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While bleeding from the rectum or anus can be surprising and uncomfortable, it usually indicates a minor issue, like an anal fissure (tear) or hemorrhoids. The bleeding may result in bright red blood in the stool as well as maroon colored or black stool. The bleeding also may be occult (not visible with the human eye). An anal fissure is a small tear or crack in the lining of the anus. If you experience severe pain or bright red bleeding during or after bowel movements, you may have an anal fissure. Though it may be alarming, light spotting immediately after is possible. But if youre experiencing heavier bleeding, it could be a sign. Anal fissure (fissures) is a very painful condition caused by trauma to the anus and anal canal, which then cuts or tears the anus and anal canal tissue. These tears can be caused by straining to have a bowel movement, hard stools, and chronic episodes of diarrhea. Symptoms include rectal bleeding, anal itching, and painful bowel movements. Most people report that hemorrhoids make anal sex uncomfortable or painful, and because a hemorrhoid is literally an enlarged, swollen blood vessel, they can certainly cause anal bleeding.

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