Hi there---I agree with the others that this could be an anal fissure, with the pain and bleeding. I think it is time for you to get a medical consult and figure it out that way. Have you gone? What did your doctor say? Pain with each BM and the # of BMs you have each day make this pretty unsustainable and uncomfortable. I hope you have sought medical help! (3 painful evacuations in the middle of the night each night would quickly make me sleep deprived and crazy!!!)