Originally Posted by billyO13

Hello all. Looking for opinions/advice from those of you with more time on the bike than me.
Due to occasional seizures, a little over a month ago, I made the transition to being a full time bike commuter because driving a 1-ton diesel in now a bad idea and unsafe for the public. In the past couple of weeks, I've noticed some bloody stools and some irritation/inflammation around my perineal area, which I'm pretty sure is due to irritation from riding 10-20 miles a few days a week running errands.
I'm wondering what I need to change, (1) my saddle position; (2) the saddle itself; or (3) my attire?
(1) - In the past week, I've started playing around with my seat position, which I'm pretty sure this is the main culprit as the nose seemed too high once I started paying attention to it.
How long should I give each new seat setting before trying to adjust again?
(2) - My saddle is just the basic saddle that came with the used Giant Farrago I bought.
Am I wasting time playing around with positioning and should I go right to a better saddle designed to prevent this problem?
(3) - I also work as a metalworker/blacksmith and most of my commuting lately has been in Carhartts. I also (not to get too personal here, but it is relevant for the current discussion) do not like wearing underwear/long johns/tights/biking shorts etc.
Should I start by biting the bullet and getting some biking shorts with padding in that area?

Thanks

(PS-I've been a medical practitioner treating patients for the past 25 years, so I don't need any advice to go see a doctor to make sure it's nothing more serious)