she tries to poop but only brown/red liquid comes out

My cat has been gone for 3 months, and she just got back 5 days ago. She is very thin and has not been eating. We try to make her eat, but its a small amount each time. She tries to poop, but when ever she does she can't, and it looks very challenging for her. Also this brown/red liquid is coming out and I can't figure out wether it's blood or diarrhea. Please help, I don't want her to suffer
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