The most common bleeding hemorrhoid symptoms are bright streaks of blood on toilet paper when wiping, bleeding during bowel movements, itching and rectal pain.
Since pain isn’t normally associated with small internal bleeding hemorrhoids, the main symptoms of internal bleeding hemorrhoids are rectal bleeding that is bright red and leaves streaks on toilet paper when wiping as well as in the toilet after a bowel movement. There may also be blood on the surface of the stool.
Other internal bleeding hemorrhoid symptoms may include mucus and irritation from larger internal hemorrhoids that bulge from the anus. Discomfort from the bulging of the hemorrhoid in the end portion of the anal canal which may cause a feeling of having an urge to pass stool even after just having a bowel movement.
While most internal hemorrhoids don’t cause pain, large ones that bulge from the anus can become quite painful when they swell and protrude from the anus. Unfortunately, the larger the hemorrhoid usually means the greater the pain. Sometimes when the hemorrhoids bugle, they can be pinched by the muscles that control the anus. This can be very painful. If severe pain occurs, it may mean that the blood supply to the bleeding hemorrhoid has been cut off and urgent medical attention and surgery is needed to keep the tissue from dying. This is called a strangulated hemorrhoid and is a very serious, but rare condition.
While the above symptoms are normally associated with bleeding hemorrhoids, please note that there are other serious conditions that may also cause rectal bleeding and changes in bowel habits and stool such as colon, rectal and anal cancer. Adults over age 50 and others with family histories of these cancers should definitely seek advice from their physicians when experiencing any of the symptoms mentioned before starting at-home treatment for bleeding hemorrhoids.