hi. thank for posting at HCM. Repeated rectal bleeding should be promptly and properly investigated. its difficult to figure out the cause of constipation. Constipation definition varies from person-to-person. Stools may be too hard or too small, difficult to pass, or infrequent (less than three times per week). Some people with constipation may feel a sense that the bowels are not empty advice: - stop any medication being used for constipation for a week - thrice daily , take two tea spoon (or one big spoon) isphagula husk with 200 to 300 mL water - increase warm water( atleast 8 glass/day) intake - do not drink water during and after meals - eat small meals (rich in fiber) - eat plentiful fresh oranges and pear - avoid COLD milk and and AVOID junk food(NO burger , pizza-even if its veg.) altogether - mix few drops of lemon juice in warm water. Drink on empty stomach, early in the morning, to aid in bowel movement - avoid beverages / alcohol/ soft drinks - do some exercise (push-ups / squats etc) early in the morning - avoid carbonated drinks - take 2-3 spoon edible virgin olive oil in the morning if no resolution after 10 days, then better to visit treating physician. besides constipation, if your weight is increasing and/or you feel fatigue, then have a thyroid profile test. Hope to answer your concern. Wish you good and sound health. Regards, Dr Tayyab Malik