What to do if i have painful bowel movements?

Hemorrhoids or more?: Anal pain or rectal pain? Pain from the rectum as you described that recurs may also indicate anal fissures, proctitis (due to infection, inflammatory bowel disease, radiation therapy, stercoral ulcers, rectal prolapse, trauma, etc.), prctalgia fugax. Depending on your age, risk factors, current medication (aspirin, nsaid's), circumstances, you will want to get evaluated.