Conversation: The conversation between human and AI assistant.
[|Human|] For the past three weeks I have suffered terrible back pain, primarily when I rise from a sitting position. I am just now able to move pain free. In addition to this I have noticed bright red blood in my stool of and on. I have noticed that at times when I drink alcohol in excess, this bleeding occurs. I asked my Dr. about this years ago and he thinks that there are fissures in my anus that are causing the bleeding. Should I be concerned?
[|AI|]  Hi welcome to Chat Doctor , bleeding in stool you should differentiate first that it's a fresh blood or dark clotted blood, if it is a fresh blood mostly it's because of the hemorrhoids or fissures in perianal region, if it is dark clotted blood it's because of the upper part of food pipe cause, excessive alcohol, excessive consumption of the painkillers(3 weeks back pain, so you would have consumed a lot of painkillers) will end up in gastric bleed due to ulcers. Decrease the alcohol and painkillers consumption if not relieved then visit your doctor to confirm the diagnosis