Constipation bleeding with force without pain may be caused by internal hemorrhoids, intestinal polyps, intestinal tumors and so on. Different treatments should be taken according to different causes. 1. Internal hemorrhoids: first of all, you can locally apply Ma Yinglong hemorrhoid cream to stop bleeding. Secondly, you can also choose hemorrhoidectomy, hemorrhoidal artery ligation and so on. At the same time there are some other things to pay attention to in life, such as consuming more fresh vegetables and fruits to avoid bleeding. Reduce the consumption of spicy, stimulating food, such as chili peppers, hot pot and so on. 2. Intestinal polyps: the effect of drug treatment is poor, usually take the method of surgical treatment. For example, enteroscopic polypectomy, enteroscopic polyp stripping, etc. 3. Intestinal tumor: especially colon cancer or rectal cancer, usually blood and stool are mixed together, but there is no obvious pain. Surgery is needed. There are many other reasons for constipation to bleed with force without pain, so it is recommended to go to regular hospitals for consultation in time. With the help of the doctor to clarify the cause as soon as possible, and actively accept the treatment, so as not to delay the condition.