Since its fresh blood with history of constipation ,pain .
You do certain things
If no history of black coloured stools
You start treatment, as
Syp Cremaffin plus 15 ml bed time
Tab zerodol sp bd for 3 days
Sith bath with povidone iodine 8 hourly
Apply cremagel ano ointment locally
Next Steps
Consultant locally ,so that Doctor will examine u for piles hemorrhoids fissure ..
and other colorectal causes
that's mandatory