This pattern is most suggestive of a recurrent anal fissure. A hard stool can reopen the small tear, causing fresh bleeding and intense burning/pain.
Next Steps
The key is to keep stools consistently soft—adequate water, fibre and a stool softener/laxative if prescribed and sitz bath three times a day . Avoid straining and consider warm sitz baths. Since this has recurred 3–4 times, an examination by a doctor is advisable to confirm the fissure and treat it properly.
Health Tips
Seek evaluation sooner if bleeding is heavy, blood is mixed throughout the stool, stools are black, or there is severe persistent pain/fever.