Bleeding in the stool with anal pain is often seen in anal fissure, there are two kinds of anal fissure, the first is old anal fissure, the second is fresh anal fissure. Fresh fissures heal on their own, while old fissures require surgery to heal. Anal fissures are caused by spasm of the anal sphincter muscle, which breaks the mucous membrane of the anus during defecation, leading to bleeding and pain. You can try using Ma Yinglong Hemorrhoidal Cream as a topical coating, taking a sitz bath with lukewarm water, and plugging the anus with a tylenol suppository. If the fissure is recurring and painful for a long period of time, consider an old fissure, but surgery is required. Surgery involves removing the fissure tissue and allowing it to regrow, as well as interrupting the internal anal sphincter to relax the anus to a certain degree to prevent it from recurring the next time.