Hi, Thank you for asking Sometimes hard blood stools cause a swollen blood vessel or a small tear around the anus. However, rectal bleeding should never be ignored as it can also be the sign of a more serious health condition, including bowel cancer ( colorectal cancer). Based on what you say,(I don t have much information from you because i ts important to evaluate all your symptoms carefully ) that you ve become aware of rectal bleeding when you ve notice spots of blood on toilet paper, often these are tell-tale signs of: 1. piles ( haemorrhoids) 2. an anal fissure, which is a small tear in the anus. I recommend you : 1. to see a proctologist to determine your diagnosis through a colonoscopy (used to investigate bleeding, changes in bowel movements etc.) or other exams. 2. to CHANGE YOUR DIET in oder to soft tools: fluids and fibre - drink plenty of water , milk, juices, non-caffeine fluids - fresh fruits and vegetables hope this was helpful to you Dr. Ermira BIU