How to manage blood in stool in a 28-year-old male?
Possible causes of symptoms in 3 mins

Q. What is the cause of the blood in stool for a 28-year-old male?

Answered by  
Dr. Sugandh Garg
and medically reviewed by   iCliniq medical review  team.


Professional Bio:

Covid expert. Working with Govt. civil hospital, covid team, handling emergency, Quarantine and isolation of covid cases since March 2020. Helping them with treatment and diet protocol.

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This is a premium question & answer published on Sep 28, 2022 and last reviewed on: Oct 10, 2023
Patient's Query

Hi doctor,

I am a 28-years-old male and I have blood in my stool. I know there is blood in my stool because the paper is red after I wipe. It is only a little bit, sometimes, the paper is deep red, and all I have to do is blot "the area," and it will still be deep red. This has been going on for quite some time (a couple of months). There are no painful bumps, and I have no digestive issues. I do not exercise regularly, but I eat pretty well, and I am not overweight. I never have blood spots on my boxers. So when I give up on the paper being blood free and leave the bathroom, there is no continued blood flow. I have myoclonic epilepsy. I was diagnosed at 13 or 14 and have been on Lamotrigine. My current prescription (increased as I have gotten older) is 300 mg tablets nightly. Recently that prescription has not been enough, and since any more Lamotrigine would exceed my levels, I was prescribed Levetiracetam, a 500 mg tablet, nightly. This issue has been going on since before the second agent was added. As long as I live as I should, my epilepsy is well managed. My father has had melanoma a couple of times and prostate cancer in his middle age. Other than my epilepsy and my father's cancer, there is no different medical history. I do not get sick. I ''go to the bathroom," on average, twice daily. Once in the morning after coffee, and (on average) once later on sometime in the afternoon. It is usually solid but runny after certain types of food, so pretty much average. Please help.

Answered by  Dr. Sugandh Garg


Welcome to

I understand your concern.

I suggest you get physically examined and investigated to rule out any medical condition and treat it accordingly. Please attach proper reports, prescriptions, and medicines being taken currently. Please consult with your treating doctor, as it can also be due to prolonged use of the medications. Do you feel any straining at the stool? Any constipation? Is any other part of the body bleeding? Any bleeding disorder?

It would be helpful to drink plenty of water and fluids, and a fiber-rich diet is balanced well unless otherwise contraindicated.

I suggest you take the following tests.

1. Stool routine test.

2. Ultrasound abdomen.

3. Complete blood count.

Feel free to follow up anytime.


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