Hi thanks for contacting health care magic. As blood is red coloured and comes when wipe out with tissue roll , rule out piles .... Proctoscopy examination done. It will also help in rule out proctitis like inflammation condition and rectal ulcer if present.... Avoid straining at stool. Stool softener can be taken. Anal area warm water sitz bath also useful More water taken. Excess spicy foods avoided.... If piles not there stool examined for pus cells and eggs or trophozoites of parasites. Accordingly treated with metronidazole or albendazole. With keeping this in mind consult surgeon. Take care.