Blood on paper during bowel movements could be: first, the diagnosis considered is internal hemorrhoids, which manifest as normal stools with blood on paper, bright red in color, not accompanied by pain in the anus. The first of these is the fact that the actual pills are not only a good idea, but also a good idea. The second, consider anal fissure, the first has dry stool or stool head dry and hard, when defecation appears anal tear-like pain, or after the stool appears anal tear-like pain. This is a case of anal fissure, and it is recommended to use nitroglycerin ointment with tylenol suppositories, squeezed into the anus twice a day. The third, may be proctitis, manifested as blood on paper or dripping blood or stool mucus blood color dark red, with mucus pus blood stool, sometimes accompanied by abdominal pain, it is recommended to do colonoscopy. Fourthly, rectal tumor is considered, with dark red color of blood in the stool and a feeling of incomplete defecation. It is recommended to do colonoscopy to clarify the diagnosis, and if the diagnosis is confirmed, surgery is recommended.