In women with bleeding clots from straining to pass stool, the site of bleeding needs to be determined. If perianal bleeding is present, consider constipation combined with perianal lesions and intestinal diseases, or simple perianal lesions and intestinal diseases. Due to the special situation of women, it is also necessary to consider the above-mentioned diseases accompanied by menstrual periods or the presence of gynecological diseases and other problems. Constipation is mostly related to poor diet, exercise, bowel habits, etc. It is manifested as a decrease in the number and frequency of bowel movements, and the stool is not easily discharged with great effort. Long-term constipation may repeatedly stimulate the perianal area, causing bleeding due to rupture of the skin of the anal canal, etc. Most of the simple constipation does not result in blood clots. Usually, you should ensure sufficient water intake and eat more fresh vegetables and fruits, especially celery, bananas and other foods rich in dietary fiber, to prevent and reduce discomfort. In the case of more serious constipation, you can follow medical advice to use laxatives such as corked milk to promote defecation, and if necessary, manual defecation. Perianal lesions: 1. Anal fissure: rupture of the skin or blood vessels at the anus and not cured for a long time, probably due to fecal and other infections, and ulcers in the anal canal. Patients mainly show anal pain, which can occur during defecation or non-defecation, accompanied by bright red bleeding, the disease is accompanied by long-term, habitual constipation of patients can appear the above performance. At this time, patients can rest and take warm water baths to relieve constipation and reduce pain. At the same time, constipation can be relieved by eating more vegetables and fruits, not to over-rely on senna and other laxatives; 2, hemorrhoids: the presence of bleeding is usually due to internal hemorrhoids, if there is dripping blood at the anus or a larger amount of bleeding, the patient generally does not feel pain. However, if the bleeding is prolonged and large, the blood stays in the anus and coagulates into clots that can fall off with defecation. You need to actively take symptomatic measures to stop the bleeding, you can follow medical advice to use Diyu Sophora pill and other, hemorrhoid medicine with hemostatic effect, more serious cases can be treated by hemorrhoid ligation therapy. In addition, fistulas, perianal abscesses, tumors and other diseases in the acute phase, or after surgical treatment may also appear with lower body bleeding with blood clots in the stool. Patients need to promptly seek medical examination to determine whether the wound is dehiscent and take timely measures such as re-stitching to control bleeding. Second, intestinal lesions: 1, lower gastrointestinal bleeding: bleeding occurs in the ileum, colon, rectum and other parts of the naked eye can see fresh blood stool, blood clots, etc., if accompanied by constipation and other symptoms can appear stool force. At this time, patients should go to the hospital as soon as possible and determine the site of bleeding, before determining the site, the cause of bleeding, absolute bed rest, closely observe the changes in blood pressure, etc., through the establishment of intravenous channels, blood transfusion, fluids and other ways to prevent shock, can not control bleeding in the case of surgery as soon as possible; 2, intestinal inflammatory infections: proctitis and other diseases to a certain stage of development can also have bleeding, stool force. Sometimes blood clots may be discharged, the cause of infection needs to be determined as early as possible, and discomfort can be relieved by enemas and local use of drugs such as Ma Yinglong musk hemorrhoid cream. In addition, rectal tumors, Crohn’s disease, etc. can also lead to the above-mentioned symptoms, you should go to the hospital as soon as possible to take symptomatic treatment for bowel movements, bleeding and other conditions to relieve pain and slow down the progress of the disease. Third, the special situation of women: 1, menstruation: if women are in menstruation and previously existed constipation, can also occur stool force, lower body bleeding and blood clots, at this time should be dealt with for constipation, and pay attention to personal hygiene can be; 2, gynecological diseases: cysts, inflammation and other gynecological diseases with or without the above-mentioned diseases, may appear related symptoms, need to go to the hospital to do a comprehensive examination, after the diagnosis of active Treatment. In addition, the vagina, uterus and other pressure on the rectum, can also appear stool force, can be determined through gynecological examination whether there is prolapse, bulging, etc., the lighter degree of manipulation can be reset, the more serious cases also need to be operated.