You given limited information
Asper info blood per rectum or in stools
It can be due to many causes
Like fissure or fistula that area
Like ulcer or IBD or mass
Parasite infection of intestinal mucosa
Since long history kindly consult a general surgery doctor for detailed examination
May required colonoscopy
Next Steps
stool examination to rule out blood in stool ,parasite ova and cyst
colonoscopy
gastroenterologist consultation
Health Tips
sitz bath at least 20minutes a day
avoid constipation use laxative and more fiber containing food in diet