I don't have problems with pushing the stools out. The pain feels diffferent - burning, crampy. I actually try to gingerly ease the stool out due to the pain.
It's the pain/burning when the stools get up against the colon wall toward the end of the rectum. I'm sure my stool are a bit acidic and possbily have hemmis/fissures that maybe causing or adding to the bleeding.
I don't believe blood always indicates inflammation. Other things cause bleeding too.
After I go I'm very crampy and sore...like during my menstrual cycle but from the wrong area! Look like I need to get one of those donut pillows!