Localized bleeding from the anus after a bowel movement, accompanied by pain, may be due to an anal fissure or internal hemorrhoids. The pain of anal fissure is usually tearing pain, accompanied by a history of excessive forceful defecation or dry stool, while the pain of hemorrhoids is generally milder than that of anal fissure, and there may be bright red blood in the stool. The main treatment is conservative topical medication and surgical treatment.1. Early on, you can opt for conservative medication, suggesting oral administration of Diyu Sophora Pills, as well as topical application of Ma Yinglong Musk Hemorrhoid Cream to the anus for symptomatic treatment. The actual fact is that you can find a lot of people who are not able to get a lot of money from the internet.