Hi. Thanks for your query. Noted the history and understood the concerns. Rectal bleeding has many reason and one of them is bleeding hemorrhoids. Since you have not shown to any Surgeon or a Proctologist, it is mandatory to consult a General Surgeon for clinical evaluation, per-rectal digital examination and exact diagnosis by ano-proctoscopy. Colonoscopy is a must as you are 40 year old. If the Faktu suppository is causing you the irritation you should not use this one strictly. Till you see a Surgeon do the following: Sitz bath in a tub with warm water. Laxatives and stool softeners as needed to keep the stool soft and easily passable. Once a proper diagnosis is done the treatment will be as per the cause found and the degree of the problems and you should go ahead with surgery if there is an advise by your Surgeon. Change over to normal homemade diet that suits you, does not cause any constipation and so on.