Bleeding spots around the anus may be anal fistula, but they may also be caused by other diseases, such as anal fissure and perianal abscess. 1. Anal fistula: in most cases, it is due to granulomatous lesions caused by abscesses around the anal canal or rectum, which tend to recur with spontaneous perianal localized pus and swelling and pain, and may lead to localized bleeding spots accompanied by painful symptoms. 2. anal fissure: longitudinal fissure of the entire skin of the anal canal, resulting in the formation of small ulcers may be related to defecation, for example, when the stool is too hard will lead to anal fissure, and sometimes there will be bleeding spots around the anus, accompanied by pain in defecation. 3. Perianal abscess: a kind of abscess caused by the infection of anal gland obstruction, there may be bleeding spots in the early stage, and with the aggravation of the condition, an abscess will be formed. Bleeding spots around the anus, accompanied by obvious pain, should be timely to the hospital, after a clear diagnosis to give targeted treatment to avoid delaying the condition.