Dear customer, it is a pleasure to assist you at this time, I want to tell you that this type of situation should be assessed in person to perform a thorough physical examination and a complete medical history to help us elucidate an accurate diagnosis, it is important to perform tests and studies also as the measurement of blood sugar levels and measurement of hemoglobin levels and hematocrit to help us rule out metabolic conditions and hemodynamic disorders such as anemia for example, It may also be necessary to perform stool analysis to rule out the presence of alterations that may be triggering this type of gastrointestinal situations, in fact, in the worst case there are more invasive tests and studies such as a high video endoscopy and a video colonoscopy, which is a study through which the patient is examined after the insertion of a hose and the introduction of a tube, after the introduction of a hose with a flashlight and a camera through the oral cavity and the anorectal region, after sedation of the patient, will help us to determine if there are inflammatory processes at the level of the gastrointestinal tract that may be triggering such situations, obviously omeprazole as a gastric protector is a very good option, but sometimes it requires other medications such as sucralfate suspension, taking 10 cc every 8 hours for three to five days, this medicine will help forming a protective film around the walls of the stomach and digestive tract to avoid gastrolesivity and irritation that can generate the acids of the gastric juice, it may also be necessary, an improvement in eating habits so the reduction of flour, fried foods, carbohydrates, bread, processed foods, sauces, ketchup, mayonnaise, mustard, spicy, coffee and alcoholic beverages. It can be very useful to increase fruits, vegetables, vegetables, vegetables and fiber such as nuts, oats, peanuts and almonds, added of course to an abundant hydration of at least 3 to 4 liters of water per day, which will help clean the digestive tract properly and hydrate the fecal bolus, which often, being dehydrated, is often expelled with hard consistency after much effort and even pain or injury to the anorectal mucosa, as you will see the situation you have is really complex and requires a multidisciplinary management, which means that you need to be evaluated, not only by your primary health care physician, but also by a gastroenterologist and a specialist in nutrition and dietetics, I hope this information has broadened a little the picture about your health situation, I would like you to keep me updated about your health situation, I will be happy to assist you and guide you in everything I can.