You have painless bleeding during bowel movements and notice small amounts of bright red blood on your toilet tissue. These symptoms sound like those of a hemorrhoid (swollen and inflamed veins in your anal canal) or an anal fissure (a tear in the lining of the lower rectum). However, you should consult a primary care physician
for a thorough evaluation and diagnosis. These hemorrhoids or anal fissures happen when you strain to move your bowel movement because of constipation or diarrhea. This causes the veins in tissue inside the anus to swell and tear and you bleed. Hemorrhoids are internal (inside the rectum) or external (under the skin around the anus). Aside from bleeding, internal hemorrhoids usually don't cause discomfort. Anal fissure can cause pain during or after bowel movements. It is possible to develop both hemorrhoid and anal fissure at the same time. You should discuss with your doctor
about your symptoms. Although bleeding during bowel movements is the most common sign of hemorrhoids, rectal bleeding can come from other diseases. It's important that your doctor rules out anal cancer, colon cancer, and inherent bowel diseases (i.e., irritable bowel syndrome, Crohn's disease, and ulcerative colitis
), etc. even though you are a low risk. Once your doctor rules out other serious conditions and if the diagnosis is hemorrhoids, treatment is straightforward. Your doctor may want to look into another condition that might cause your frequent constipation if it is not due to poor diet. If your colon's muscle contractions are slow, the stool hardens, dries and passes through your colon slowly which may cause you frequent constipation. There are a number of medical conditions that can cause resistant constipation such as intestinal obstruction or diverticulitis, to name a few. Again, please speak with your doctor.