Hi.
Thanks for your query.
Noted the history and understood the concerns.
Blood on tissue paper without any pain or blood in toilet water.
The slight itching and varied consistency indicated mild intestinal infection that can cause peri- anal excoriation and thus blood only on tissue paper.
I would advise you the following in such a situation.
Consult your Doctor, preferably a
General Surgeon for clinical evaluation, examination and proctoscopy to see for any piles, fissures.
Get a course of an antibiotic.
Take probiotics, yoghurt, banana, activated
charcoal, soft and bland diet.
Clean the anal area with plain water 3-4 times a day and keep dry.
Diabetes needs to be well controlled for successful management.
Colonoscopy and
CT scan I'd there is no complete relief with the above measures.