Why would i have pain/pressure in my rectum area while having gas, before, and while i have to go to the bathroom. i have grade two internal hemorrhoids and have had a neg colonoscopy. ?

Fissure: Typically a rectal fissure is the source of severe rectal pain and bleeding. The hemorrhoids are less painful, cause bleeding, and often hide the fissure located under or deep to the hemorrhoid. Initial treatment is softer, smaller caliber stool with bowel regimen. If not getting better, then surgery consultation. Take a friend with you. Be well