Respected user, hi may be associated with - Internal Hemorrhoid - Proctitis - other inflammatory lesion of large colon - tumors . * Diagnosis requires sound history , physical examination with Proctoscopy and if required Sigmoidoscopy / colonoscopy , Stool microscopic examination reports. Hope this clears your query. Thanks for using Health care magic & giving me an opportunity to assist you. Welcome for any further queries. Wishing you fast recovery from it. Regards dear.