After urinating and bleeding, is it through the toilet or through the urinary tract ? If blood comes with the stool all the time or even the pressure of urination, then it is the cause of piles which is bleeding with the stool. Also blood can go through the rectum for many reasons. Anal fissure , Piles , polyps , proctitis - and most importantly, colorectal cancer. Due to these, blood can go through the rectum. So just because blood comes out through the rectum does not mean that you are a piles patient. In this case, it should be examined by a colorectal surgeon. To avoid piles, first try to make sure that the stool is not hard. That is why we need to change our eating habits. Eat plenty of green vegetables. You have to take fibrous food. You have to drink more water. Fibrous fruits will be eaten. Isubagulera husk should be eaten.