Vaginal bleeding during bowel movements is not normal for women, and the exact treatment depends on the patient’s specific situation. If the patient is pregnant, it is important to consider that the patient is experiencing an increase in abdominal pressure when straining during stool, thus causing a preterm abortion. The first step is to do internal gynecological examination and ultrasound to see if the embryo is developing normally and if the bleeding is coming from the uterine cavity. If the bleeding comes from the uterine cavity, the patient should be considered to have a pre-eclampsia, and if the embryo is developing well, the patient can be treated with fertility preservation. At the same time, the patient should pay attention to the diet and regulate the gastrointestinal function, try not to have constipation or diarrhea, when the stool is smooth, there is usually no bleeding in the stool. If the patient has bleeding in the stool in the non-pregnant state, the patient needs to do gynecological internal examination, ultrasound, cervical cancer screening, hysteroscopy combined with pelvic CT examination and tumor markers if necessary to determine the cause of bleeding. In clinical practice, this kind of bleeding is mainly seen in gynecological inflammatory diseases, such as neoplastic diseases of the cervix or endometrium, endometrial polyps, cervical polyps, etc. Exactly which cause is caused depends on the examination.