The bleeding is likely from rectal irritation or internal hemorrhoids due to constipation. Because you already took an osmotic laxative (polyethylene glycol - miralax) so next step you should try a suppository laxative such as dulcolax suppository. If the combination of miralax & dulcolax doesn't succeed then fecal impaction needs to be ruled out by exam before a stronger laxative is attempted.
Answered 8/9/2023
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