The bleeding stool with pain can be caused by the following conditions: 1, hemorrhoid bleeding, usually blood in the stool or blood dripping after the stool, accompanied by perianal pain and itching. 2, anal fissure, anal fissure is also blood in the stool, there will also be tear-like pain. 3, ulcerative colitis, mainly pus and blood in the stool with abdominal pain, the course of the disease repeatedly, heavy patients also have wasting symptoms. 4, malignant tumors, the intestinal tract. Malignant tumors can also cause intestinal bleeding, accompanied by changes in bowel habits or changes in the thickness of the stool. The above outlines several cases of bleeding stool with pain, to confirm the diagnosis, further clinical examination is needed.