Constipation would be causing your bleeding and not the Accutane. You should see a gastro physician about the constipation. Many times OTC things like fiber pills and Metamucil can help alleviate this, but it is always best to see a physician to discuss it. The bleeding is not from anus dryness...
I usually informed my patients that usually the first couple of months on Accutane is the worse and then the patient gradually improves but that they could also break out with acne during the entire course. Patients on Accutane may continue to get acne break outs but the break outs tend to be...
Do not despair. I have two comments about this:1) It is not uncommon to need more than 1 course of Accutane. A number of factors contribute to the daily dosage, duration of treatment, and decision when to end the course. Your weight is one of those factors, but not the only one...