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Bright red blood in stool is also often caused by anal fissures, which is a small tear or split in the anal mucosa. These fissures can cause pain during bowel movements as well as bleeding. Bright red blood may appear on the stool itself or on the toilet paper after a bowel movement. Anal fissures are extremely common in infants due to their very sensitive tissue and then it becomes less frequent with age.
Other more serious causes of blood in stool include: 1  Crohnâs disease â Crohnâs disease causes inflammation of the digestive tract lining and can lead to severe diarrhea and abdominal pain. 2  Colon Polyps â Colon polyps are benign growths, or clumps of cells, that form along the lining of the colon. Hemorrhoids â Hemorrhoids are swollen blood vessels found in the rectum or anus that can be itchy, painful and sometimes bleed. 2  Those who suffer from hemorrhoids may notice bright red blood either in the toilet or coating the stool after a bowel movement.