Conversation: The conversation between human and AI assistant.
[|Human|] After two days of pain from my anus, I found blood on my toilet paper after a movement this morning. None seemed in the stool or bowl. The blood wasnt fresh. The pain in noticable when I cough and occassionally when I move. Im 30 and in decent health. Went to the doctor last week for a check up. I was diagnosed with juvenil polyscythemia at 22 (extra red blood cells.) How alarmed should I be?
[|AI|]  Hello. Blood after deposition and anal pain, first diagnostics to rule are the most common anal pathologies(hemorrhoids or anal fissure). Both are not important pathologies. Your doctor must examine you to rule out that pathologies. If there is no pathology in anal area, blooding can be caused to lower digestive tract pathologies(internal hemorrhoids for example). In that case your doctor can request a colonoscopy. Polycythemia, initially,is not related to actual disease. I wish you good health, (In case the answer would have been useful please indicate this)