In literature, it usually refers to blood in the water, perhaps from a fight or war.
In real life, you've probably got copper or iron in your water system. It could also mean that your water is...
If you mean the toilet tank, it means you have a leak and water (and $$$ if you have a water meter) are being lost. It is the same as a leaky faucet. You need to find the source of the leak and...