The symptoms you described — hard stool at the beginning, followed by fresh blood on the stool, especially after childbirth — are most commonly due to a small anal fissure. This is a tiny tear in the anal lining caused by constipation and straining. It is very common and not dangerous, but it tends to come back if the stool remains hard.
Tea (especially multiple cups) and a non-vegetarian, low-fiber diet can make the stool dry and hard, which increases the chance of bleeding again.
The stomach discomfort is usually from straining and irregular bowel movement. All of this can be treated safely.
Treatment Plan
1. Stool Softener (very important)
Use one of the following at night for 5–7 days:
Lactulose 15–20 ml
or
Cremaffin Plus 1–2 teaspoons
or
Isabgol (psyllium husk) 2 teaspoons in warm water
This prevents hard stool and allows the tear to heal.
2. Ointment for healing
Apply Anovate / Smuth / Diltigesic / Lidocaine gel:
Twice daily, and
Once before passing stool
This reduces pain, burning, and helps healing.
3. Warm Sitz Bath
Sit in warm water with a pinch of salt for 10 minutes:
Once or twice a day
Especially after passing stool
This gives excellent relief and speeds up healing.
4. Diet & Lifestyle
For the next 10–14 days:
Drink 2.5–3 liters water daily
Eat more fruits (papaya, banana, apple, pears)
Add vegetables, dal, soups, curd/buttermilk
Reduce tea to 1 cup/day
Avoid spicy/oily food, red meat frequently, and maida
Avoid straining or sitting too long on the toilet
Next Steps
Expected Improvement
• Bleeding usually stops in 1–3 days
• Pain improves in 3–5 days
• The fissure heals in 7–14 days
Health Tips
When to Seek a Doctor
• If bleeding continues beyond 1 week
• If the pain becomes severe
• If swelling or a lump develops
• If constipation continues despite treatment
But in most cases, this settles completely with the steps above.