Hot pain in the buttocks with bleeding may be due to anal fissure, hemorrhoids, anal fistula, etc., need to consult a doctor for examination, further identification of the cause of the disease and symptomatic treatment. 1. anal fissure: is the dentate line below the anal canal skin rupture ulcer formation, the main symptom is perianal pain, constipation and bleeding. Treatment of external hemorrhoid cream, warm water sitz baths, etc., the pain is severe in the doctor’s guidance can be used externally pain medication, such as lidocaine gel, such as the old fissure anal fissure feasible fissure dilatation surgical treatment has a better prognosis. 2. hemorrhoids: is occurring in the dentate line around the end of the rectum mucosal veins varicose vein formation of venous masses, common symptoms are blood in the stool, pain, internal hemorrhoid prolapse, anal itching. Hemorrhoids cause pain when they prolapse outside the anus, and cause bleeding when blood vessels rupture. Hemorrhoids can be used externally under the guidance of a doctor, Ma Yinglong musk hemorrhoid cream, conservative treatment is worse when the need to carry out surgical treatment of external peeling and internal ligation. 3. anal fistula: perianal infection rupture repeated episodes can be formed anal fistula, anal pain can occur, anal fistula rupture can be pus and blood outflow. Generally need to carry out the fistula hanging line surgical treatment. When there is anal pain with blood in the stool, it is recommended that patients go to the anorectal department in a timely manner, in the doctor’s examination to further clarify the cause of the disease, targeted treatment to avoid delaying the condition.