Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain it seems that you are suffering from Hemorrhoids also known as Piles and the symptoms pain and blood while passing stools seems to be due to it.. Constipation is a common cause for occurrence of piles as very hard stools causes continuous irritation to the anal region leading to inflamed and swollen veins that are formed when there is continuous irritation of the veins present in the rectum area and inflammation can lead to pain and bleeding during bowel evacuation.. Consult a Proctologist and get evaluated and a clinical evaluation and anoscopy can be done for diagnosis.. In case if piles is confirmed then you can be advised: Treatment to reduce constipation and ease in loosening stools and easy evacuation +treatment to reduce inflammation and swelling of veins.. For constipation : -High fibre diet including more of green leafy vegetables, fruits and salads can help along with laxatives like Polyethylene glycol and stool softeners like Docusate to maintain proper bowels.. -Avoid spicy food and drink plenty of water.. -Do moderate workout daily.. -Take walk after meals.. -You can also be advised medicines like Linclotide and Lubiprostone.. For relieving piles: -Application of steroid and numbing ointment.. -Sitz bath that is sitting in warm water tub especially after bowels.... -In case of no improvement with medical treatment you can be advised surgical procedures like Rubber band ligation, sclerotherapy or Hemorrhoidectomy that is surgical removal of the hemorrhoids.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora.