Pain and pressure in anal area

Since mid December I have been feeling a pressure like feeling in back passage area along with straining when I pass stools. There is intermittent mild pain almost like a pulsating pain. I have had streaks of bright red blood on toilet paper a couple of times but no bleeding from rectum or mixed in with poo. I have had bouts of diarrhoea in between but they usually only last for a few hours or at most a day. What is concerning me is that my stools are thinner not pencil thin or ribbon like but definitely narrower. I have suffered from bowel issues for Years especially constipation but GP always put it down to IBS and advised to drink more water and increase fiber intake.
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Rectal pain pressure

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Rectal Problems in Women - American College of Gastroenterology

Your rectum is the last few inches of large intestine where the intestine straightens vertically and flows into the anus. Pressure within your rectum is uncomfortable and it could be a sign of a more serious issue. It may be embarrassing to talk to a doctor about pressure in your rectum, but you need a proper diagnosis to find the right treatment. Learn about some common causes of rectal pressure so you can be prepared to talk with your doctor. Pressure in your rectum may be caused by any number of conditions. There are a few common causes that are treatable by medical attention.
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Pressure in Rectum

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Find an ACG member gastroenterologist with a specialized interest in liver disease. The rectum refers to the last four or five inches of the digestive tract. The rectal outlet or opening is called the anal canal or anus. Problems in this area are common, but many adults are too shy or embarrassed to ask their doctor about them. Fortunately, most of these problems are treatable when recognized early and properly diagnosed.
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