Difficult bowel movements accompanied by anal bleeding are most likely caused by dry, hard stool that cuts the mucous membrane of the lower rectum or the skin of the anal canal, resulting in bleeding. In this case, it is necessary to soften the stool, which can be treated by taking some oral laxative drugs, such as Maren Pills or Sophora Pills. If the anal bleeding is not serious, most of the bleeding symptoms can be relieved after the stool gets softened. If the bleeding is heavy and recurrent, you can incorporate hemorrhoid cream, or hemorrhoid suppositories, inside the anus to stop the bleeding. It is also important to eat a light diet, avoiding spicy and irritating foods and fried foods, avoiding alcohol, and eating more fruits and vegetables. If you have recurring symptoms of difficult bowel movements and blood in the stool, it is recommended that you go to the hospital for a comprehensive examination to clarify the diagnosis.