What causes red granules in the stool in a 29-year-old?

Question

Hello doctor,

I am 29 years old. Three years ago, I first noticed bright red blood drops after passing stools. I was constipated since my childhood, and I was worried after seeing blood. I consulted with a GI doctor, and they gave me some remedies for constipation.

After that, I am not seeing any blood during bowel movements. My constipation is also gone. I feel comfortable after that.

Last week, I saw red blood on the surface of my stool, very little in the last portion of my stool. The next day, I still am not observing blood, but I saw some very small red coloured granule-like stone-like in my stools. These are very hard, and two to three grains can be seen. It is very, very small in size. I didn't feel any pain. I am feeling gas problems and stomach upset.

Usually, I take meals at any time; I do not eat food at regular intervals. I am not working. I am worried too much. What may be the reason for the problems?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I truly can understand your worries.

At just 29 years of age, you are normally too young for bowel cancer, but to rule out all risks, it would be a good idea to get a colonoscopy done if you have access to this level of health care. In addition, the tumor marker M2PK in the stool might also help to rule out serious causes like inflammation, etc. The most likely cause is hemorrhoids.

These can be treated easily and painlessly by a proctologist. That’s where I would go first. I wish you a speedy recovery.

The probable cause: Small bleeding source in the rectum.
Investigations: Proctoscopy (maybe colonoscopy), M2PK stool test.
Differential diagnosis: Inflammation, Cancer ( not likely).
Probable diagnosis: Hemorrhoids stage 2.
Treatment plan: See a proctologist.
Preventive measures: Use a stool softener like 400 mg of Magnesium a day, and drink at least two liters of fluid per day.

I hope this helps.
Thank you.