If you find blood on the paper when wiping your buttocks and the blood is bright red in color, consider it to be caused by bleeding hemorrhoids or anal fissures. Hemorrhoids can cause bleeding symptoms due to irritation by stool during defecation, causing a break in the surface mucosa or skin. This bleeding is usually painless, intermittent episodes with small amounts of blood, mostly in the form of dripping blood or blood on hand paper. Treatment can be conservative by using hemorrhoid creams or suppositories and eating foods that help soften the stool to avoid difficult bowel movements that can irritate the surface of the hemorrhoid for a long time and trigger the appearance of frequent bleeding and other symptoms. In addition, anal fissures may also appear to bleed after defecation due to fissures in the skin of the anal opening caused by foreign bodies, stool, and other stimuli, but most bleeding fissures during defecation are accompanied by more obvious pain, which is relatively easy to distinguish and identify.