When the patient has pain in the buttocks and there is fresh blood in the stool, it may be caused by the following reasons: 1, hemorrhoids: the general symptom of hemorrhoids is bleeding after defecation, and fresh blood, if there is pain, it may be external hemorrhoids, because hemorrhoids are generally divided into internal hemorrhoids, external hemorrhoids, mixed hemorrhoids, internal hemorrhoids usually have no obvious pain, just simple bleeding after defecation, if it is external hemorrhoids will have obvious bleeding and pain after defecation, if The actual hemorrhoid is a mixture of internal and external hemorrhoids, and the symptoms will both appear. 2. Malignant tumor: Patients who find that their buttocks hurt and have fresh blood in their stool must go to a regular specialist hospital and do a rectal finger diagnosis, anoscopy, and of course must rule out that the buttocks hurt and have fresh blood due to a malignant tumor, so as not to delay the treatment of the disease.