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Description:For example, pain and irritation can result from excessive diarrhoea or constipation , causing trauma to the skin of the anal region from overexposure to digestive juices, excessive toilet paper use or passing of hardened stool poo. These injuries may lead to pain and tenderness, and sometimes bright red blood spotting on toilet paper or in the toilet bowl. Sometimes the muscles in and around the anal region go into spasm, and this can lead to a tightening of the sphincter that makes passing stool painful. It can also cause a tear, which can bleed. Anal injuries can also be caused by sexual activity involving insertion of objects, fingers or a penis through the anus and into the rectum. Friction, sharp edges, or rough behaviour can tear the sensitive skin and lining of the rectum, causing pain, inflammation and bleeding.