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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. Though it may be alarming, light spotting immediately after is possible. But if youre experiencing heavier bleeding, it could be a sign. , 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. 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.