instruction: hello doctor bright red blood is coming from the rectum after using the bathroom the rectum is also very itchy and no signs of external hemorrhoids rectum has been itchy for a while especially when wiping every now and again there is a light and spotty bright red blood there was a little more during my last be which caused me to be concerned it may be an anal fissure I am currently taking cortisone 10
output: hi it could be a fissure or internal hemorrhoids or i'd inflammatory bowel disease just to differentiate one from the other if you could help us out by answering these questions does it hurt when you pass stools bm do you have constipation how much was the blood did you felt dizzy do anyone have colon cancer in the family do you have any weight loss