You can also get bloody discharge from lymphogranuloma venereum (LGV). But other things can make you bleed too: genital warts, ulcers, herpes, even having a painful bowel movement. It could be something as simple as hemorrhoids or an anal fissure ( get the details on anal fissures). Pierre: You can bleed for a lot of different reasons. Q: Thanks for answering my questions, Pierre! What are some reasons a person might bleed from their butt? To learn more about what to do if you experience bleeding from your butt, I asked San Francisco AIDS Foundation director of nursing Pierre-Cédric Crouch, PhD, ANP-BC, ACRN some “burning” questions I had. What’s going on?īleeding and pain can be symptoms of something minor like hemorrhoids to something more serious like lymphogranuloma venereum (LGV). Or you wipe up after bottoming and you see blood on the towel. Maybe you’ve had this happen before: You wipe your butt and notice red streaks on the toilet paper.