Hi. Thanks for your query. Noted your history of constipation as you have missed on Lactulose and took only rice followed by bits of stool and blood in in . You have not mentioned about pain hence the probable diagnosis is: Hard fecoliths causing the bleeding from the rectal mucosa. Rupture of the pile or if the pain is also present then fissure in ano. I would advise you the following: Sitz bath. Take enema as there may be more fecoliths impacted and go for X-ray of the abdomen to watch for fecoliths, if too many, go for saline and soap enema to facilitate the passage of stool without further problems. Continue on Laxative properly. Go for full diet as good stool has to be formed and add some vegetables with high fiber contents like Ladies fingers and so on. Entamizole and Levosulpride can be taken only after consultation of your Doctor as these are prescription medicines.