Mucus you experienced in stool are due to constipation
. When you strain, the mucosa of the rectum
is lacerated from the solid feces, that's why you have mucus.
In addition, it might indicate infection of bowel, so I suggest to examine the stool for ova/parasites and culture for candida infection.
Spotting is also related to constipation, most probably due to hemorrhoids. You can do fecal blood occult to rule out other GI bleeding.
Another cause of constipation could be the drugs you might be using for GERD
So, to prevent constipation, I suggest to:
- drink more water
- take sena supplements
to soften the stool
- more physical activity
- consult GI specialist/proctologist
All the best!