Hi, I had terrible piles post pregnancy and birth and the toileting afterwards was terrifying, equally constipation will be terrible on the piles, and you will excrete rabbit poo sized pellets much like what you are saying. I suggest you go and buy some prunes, eat lots of fruit and if you still are struggling then go get some fibogel which is a fibre drink. Until you loosen your stools and help the stress on your piles you will not know if the bloody is them or not. Honestly the blood was so bad sometimes it's horrific so try all of that first. Hope this helps and best of luck.x

Hello and thank you for posting.

I’m afraid I do not know why you’re still noticing this blood in your stools. It sounds like everything was clear a few months ago, when you had the sigmoidoscopy so best to talk things through again with your GP.

I am not sure if constipation could be a factor in your symptoms, if so,  it may help to look into ways of sorting this out to see if it helps. Here is the NHS link about constipation if useful.

Take care, and I hope you know more about how you are feeling soon.

Sarah.