Pain with bleeding during stool indicates the occurrence of anal fissures in combination with hemorrhoids, which are more common. First of all, the patient may have poor dietary habits, such as long-term constipation, long-term heavy drinking, spicy, stimulating diet, etc., which cause anal fissures, as well as the combination of hemorrhoids. Most of the pain during stool is caused by anal fissure, so you should improve your diet, eat more fresh vegetables and fruits, and keep your stool open. At the same time, you can use a potassium permanganate bath, and if necessary, you can use hemorrhoid suppositories to reduce local inflammation, which can play a good role in relieving pain. The results of further examinations will be used for further treatment.