My main concern is that more and more frequently there is bright red blood on the tissue and in the toilet after a bm. I suffer off and on with constipation and that turns into very soft and runny stools when it releases. I do not take constipation medicine and I do not take stool softeners. I had a very severs car accident in August of 08 and a lot of this has increasingly gotten worse since then. Also, at times I have the feeling that I still have to go and can't after a large bm. I don't want to talk to my husband because he has enough to worry about. I had a hysterectomy in 04 and had pre-cancerous cells on the cervix and intra-unterine.
Most of the time, passing small amounts of bright red blood from the rectum at the end of bowel movements is due to benign rectal disorders, including hemorrhoids and anal fissures (both of these conditions are much more common in people who are chronically constipated). Occasionally, an abnormality known as diverticulosis can also cause rectal bleeding. However, polyps or cancers of the rectum and colon can also cause rectal bleeding.
I would recommend that you see an experienced gastroenterologist for further evaluation, including anoscopy and, if warranted, colonoscopy.
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