I am a 37yo male. I have been on anxiety medication for 3 years now, and have been experiencing occasional rectal bleeding. When I get constipated and strain, I'd occasionally notice blood streak on the paper and even maroon colored (reddish- brown)spots on my stool. Mu last colonoscopy was in 2018 and Negative, except for some internal hemorrhoids that were found. I read that constipation is a side effect of my anxiety medication. I have no other symptoms. Is this bleeding the result of internal hemorrhoids or should I push for a colonoscopy?
Thank you for your help,