Rest your hands on your thighs and lean forward while sitting on the toilet.
Ensure your knees are bent and higher than your hips.
Ensure your feet are on the ground or on a footstool.
Bulge your abdominal muscles forward as you take a deep breath, then brace your tummy to prevent further bulging. Do not tighten your tummy.
Breathe in through your nose and out through your mouth to prevent straining and contracting your pelvic floor (diaphragmatic breathing).
Relax your anal sphincter so your bottom opens.
Use a deep breath to increase pressure in your abdomen and push down towards your anus.
Rectal bleeding is concerning, but there's no need to panic.