My 44 yo husband is complaining of pain in his rectal, anal, and perineal area.  Somewhat severe at times with no definite cause such as bowel movement, walking, or prolonged sitting.  He also states that the area around his anus very hard and he occasionally has fresh blood present with his stools.
Hello, thanks for your query. Bleeding per rectum associated with pain could be due to fissures in anus or infected piles. Good roughage in diet, plenty of fluids, avoidance of spicy, oily recipes can help in initial days. Apply over the counter ointment which contains local anesthetic Chat Doctor.  In persistent case, surgical consultation required. Hope I have answered your query. All the best. Take care.