I hope you did not have to have any episiotomy
during your latest
childbirth. Your description of very hard stool and straining at stool
followed by passage of blood , really limits the site of bleeding to
the lower ano-rectal area. You mention about a tear or a fissure.
Usually with this there is a lot of burning pain and the tear is
located at th end of the anal canal. In your case, most likely
you have internal hemorrhoids
, that is not visible or felt by touch
unless they are prolapsed or protruding. This can happen if a
person continues to strain and is severly constipated. Make sure
you start taking a stool sotener daily at bed time 1-2. You can
find them in any drug store. You can buy a hemorrhoid cream
containing 10% hydrocortisone
and a local anesthetic. Using
a finger cot apply a small amount after a bowel movement.
You can use this three or four times a day. If the bleeding does
not stop, then you may need to see a proctologist
do a sigmoidoscopy
to check the rectosigmoid area and treat
appropriately. It is possible that one could have a polyp low
enough that could bleed. This is doubtful.
I wish you well.