 Make sure there's not a mass. If you're having chronic constipation, get your butt into the doctor, the medical provider, to let them take a look at you and evaluate you. Some of them might do a colonoscopy to make sure there's not something impeding you from trying to push things out. At the first sign of blood, if you have blood in your stool, get yourself checked out. Don't be calling telemedicine companies saying I'm bleeding. Get seen. We're going to always tell you to get seen. We're not going to diagnose a hemorrhoid over the phone. And even if it is a hemorrhoid, why are you having hemorrhoids?