Hello thank you for trusting HCM Dear many causes for bleeding per rectum. But you didn t mentioned about your age?? most common causes are hemorrhoids, or fissure in ano or fistula. ectasia of blood vessel in rectum may present like this. urinary incontinence may be due to urinary infection,if you are male chances of prostatomegaly, peripheral neuropathy,spinal cord problems may present like this. avoid spicy food and alcohol. use green leafy vegetables. use syrp lactulose at night if you suffering from Constipation with hard stool. if symptoms not improved please consult your physician he will examine and treat you accordingly. take care