Please dont judge me (i have multiple mental illnesses hard for me to cope with). i have a poorly cleaned anal area - now i have a rash thats getting worse. when wiping my anus, see fresh blood on toilet paper. itchy rough skin patch by butt crack.

Anal bleeding: Thanks for being frank about your mental health. But despite that, you need to pay attention to anal/genital hygiene. Start with soap and water washing a couple times a day. If the problem persists, you'll need to be professionally examined. Slight bleeding might just be irritation from hygiene or a minor problem like yeast infection. But don't take the chance of missing something important.