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Common causes of bleeding from the anus include constipation, anal fissures, and hemorrhoids. The amount of bleeding that occurs with an anal fissure is small and usually is noticed in the toilet bowl or on the toilet paper as bright red in color. The symptoms of an anal fissure are commonly mistaken for hemorrhoids, but hemorrhoids generally do not cause pain with bowel movements. bleeding from the bottom (rectal bleeding) is often seen as small amounts of bright-red blood on toilet paper or pink water in the toilet. Find out when to get medical help if you keep bleeding from your bottom. Rectal bleeding (hematochezia) may occur after a particularly large or hard bowel movement from an anal tear or anal fissure. Less commonly, stool that has an abrasive substance like nuts or undigested whole grains can tear the anal mucosa and cause bright red blood on the toilet paper or in the bowl. Rectal bleeding can refer to any blood that passes from your anus, although rectal bleeding is usually assumed to refer to bleeding from your lower colon or rectum. Your rectum makes up the lower portion of your large intestine. Anal fissure (a small tear in the lining of the anal canal) constipation. Hemorrhoids (swollen and inflamed veins in your anus or rectum) less common causes of rectal bleeding include anal cancer. Angiodysplasia (abnormalities in the blood vessels near the intestines) colon cancer. blood in the stool or rectal bleeding (hematochezia) refers to the passage of bright red blood from the anus. Common causes include anal fissures, hemorrhoids, diverticulitis, colitis, crohns disease, colon and rectum polyps, and cancer. Common causes include hemorrhoids, anal fissure, diverticulosis, infection, inflammation (ibd or irritable bowel disease, crohns disease, colitis), blood vessel problems (angiodysplasia). Other causes of rectal bleeding include polyps, tumors, trauma, an upper gastrointestinal source like stomach ulcers, and meckels diverticulum (rare). minor rectal bleeding will leave small drops or smears of blood on your toilet paper. If youre experiencing bleeding from the anus itself, the blood will be bright red in color. Anal bleeding while having a bowel movement may be caused by anal fissures or hemorrhoids.