instruction: having pain in anus as well as difficulty while passing stools huge amount of blood loss
output: hello I welcome you to icliniq first of all try to reduce your weight at most times it is the obesity which has been causing problems the bleeding while passing stools can be secondary to anal fissure hemorrhoids rectal ulcer due to difficult defecation for better clarification and confirming the diagnosis I need to know more about your symptoms such as how exactly the amount of blood it is does blood form a streak over the sides of poop how painful it is while passing stools and does it causes pain or burning even after hour of opening your bowel and do you have constipation no of stools in a week if you could answer me for above question I would be in better position to tell you what it is exactly considering a possibility of anal fissure I recommend you to apply diltiazem gel over the bottom with a finger times daily and start taking ispagol husk table spoon full in glass of water daily irrespective of constipation or not take at least to liters of water fluid daily reduce weight by brisk walking 150 min week and reduce caloric intake as mentioned above mentioned above as mentioned above