[53M] With rectal bleeding and constipation

What might be happening

Based on the information you've provided, possible causes include:

• Hemorrhoids: These are swollen blood vessels in your rectum or anus. The type of hemorrhoid you have depends on where it occurs. They can cause bright red blood in the stool.

  • Treatment: Over-the-counter creams or suppositories may stop the itching or pain. You might need a hemorrhoidectomy (surgical removal of the hemorrhoid) if internal hemorrhoids are causing severe bleeding, or if you're not getting better with home treatments.

• Anal fissures: These are small tears in the lining of the anus, often caused by constipation. They can cause bright red blood in the stool.

  • Treatment: Most anal fissures get better with simple treatments, such as increased fiber intake or sitz baths. Some people with anal fissures may need medication or, occasionally, surgery.

• Colorectal polyps or colorectal cancer: The risk of these conditions increases with age, and they can cause blood in the stool. The blood can range in color from bright red to dark maroon to a dark, tarry color.

  • Treatment: Polyps can usually be removed during a colonoscopy. For colorectal cancer, treatment options include surgery, radiation therapy, and chemotherapy.

Please note, these are just possibilities and not a definitive diagnosis.

What you can do

1. Seek immediate medical attention. Blood in stool, especially accompanied by constipation and fatigue, should be evaluated by a healthcare professional as soon as possible.
2. Try to keep a record of your symptoms, including frequency, color, and consistency of blood in your stool, to help your healthcare provider in diagnosing your condition.

What you should look out for

Seek immediate medical attention if you experience:

• Severe abdominal pain
• Unintentional weight loss
• Changes in bowel habits that last more than a few days
• Weakness, fatigue, or dizziness
• Black, tarry stools or bright red blood in your stool

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare provider.