For context, I’m an 18yr gay man, so I’ve dealt with a few anal tears here and there from sex. Usually I’ll see blood on the toilet paper when I wipe after a bowel movement when I have a tear. They can last a few days but usually heal up completely without any assistance. However, I just went to the bathroom and turned around to see blood in the toilet when I haven’t had sex or done anything anally in over a month. I’ve been constipated all day after eating a big amount of pretty heavy food, and my stomach has been a bit testy lately where I’ll eat and feel full and almost nauseous after one meal, so being constipated really wasn’t a shocker, and I took some pepto bismal earlier today around noon in hopes to ease my stomach cramping and speed things along. I then took some fiber vitamin gummies at around 9pm because I know they always make me have to go within a couple hours. I get the sudden urge to go, I go to the bathroom because I’ve been constipated all day and know it’s not gonna be light, I go now at 10/10:30pm, and there’s blood in the toilet. Some parts of my stool look red, there’s blood in the water, and there’s quite a lot when I wipe. I’m not talking like a little spotting from a cut, it looked like a nose bleed. It was all bright red, nothing dark, but it was more than spotting. After I wiped it away it seemed to stop, but I can’t super tell if it’s coming from something surface level like an anal fissure or something deeper in my intestines. I will say (TMI) that initially it felt pretty ‘sharp’, but I just assumed that was due to it being a bigger bowel movement. It wasn’t a slow bowel movement either so I figured maybe my body just got stretched a little too fast, but I’ve never had this much blood when that’s happened in the past. I’m a very anxious person so I’m fighting back and forth between telling myself it’s nothing because I’d rather die than have a doctor look at my ass and telling myself I’m dying. Sorry in advance for the gross picture, I figured that would help. I can’t find anything online that shows an example of ‘heavy bleeding’ so I’d rather show a gross picture and have someone tell me I’m dying rather than vice versa. 

Bloody stool out of nowhere, is it just a anal tear or does it seem like something more serious? (18M)