To answer your question, yes it can. Any type of irritation around the anus can excoriate the skin and cause the tiny spots of blood you notice. You might me a good candidate for soft WET wipes or use of a squirt bottle after moving bowels. Our friends in Europe solved this with a bede, but this really has not caught on in USA. Try to consciously reduce your hard wiping, or try other means....
Answered 3/23/2021
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