Stool without blood hand paper with fresh blood may be associated with hemorrhoids, anal fissure, colorectal polyps and other reasons. 1. hemorrhoids: such as sedentary standing, defecation time is too long, constipation and other reasons, can make the end of the anorectal veins varicose situation, thus promoting the formation of one or more vein ball, resulting in the occurrence of hemorrhoids. Hemorrhoids in the early stages are mainly characterized by blood in the stool or on the handkerchief. As the condition develops, it can then evolve into dripping blood or even spurting bleeding. 2. Anal fissure: a common cause of blood on the handkerchief after wiping. Stool dryness, constipation and other reasons, can lead to the occurrence of anal fissure, fissure at the blood is bright red. At the same time, has a bowel movement when the anus severe pain, the pain after the stool a little relief, and again began to severe pain characteristics. 3. Colorectal polyps: When the location of colorectal polyps is low or the amount of bleeding is high, the blood in the stool can either be attached to the surface of the stool, or it can lead to the occurrence of blood in the stool without blood and blood on the handkerchief. If there is no blood in the stool but there is blood on the handkerchief, you should avoid sitting and standing for a long time, you should not overwork, you should pay attention to rest, avoid eating spicy and stimulating food, you should eat a light diet, eat more fresh fruits and vegetables, and keep your bowel movements smooth. If the symptoms are serious, it is recommended to go to the hospital, after clarifying the cause of the disease, targeted treatment.