Whether bleeding with forceful defecation can be cured by itself depends on the specific condition and cannot be generalized. If bleeding with forceful defecation is bright red, consider hemorrhoids or anal fissures. Anal fissures are small ulcers formed when the skin below the dentate line ruptures and bleeds due to intense friction with the anus when the stool is dry, usually with severe pain and burning. In the case of hemorrhoids, the symptoms can be gradually relieved or even self-healed by improving the diet and bowel habits, plus taking a sitz bath with warm water or warm salt water, or by using medications such as tylenol suppositories or Ma Yinglong hemorrhoid cream. In addition, if the bleeding color is dark red, consider that it may be due to gastrointestinal bleeding, such as colon polyps, rectal polyps, or even tumors. Regardless of the cause of bleeding after straining to defecate, you need to pay attention to your diet and do not eat spicy and stimulating foods that may irritate the intestines and aggravate the bleeding symptoms.