Hi. Thanks for your query. Noted the history and understood the concerns. Bleeding after passing stool and lots of pain persisting for a few hours is indicating one of the following: Fissure-in-ano that is there is cut at the anal verge that causes bleeding and pain too. Prolapsing piles getting entrapped on passing stool can also cause similar problems. I would advise you the following in such a situation: Consult a General Surgeon for per-rectal digital examination if the pain allows and ano-proctoscopy. This will give you the most definite diagnosis and a plan for management. Till then do Sitz bath in a tub with warm water. Take stool softener and laxatives to keep the stools soft. High fiber diet. Avoid foods, beverages and all the factors that instigate or enhance the problems.