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For example, pain and irritation can result from excessive diarrhoea or constipation , causing trauma to the skin of the anal region from overexposure to digestive juices, excessive toilet paper use or passing of hardened stool poo. These injuries may lead to pain and tenderness, and sometimes bright red blood spotting on toilet paper or in the toilet bowl. Sometimes the muscles in and around the anal region go into spasm, and this can lead to a tightening of the sphincter that makes passing stool painful. It can also cause a tear, which can bleed. Anal injuries can also be caused by sexual activity involving insertion of objects, fingers or a penis through the anus and into the rectum. Friction, sharp edges, or rough behaviour can tear the sensitive skin and lining of the rectum, causing pain, inflammation and bleeding.
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Urination shyness Anal rectal bleeding Bleeding from the back passage anal or rectal bleeding is something that you should always see a doctor about, even if you are convinced it is piles or an anal fissure , as the blood can come from anywhere in your gut. The reason you need to be checked is that rectal bleeding or blood in poo can be a symptom of bowel colon or rectum cancer. If you are worried about being examined in that area, look at the section on seeing your doctor about an anal problem. In general, if the bleeding is bright red and you have anal pain , especially when you pass a stool, it is probably a non-serious condition such as an anal fissure or piles — but your doctor needs to make sure. If the bleeding is dark red, or in clots, or mixed with a lot of slime, or mixed in with the faeces, it could be a more serious condition such as colitis, diverticular disease or cancer of the rectum or colon that needs prompt treatment.
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