I see small red specks on the toilet tissue after i wipe, is this a cause for concern? ive been struggling with on and off constipation for almost a year now, and ive had 5 instances of severe groin, lower abdomen, and (between) buttock pain?

Doctor can examine: Each person with constipation needs to be sure there is no other disease causing it. If constipation is just due to slow movement of the food and poop through the gut, then the things people try are vegetables, water, prune juice, prunes, fiber-with-water, polyethylene glycol, Senokot or other senna, milk of magnesia, other laxatives... A doctor can evaluate and prescribe helpful medicines too.