Brief Answer:
You need proper clinical exam & investigations.
Detailed Answer:
Hello XXXX
Thanks for writing to HCM
You need proper clinical examination and investigations.
You can't ignore
rectal bleeding,this is important due to your age.You need to be examined by a surgeon.Rectal bleeding may be due to many reasons like piles,polyps,tumour etc.
Investigations include Routine hemogram,Stool (routine and microscopic examination)Random blood sugar(RBS),Liver function test(LFT),Renal function test(RFT),
Lipid profile,Urine RE/ME,Ultrasound of abdomen.Further investigations like
colonoscopy can be done if needed.
You also need proper treatment for depression.Depression may cause
constipation.
You should take plenty of fibres in your diet in the form of salad etc.
You should do regular exercise,walking and if there is any stress factor,try to reduce it.
You should take anti-
hypertension drugs regularly.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
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