Conversation: The conversation between human and AI assistant.
[|Human|] I have had rectal bleeding off and on since I was 15, and I m 50 now and have been bleeding almost everyday for a month now. Its bright red and my stools are very hard and constipated. I can feel 2 little grape like things on outside of anus .is this hemorrhoids or cancer polyps? You can see blood on toilet paper in the toilet and running down side of stool. I m on a lot of narcotics because of injuries from bull riding,so I know that s why I m constipated. I m afraid of cancer but can live with hemorrhoids.What do you think it is?
[|AI|]  Hi there, the description suggests that you are suffering from 3rd degree hemorrhoids and the bleeding in from that. The constipation is making matters worse, and you may also be having concurrent fissures. But it would still be wise to visit a surgeon and get a colonoscopy done to rule out anal polyp and cancer as you fear. You could take some stool softeners and laxatives to relieve you of the symptoms at present and include lots of fibrous food in your diet. Avoid refined and stored food products and take plenty of fluids. Discuss with your physician about the continued use of narcotics and if they can be avoided. Get your hemoglobin levels done and if you are anemic start on iron supplements, and you have to compensate for the loss of blood in stools. Take care.