Wiping the paper after the stool with fresh blood is not necessarily hemorrhoids, in addition to hemorrhoids, there may be anal fissure, rectal polyps and other causes. 1. hemorrhoids: hemorrhoid patients in the process of defecation, due to fecal friction, may lead to hemorrhoid surface localized breakage and trigger bleeding, which leads to the stool after wiping the paper with fresh blood. 2. Anal fissure: it can also lead to bleeding during defecation, but the amount of bleeding is very small, usually is the paper stained with blood, but in defecation will be with needle-like or tear-like pain. 3. Rectal polyps: Rectal polyps are one of the common benign tumors of the rectum, which may be due to the surface erosion or ulceration of the polyp, resulting in blood on the wipes after bowel movement. The cause of the blood on the paper after wiping the stool, there may be rectal cancer, etc., the patient should go to the hospital in a timely manner for examination, to clarify the cause of the disease, and take targeted treatment as soon as possible.