Thank you for your query Yes, any rectal bleeding should be checked out immediately, especially in the quantity you mentioned and that spurts. Do you have any history of hemorrhoids, liver disease or intestinal/rectal surgery? Did you have any recent diarrhoeal disease? Sometimes increased intra abdominal pressure (such as when you cough) could rupture tiny blood vessels in the anal canal that can bleed If this continues, I recommend you go to the ER. If it is minimal or stops, see your physician ASAP to rule out serious disorders and prevent further blood loss. Expect to be hospitalized, with blood work. Depending on where the bleeding point is and how big it is, how much blood loss has occurred, you may need cautery/pressure dressings, blood products. These are just a few things. It may just be a small vessel bleed and you may be allowed to go home after a few hours Hope this helps. Wish you good health. Please get back to us if you need any clarification