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Bleeding while in the toilet can primarily be caused by hemorrhoids, which are swollen blood vessels in the rectal area. Other potential causes include anal fissures, diverticular disease, and colorectal polyps or cancer. It's important to consider the color and consistency of the blood, as bright red blood often indicates issues in the lower gastrointestinal tract, while darker blood may suggest problems higher up. If bleeding persists, it's crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment.

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