<human>: I have internal and external hemorroids.  I have recently noticed blood on tissue after b. Movement.  Today the commode was red!  I usually have to push, some times very hard, today it did not seem as though I was straining.  I had a colonoscopy two months ago, nothing found other than hemorroids.
<bot>: HI, thanks for using Chat Doctor Hemorrhoids can be associated with per rectal bleeding. This is normally bright red blood that is visible on wiping. The normal colonoscopy is reassuring because this would have been able to identify any significant abnormalities. You need to consider the following:(1) increased fiber intake to reduce the need to strain-vegetables, fruits, whole grain foods(2) the temporary use of stool softeners would also be appropriate(3)site baths would help this acute flare up to resolve-this can be done in warm water for 10 to 15 minutes, 2 to 3 times a day. There are different additives that can be used in the water such as salt, Epsom salt, witch Hazel hope this helps