Anal tearing pain and blood in the stool is anal bleeding, and common diseases of anal bleeding include anal fissure and hemorrhoids. Hemorrhoids are bleeding from ruptured varicose veins in the hemorrhoids around the anus, a vascular lesion that is not accompanied by significant pain, let alone tearing-like pain. Hemorrhoids are mostly treated with topical medication and, if necessary, surgery. Anal fissure is a tearing of the mucous membrane and skin at the anal opening during defecation, accompanied by bleeding, with severe pain as well as fresh blood in the stool, most of which is covered with blood on the surface of the stool or dripping after the stool. The presence of anal tearing sensation with bleeding should be examined at a hospital, where a surgeon will perform an anal fingering, proctoscopy, and, if necessary, complete colonoscopy. So anal tearing-like pain with blood during stool is not hemorrhoids, but a typical sign of anal fissure.