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Though it may be alarming, light spotting immediately after is possible. Most people report that hemorrhoids make anal sex uncomfortable or painful, and because a hemorrhoid is literally an enlarged, swollen blood vessel, they can certainly cause anal bleeding after. , a colorectal surgeon at cedars-sinai in los angeles, tells self. If youre having regular anal sex and regular bleeding, dont just brush it off as something that just happens. bleeding after anal sex could be due to a hemorrhoid or tear, or something more serious such as a perforation (hole) in the colon. This is a dangerous problem that requires immediate medical. During anal sex, a person can tear the wall of their partners anus, resulting in anal fissures. Anal sex is a bit of a taboo subject, despite the fact that its an increasingly popular sexual activity. As more couples explore this type of sex, understanding the risks, rewards, and proper. If you have any pain or bleeding from the anal area, stop anal sex and dont have sex again until you have seen a doctor. A digital rectal examination (dre) is an important element of a clinical examination, performed by a doctor or nurse. If there are tears in the tissue of the anus, then you may experience both rectal bleeding and pain during and after a bowel movement. While bleeding from the rectum or anus can be surprising and uncomfortable, it usually indicates a minor issue, like an anal fissure (tear) or hemorrhoids.