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Rectal bleeding during pregnancy is typically caused by hemorrhoids, which are unusually swollen blood vessels in the rectal area. Hemorrhoids are relatively common during pregnancy, particularly in the last trimester and in the weeks after giving birth. Rectal bleeding, or anal bleeding, is usually a result of anal fissures. An anal fissure is a small tear in the tissue that lines the anus. It is quite common to see bright red blood after bowel movement during pregnancies and after birth, usually when passing hard stools. In pregnancy, rectal bleeding is typically caused by hemorrhoids when a collection of blood vessels in the rectum becomes swollen, says mary l. Rosser, md, phd, an assistant professor in the department of obstetrics & gynecology and womens health at the albert einstein college of medicine of yeshiva university. When you strain to poop (like when youre constipated an annoying side.). bleeding during pregnancy is common, especially during the first trimester, and usually its no cause for alarm. But because bleeding can sometimes be a sign of something serious, its important to. The bleeding may result in bright red blood in the stool as well as maroon colored or black stool. The bleeding also may be occult (not visible with the human eye). The common causes of rectal bleeding from the colon include anal fissure, hemorrhoids, diverticulosis, colon cancer and polyps, colonic polyp removal, angiodysplasias. How common is rectal bleeding in pregnancy? Its fairly common to have bleeding from your bottom towards the end of your pregnancy (poskus et al 2014). About one pregnant woman in four gets piles by the third trimester (nazik & eryilmaz 2013, poskus et al 2014). About one woman in 100 may develop an anal fissure in late pregnancy (abramowitz and batallan 2003). Rectal bleeding in pregnancy rectal bleeding in pregnancy refers to bleeding from the back passage in a woman who is pregnant. See detailed information below for a list of 8 causes of rectal bleeding in pregnancy , symptom checker , including diseases and drug side effect causes. During the second trimester, pain, bleeding, and vaginal discharge are normal symptoms. Rectal bleeding (bleeding from the bottom) is often noticed as small amounts of bright-red blood on toilet paper or a few drops that turn the water in the toilet pink. Another possible cause of rectal bleeding is a little tear (fissure) in your anal canal. This is usually caused by constipation, but pregnancy and giving birth can increase your risk. About one in 100 women may develop an anal fissure in late pregnancy (abramowitz and batallan 2003).