If you see red when you strain your bowels in early pregnancy, the first thing to do is to clarify whether it is blood in the stool, blood in the urine, or vaginal bleeding. If the anal bleeding is caused by dry stools, this may be due to hemorrhoids, and usually tends to drip blood after stools, bright red in color. If the redness seen when straining in early pregnancy is found to be caused by vaginal bleeding, it is important to rule out the possibility of preeclampsia. If the early pregnancy stool to strain to see red is due to urinary tract infection caused by frequent urination, urinary urgency, urinary pain, as well as the symptoms of blood in the urine. If you find redness in early pregnancy when straining, it is recommended that you go to a regular specialized hospital for a systematic examination, a clear diagnosis, and then timely symptomatic treatment according to the different causes of the disease.