there is the poossibilty that there is an anal fisure which is where a blood vessel attaches it self t the rectum or intestines best to see doc can be fixed with a tube of cream and supposatories really easily
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If your a girl it could be your period if it comes out from the back you need to go see a doctor immediately because it could mean something isn't working probably in your body and you could be very sick. It is best to go to your doctor about that because it could be serious and you might need medication. Sorry if that freaks you out but you should call your doctor like right now!!
It could mean lots of things, from not so serious to VERY serious. Call you doctor as soon as possible!!
You may have ulcerative colitis or Crone's Disease and should see a gastro-entomologist immediately.