There are many reasons why anal bleeding is a little painful: first, there is a possibility of mixed hemorrhoids, especially internal hemorrhoids. Internal hemorrhoids mainly manifest as bleeding in the form of jets or drops, and if they are combined with infection, they are usually painful locally. If the mixed hemorrhoids prolapse outside the anus and cannot be returned, it will lead to venous stasis and formation of thrombosis, which will lead to pain. Secondly, there may be anal fissures, such as dry stool leading to anal canal skin fissures, and under the stimulation of stool, the trauma of anal fissures will easily cause pain and blood on the surface of feces during stool. Therefore, anal bleeding with pain may be a fissure, or it may be a mixed hemorrhoid with thrombosis. In this case, conservative treatment and medication should be given in a timely manner, and if the symptoms are particularly severe, surgical removal should be performed.