41 year old male, 3 day history of red blood streaks on stool and one month history of upper left quadrant pain intermittent. my stool is normal size and shape, not loose -- blood is bright red in color and streaky. fatigue. hgb 16.6, hct 49%?

Your description of fresh red blood streaking on but not mixed with normal stools is.more characteristic of anorectal causes like fissure or hemorrhoids. Inflammatory bowel disease is unlikely. We can't exclude a rectal growth as yet. I recommend consulting a proctologist or colorectal surgeon who can perform a simple proctoscopic examination in their office which should give you the diagnosis.