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bleeding after anal sex typically isnt cause for concern. Many people experience light spotting from time to time due to the delicate nature of the tissues involved. 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 after. if minimal rectal bleeding, such as blood-streaked toilet tissue, is the source of the problem, it may be due to hemorrhoids or a rectal fissure. A physician should promptly evaluate and treat all other causes of rectal bleeding. Self-care of rectal bleeding may include various rectal ointments and suppositories. Common causes of bleeding from the anus include constipation, anal fissures, and hemorrhoids. , a colorectal surgeon at cedars-sinai in los angeles, tells self. 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). The common causes of rectal bleeding from the colon include anal fissure, hemorrhoids, diverticulosis, colon cancer and polyps, colonic polyp removal, angiodysplasias. Anal sex can exacerbate hemorrhoids and therefore result in bleeding in other cases, the formation of a hemorrhoid is attributed to anal sex. If bleeding occurs as a result of anal sex, it may also be because of a tear in the anal or rectal tissues (an anal fissure) or perforation (a hole) in the colon, the latter of which being a serious. what are the risks of rectal bleeding? You may have abdominal pain or damage to nearby organs and blood vessels with surgery. Without treatment, you may continue to have pain and cramping.