Conversation: The conversation between human and AI assistant.
[|Human|] For the past few months, I have had a burning sensation in my lower abdomen/intestines that often wakes me up at around 4 am. It feels sort of like fermenting waste but I dont feel like I need to have a bowel movement. During the last week or so, I have noticed bright red blood with clots in my stool. It doesnt happen every time, usually when I have a softer bowel movement. I have been constipated on and off but thats pretty normal for me so I didnt think much of it. Ive experienced some cramping when constipated but havent been straining a lot to have a movement. Any thoughts on what this might be?
[|AI|]  Hello. Passing blood in stools is always an alarm for anyone, as you mentioned in your history that you have a longstanding history of constipation, it could be the cause for the bleed, generally it is fresh blood. This happens because the hard stools will rupture/damage the wall of the anal canal and cause bleed. In this case I would suggest you to not take it as normal and take immediate action on your food habits by taking more of salads, less of spicy food and stool softeners when ever needed. Hope it helps you.