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Bright red blood in stool is also often caused by anal fissures, which is a small tear or split in the anal mucosa. These fissures can cause pain during bowel movements as well as bleeding. Bright red blood may appear on the stool itself or on the toilet paper after a bowel movement. Anal fissures are extremely common in infants due to their very sensitive tissue and then it becomes less frequent with age.
Sometimes the amount of blood is so small that it can only be detected by a fecal occult test (which checks for hidden blood in the stool). At other times it may visible on toilet tissue or in the toilet after a bowel movement as bright red blood.leeding that happens higher up in the digestive tract may make stool appear black and tarry. Possible causes of blood in stool include: Diverticular disease. Diverticula are small pouches that project from the colon wall. Usually diverticula don't cause problems, but sometimes they can bleed or become infected.