Even hemorrhoids can leave blood in the water. Rectal pain may indicate the hemorrhoids are flaring up. I'm not sure what you mean by a lot of blood, but bleeding is always of concern, and I do think I would get this evaluated.
The doctor has diagnosed me with an anal fissure in Oct., when I was having blood after a BM. I never had any pain though until Nov. That stopped after taking sitz baths, more fiber, Tuck wipes, etc. On 12/25/10, I woke up to some blood in my BM and have had pain ever since. The Doctor tells me I have another fissure and prescribed suppositories. These are not helping and seem to make the burning pain even worse. I don't have pain at night, but after my morning BM, the pain is worse and lasts all day long. I keep my stools soft with diet, water, and stool softeners. I don't have insurance, but I can't believe I have to live with this kind of pain forever. It has been almost 3 months in constant pain and I am losing hope.
You have responded to an old, outdated thread from 2009. The people who originally posted these comments may very well have moved on. Rather than reply to an old thread, we recommend that people start a new topic to discuss the subject anew. To do that, please click on the green "Post a Question" button at the top of the page. This will get your post the attention it deserves. Thank you.