You should make an appointment with your primary care doctor
to be evaluated. Xeralto is a blood thinning medication used to prevent future emboli from forming. If you have any bleeding
, even a cut from a finger, you will bleed for a longer time. You have blood in the toilet which is concerning. It is not normal to have blood in the stool. From your description, it sounds like you may have a component of constipation that is contributing your presentation. Constipation makes it different for you to pass stool; thus, you push a little harder which causes an increased intra-abdominal pressures. This can lead to hemorrhoids
which can cause bleeding. Hemorrhoids can be external or internal. External hemorrhoids are painful and internal hemorrhoids are painless. Both can cause bleeding. You could also have a condition of diverticulosis from constipation which can lead to painless bleeding. If you are over the age of 50, you should get a colonoscopy. At this point, it is unclear what is causing your bleeding but it is concerning. Again, you should make an appointment with your primary care doctor to be evaluated. Your doctor can check simple lab tests to ensure that you aren't losing too much blood. If you suddenly develop profuse bleeding, you should go to the emergency room.