Conversation: The conversation between human and AI assistant.
[|Human|] hi im 24 weeks pregnat and over the past month or so i started having anal bleeding when passing stools,over the weeks it has got worse to where i bleed heavily without passing stools and also have pain in my lower belly and if i bend forward or back even slightly. it definatly feels more then just piles. i have also got a red sore itchy patch on the folds of my arms,it started on just one arm and would come and go but now its worse ans spreed to the other.it seems to of got worse as the bleeding has. i put e45 cream on my arm and it burned badly and inflamed, please send me any help you can thanks
[|AI|]  Hello, I have gone through your query and understood your concern. The patches on your arms may or may not be related to the cause of the anal bleeding. The rise in pelvic pressure during pregnancy and the associated improved vascular supply can increase the tendency to formation of hemorrhoids, especially if one has to strain while passing a stool. Since you are bleeding even when not passing stool, a fissure or other local lesion has to be excluded also. Please see your health care provider to identify the cause/causes and get further management. A sigmoidoscopy may be needed. Avoid hard stool formation by increasing fiber diet, liquids and stool softeners as needed. Take care.