Hello,

Thank you for the consult.

Having only 1 bowel movement per day is normal. But there could be something else possibly needing attention. The bleeding could be due to piles. But piles do not usually cause intra-abdominalsymptoms like constipation, bloating up, diarrhoea etc. Piles occur due to dilated blood vessels in the rectum and anal canal(terminal part of the intestine) – so it should not cause all the other symptoms other than pain and bleeding.

So there is a possible pathology in the intestines, probability in the lower intestine. IBS is a possibility. The symptoms do fit. But many other conditions like diverticulitis, inflammatory bowel diseases (ulcerative colitis and Crohn;s disease) should be ruled out.

A digital rectal examination followed a colonoscopy will be the way to go. I recommend you to consult  a Medical Gastroenterologist for this purpose. Meanwhile I would recommend you the following – Eat fibre rich food. Include vegetables and fruits in your diet. Do not strain unnecessarily in the toilet. Avoid milk and dairy products for a couple of weeks and see how the response is. As a matter of fact avoid foods that make you uncomfortable. You may also take a probiotic capsule for a week.

Hope this helps. If you have more queries, please let me know via this email itself. Thank you .