tomato skin-like pieces.
Celiac disease is another condition that can cause undigested food in your stool. Celiac disease is an autoimmune disorder in which the body’s immune system reacts to gluten, a protein found in wheat, barley, and rye. The reaction can damage the lining of the small intestine, making it difficult to absorb nutrients from food. This can lead to the presence of undigested food, including red tomato skin-like pieces, in the stool.
Certain medications can also cause undigested food in your stool. For example, some antibiotics can disrupt the balance of bacteria in the digestive tract, leading to the presence of undigested food particles in the stool.
How can you know for sure if it’s blood or undigested food in your stool?
It can be difficult to determine whether the red pieces in your stool are undigested food or blood. However, there are some key differences that can help you distinguish between the two.
If the red pieces in your stool are undigested food, they will usually be accompanied by other pieces of undigested food, such as pieces of vegetables or seeds. These pieces may also be a similar color to the food that you’ve eaten, such as red tomato skin-like pieces.
If the red pieces in your stool are blood, they may be accompanied by other symptoms, such as abdominal pain, diarrhea, or constipation. The blood may also be a bright red color or have a darker, tarry appearance.
To determine whether the red pieces in your stool are undigested food or blood, it’s important to pay attention to your symptoms and the appearance of your stool over time. If you’re experiencing other symptoms of digestive distress, such as abdominal pain or changes in bowel movements, it’s important to talk to your doctor.
Your doctor may recommend diagnostic tests, such as a stool sample analysis or a colonoscopy, to determine the underlying cause of the red pieces in your stool. In some cases, additional testing, such as a blood test or imaging studies, may be necessary.
What does having bloody stools mean?

Hemorrhoids
Bloody stools can be a sign of various underlying health conditions, including hemorrhoids. Hemorrhoids are swollen veins in the lower rectum and anus that can cause pain, itching, and bleeding.
If you have hemorrhoids, you may notice bright red blood on the surface of your stool, on the toilet paper after wiping, or in the toilet bowl after a bowel movement. The blood from hemorrhoids is usually bright red and may appear in small amounts.
In some cases, hemorrhoids can also cause the presence of other red pieces in your stool, such as red tomato skin-like pieces. This is because the swollen veins in the anus and rectum can cause irritation and damage to the surrounding tissues, leading to the presence of small amounts of blood and other tissues in the stool.
Other symptoms of hemorrhoids may include anal itching, pain or discomfort, and a feeling of fullness in the rectum. In most cases, hemorrhoids can be treated with simple lifestyle changes, such as increasing fiber intake, drinking plenty of water, and avoiding straining during bowel movements.
Your doctor may recommend over-the-counter medications or prescription medications to help relieve your symptoms. Also, they may recommend procedures such as rubber band ligation or hemorrhoidectomy to remove the hemorrhoids.
Anal Fissures
Anal fissures are small tears or cuts in the lining of the anus that can cause pain, itching, and bleeding.
If you have anal fissures, you may notice bright red blood on the surface of your stool, on the toilet paper after wiping, or in the toilet bowl after a bowel movement. The blood from anal fissures is usually bright red and may appear in small amounts.
In some cases, anal fissures can also cause the presence of other red pieces in your stool, such as red tomato skin-like pieces. This is because the tears or cuts in the lining of the anus can cause irritation and damage to the surrounding tissues, leading to the presence of small amounts of blood and other tissues in the stool.
Other symptoms of anal fissures may include anal itching, pain or discomfort during bowel movements, and a feeling of tightness or fullness in the anal area. In most cases, anal fissures can be treated with simple lifestyle changes, such as increasing fiber intake, drinking plenty of water, and avoiding straining during bowel movements.
Your doctor may recommend over-the-counter medications or prescription medications to help relieve your symptoms. In more severe cases, your doctor may recommend procedures such as anal sphincterotomy or lateral internal sphincterotomy to help the anal fissures heal.
Cancers and polyps of the rectum and colon
Colorectal cancer is a type of cancer that can affect the rectum and colon. Polyps, which are growths that form on the inner lining of the colon and rectum, can also be a precursor to colorectal cancer. Symptoms of colorectal cancer can include changes in bowel habits, rectal bleeding, and abdominal discomfort or pain.
In some cases, red tomato skin-like pieces in stool may be a symptom of colorectal cancer or polyps. This is because the growths or tumors in the rectum or colon can cause bleeding, which can appear as red pieces in the stool.
Other symptoms of colorectal cancer and polyps may include persistent abdominal pain, fatigue, unexplained weight loss, and a feeling of fullness or bloating. It’s important to note that many of these symptoms can also be caused by other health conditions, so it’s important to talk to your doctor if you’re experiencing any unusual symptoms.
The good news is that colorectal cancer and polyps can often be detected early through routine screenings such as colonoscopies. These screenings can help identify any growths or tumors in the rectum or colon before they become cancerous, making them easier to treat and increasing the chances of a positive outcome.
Treatment for colorectal cancer and polyps may include surgery, chemotherapy, radiation therapy, or a combination of these treatments. The specific treatment plan will depend on the stage of the cancer, the size and location of the tumor, and other individual factors.
What tests can you do to get a proper diagnosis for bloody stools?
There are several tests that your doctor may recommend to help identify the underlying cause of your symptoms.
One of the first tests your doctor may order is a fecal occult blood test. This test involves collecting a small sample of your stool and testing it for hidden (occult) blood. This test can help detect bleeding in the digestive tract that may not be visible to the naked eye.
If the fecal occult blood test is positive or if your doctor suspects a more serious condition, they may recommend a colonoscopy. During a colonoscopy, a long, flexible tube with a camera on the end is inserted into the rectum and colon to examine the lining of the digestive tract. This can help identify any abnormalities, such as polyps or tumors, that may be causing the bleeding.
Another test that may be used to diagnose the cause of bloody stools is a flexible sigmoidoscopy. This is similar to a colonoscopy, but only examines the lower part of the colon and rectum.
Other tests that may be recommended include a barium enema, which involves taking X-ray images of the colon after contrast material is injected into the rectum, or a CT scan, which can provide detailed images of the digestive tract.
In some cases, a biopsy may be performed during a colonoscopy or sigmoidoscopy. This involves removing a small sample of tissue from the lining of the colon or rectum for further analysis in a laboratory.
Conclusion
If you are noticing red tomato skin-like pieces in your stool, it can be a cause for concern. These pieces may indicate that there is bleeding in your digestive tract or that you are not properly digesting your food. Some common causes of red tomato skin-like pieces in stool include hemorrhoids, anal fissures, cancers, and polyps of the rectum and colon.
To properly diagnose the underlying cause of red tomato skin-like pieces in stool, it is important to see a doctor. They may recommend tests such as a fecal occult blood test, a colonoscopy, a flexible sigmoidoscopy, a barium enema, or a CT scan. In some cases, a biopsy may also be performed to further analyze tissue samples.
If you are experiencing red tomato skin-like pieces in your stool or any other unusual symptoms, it is important to seek medical attention promptly. Your doctor can work with you to determine the underlying cause and develop an appropriate treatment plan.
In summary, red tomato skin-like pieces in stool can be a sign of bleeding in the digestive tract or poor digestion. Seeing a doctor and undergoing diagnostic tests is important to identify the underlying cause and receive proper treatment.