Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from- Hemorrhoids with bleeding spots. The description of red anal vein with difficulty to sit down indicates -either a Strangulated piles after lifting bout last day. This may happen with old internal or internal with -external piles, which got obstructed after heavy lifting forceful acts, which expressed it out of anus and got strangulated there after. Remedy and Do s- Check with Dermatologist or Gp doctor for expert examination and assessment of cause of this penile skin tear after sexual act. If no infection- manual repeat stretching with Steroid cream under cover of Gp doctor would resolve the -Fibrotic or Short frenum, which is causing this post-coital -frenular tear in penile foreskin. If need be corrective Frenuloplasty to repair short frenulum of penile foreskin. -Check with Surgeon / UroSurgeon and get frenular inspection to assess the need for frenuloplast corrective sugery. Other causes need to be verified as the facts may be different what you submitted. For this Second opinion from Surgeon / Physician is needed who would do proper investigation after proper physical assessment to resolve your health issues. -for early recovery-please follow above do s which would resolve your issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS