Hello I really appreciate your concern Thanks for consulting at health care magic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. from your above details he could possibly having habitual constipation or might be caused prolong use of hydrocodone, the complain will increase when he passes hard stool. to reduce hared stool drink plenty of water, have food rich in fibers like green leafy vegetables, fruits, brown breads. Laxatives can help soften the stool. He should avoid constipation by taking laxatives or stool softening agents like lactulose or liquid paraffin Avoid prolonged sitting in one posture Say no to smoking and alcohol kindly consult a surgeon near you for the treatment of the condition. Hope it helps. If you need further, detailed and quick assistance related to any health issues in future, feel free to ask me a question directly from my profile. Have a wonderful time ahead. Regards!