If there is local pain in the anus during defecation and bright red blood is visible on the hand paper after defecation, it may be caused by bleeding from anal fissure or internal hemorrhoids. If bleeding from hemorrhoids or anal fissures is confirmed after clear examination, you can choose to take oral medicine to stop bleeding, such as Diyu Sophora Pills. If you have dry stools, you can also take oral marijuana soft capsule to lubricate the stool. For localized bleeding, mainly considered as internal hemorrhoid mucosa bleeding or anal fissure bleeding, you can apply Yunnan Baiyao hemorrhoid cream or Ma Yinglong musk hemorrhoid cream for symptomatic treatment. Don’t use excessive force when defecating to avoid tearing the local skin of the anus and aggravating the bleeding. To prevent dry stools, it is recommended to eat more root vegetables and fruits.