What may be indicated by rectal pain with bleeding?

Rectal pain accompanied by bleeding is often indicative of hemorrhoids, a common condition where veins in the lower rectum or anus become swollen and inflamed. These can lead to discomfort, itching, and occasionally bleeding during bowel movements, especially when straining occurs. The presence of rectal pain, along with blood being noticed in the stool or during wiping, strongly points toward this diagnosis.

Other conditions, such as constipation, can cause rectal pain as well but are less likely to directly result in significant bleeding compared to hemorrhoids. While lower back pain and urinary tract infections can cause discomfort, they do not typically lead to rectal pain and bleeding, making hemorrhoids the most relevant explanation in this context.