Results
Cause of your symptoms
Your rectal bleeding is probably from piles and your change in bowel habit and abdominal pain may have been caused by something you have eaten.
Advice
Try the treatments outlined below for four weeks.
Treatments
Eat more roughage to make your stools softer and easier to pass and if necessary take antispasmodic tablets for your abdominal pain. It is normal to strain a little when passing a motion but too much can cause bleeding. Try careful cleaning around your bottom for your pile symptoms and if necessary use creams and suppositories. A pharmacist could advise on suitable treatments.
What now?
If you get better nothing further needs to be done. However, if your symptoms persist for four more weeks or recur after stopping treatment see your GP.
Summary of your symptoms
You are below 50 years old and have rectal bleeding with pile symptoms, a non-specific change in bowel habit and abdominal pain with a normal appetite and no weight loss
Additional information if you see your GP
Your GP will probably examine your tummy and back passage and do a blood test and if these are normal you are at low risk of having a serious bowel disease and it would be reasonable to advise a further period of treat, watch and wait.
However, if your symptoms do not settle completely or recur after stopping treatment you are likely to be referred to a routine hospital clinic for investigations and local treatments to stop the bleeding.