Often, women develop a protrusion of the skin at the front edge of their anus after childbirth. This is a skin tag which formed due to the stretching of your perineum and pelvis during childbirth. The skin tag then behaves as a weight at the anus every time you pass stools. Over time, it slowly causes your hemorrhoid in the anus to be dragged downwards. Not all women with this skin tag develop hemorrhoid problems and that is why colorectal surgeons tend to ask patients not to remove the skin tags if they do not have symptomatic hemorrhoids.
If you experience some bleeding on the toilet tissue after you wipe the anus too hard, it could be due direct abrasion of the anus lining at the skin tag. It could also be due to bleeding from hemorrhoids that are being dragged downward. If the bleeding is painless and drips into the toilet, it is likely to be hemorrhoid bleeding.
It is best to see a doctor to have that assessed. Your doctor will perform an anal exam including a digital rectal exam and visualizing the hemorrhoids with an anal probe called a proctoscope. Your doctor will then be able to recommend the best treatment.
Meanwhile, you can try to manage the problem by softening your stools if the stools are hard. You can do this by taking more fruits (aim for 1 serving of fruit a day, where 1 serving is equivalent to one apple/banana), drinking sufficient water to avoid dehydration and avoiding chilli/alcohol.
It is important to note that not all cases with bleeding in the anus are due to hemorrhoids. Your doctor may recommend a colonoscopy if he/she feels there may be a risk that your bleeding is from the colon.
