According to the data you provided (trouble passing stools for over a year, which are hard and bloody, itching in the anal area, small cramps in lower stomach), you might be experiencing hemorrhoids. Hemorrhoids or piles are swelling and inflammation of veins in the rectum and anus. The causes for hemorhhoids might differ, but increased straining during constipation or diarrhea are one of the most common causes. The pain when defecating might make the person want to delay defecation which would further aggravate the constipation.


You might want to visit a proctologist for a physical examination. Digital examination, as well as anoscopy and/or sigmoidoscopy might be needed to detect the extent of the hemorrhoids.


Taking local analgesics might reduce the pain. Hydrotherapy might also be useful. Taking food rich in dietary fibers might increase the volume of the feces thus urging more frequently to defecate and solving the constipation.


In the end, there are surgical procedures for complicated hemorhhoids that can not heal despite the therapy and the treatment.


Please visit the proctologist and do not feel bad about this at all. You would have been surprised how many people suffer from hemorrhoids, but learn to treat them and to live with them.