I have not had any bleeding to date but still early in my treatment (18/40 sessions). I think the psyllium has really helped firm up my bowel movements and maybe the retinol is doing something as well. It probably helps too that IMRT is a lower dose therapy. Don't know if you are around a facility that offers it, but hyperbaric oxygen therapy is supposed to be helpful for bowel problems. Hopefully I won't need it as the nearest clinic is 4 1/2 hours away.
My urination is still not good but I just added another 5 mg Cialis to my daily routine, one in the morning and one in the evening so we'll see how that shakes out.