If you bleed out of your butt hole and have pain what could this mean?

Fissure or other. Many things can cause bleeding and pain. Is the pain associated with bowel movements? Is there diarrhea? A fissure is a tear in lining of the anus and causes pain and bleeding. Hemorrhoids can also cause both. However, this should be checked.
Hemorrhoid. Generally, this is from hemorrhoids but you must get this checked out asap. Other conditions which are more serious and not self-limiting will and can be unforgiving.