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bleeding after anal sex typically isnt cause for concern. Many people experience light spotting from time to time due to the delicate nature of the tissues involved. 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. During anal sex, a person can tear the wall of their partners anus, resulting in anal fissures. if bleeding is associated with an already diagnosed medical condition, a doctor will discuss ways to manage, reduce, and track symptoms. The bleeding may result in bright red blood in the stool as well as maroon colored or black stool. The bleeding also may be occult (not visible with the human eye). The common causes of rectal bleeding from the colon include anal fissure, hemorrhoids, diverticulosis, colon cancer and polyps, colonic polyp removal, angiodysplasias. rectal bleeding (hematochezia) may occur after a particularly large or hard bowel movement from an anal tear or anal fissure. Surgical repair is necessary, so if you experience heavy rectal bleeding and abdominal pain following anal sex, see your doctor. How to practice safe anal sex anal sex can be a great way to have.