thank your for posting query@HCM. constipation presentation alongwith blood in stool . differential: infection, inflammatory bowel disease, hemorrhoids, adenoma. age, weight, height, any other disease should have been mentioned. fix an appointment with a gastroenterologist or general surgeon asap. you maybe needing a stool test and/or flexible sigmoidoscopy at earliest. meanwhile, advice: - thrice daily , take two tea spoon (or one big spoon) ispagula with 200 to 300 mL water -warm water intake as much as possible - eat small meals (rich in fiber) -eat plentiful fresh oranges and pear - avoid COLD milk and AVOID junk food(NO burger , pizza) altogether - drink hot (warm) water on empty stomach to aid in bowel movement - avoid beverages / alcohol/ soft drinks - avoid spicy food - use of olive edible oil (raw) 2 teaspoon daily ingestion is encouraged any further questions are welcomed. hope to answer your concern. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited . wish you good health. regards, Dr Tayyab Malik