10 Best Vasectomy doctors in Pune

In this case you must consult your doctor.. a gastroenterologist can help to get an accurate diagnosis and appropriate treatment. Bleeding mostly happens because of anal fissure (a small tear in the lining of the anus), hemorrhoids, or infections. 

Your urinary difficulties se­em troubling. Tests reve­al no infection or sugar problems, which is positive. Slightly e­levated hemoglobin sugge­sts minor bleeding, but the lack of visible­ blood in urine is reassuring. Retaining 20ml urine­ after urinating can cause freque­nt urination and incomplete emptying se­nsations. Since medications like mirabe­gron and tamsulosin didn't help, consulting a urologist for further assessme­nt and treatment options would be wise­.

It looks like you may have a urinary tract infection (UTI). This is a very frequent side effect and it can lead to painful urination, increased urge to urinate, and a sensation of incomplete bladder emptying. I advise you to see a urologist or a gynecologist quickly for diagnosis and proper treatment. 

You might be dealing with grade 1 prostatomegaly, which indicates that your prostate is a bit bigger than it should be. Symptoms like the ones preventing you from your normal life like lower abdominal pain, lower back pain, and the like could be associated with this. Warm baths, regular exercise, and drinking a significant amount of water can be a great way to cope with distress. Do not forget to communicate with your urologist for specific advice.