Signs and symptoms may include:

• Painless bleeding during bowel movements — you might notice small amounts of bright red blood on your toilet tissue or in the toilet

• Itching or irritation in your anal region

• Pain or discomfort

• Swelling around your anus

• A lump near your anus, which may be sensitive or painful (may be a thrombosed hemorrhoid)

  Symptoms usually depend on the location.

Internal hemorrhoids. These lie inside the rectum. You usually can’t see or feel it, and they rarely cause discomfort. But straining or irritation when passing stool can damage a hemorrhoid’s surface and cause it to bleed.

Occasionally, straining can push an internal hemorrhoid through the anal opening. This is known as a protruding or prolapsed hemorrhoid and can cause pain and irritation.

External hemorrhoids. These are under the skin around your anus. When irritated, external hemorrhoids can itch or bleed.

Thrombosed hemorrhoids. Sometimes blood may pool in an external hemorrhoid and form a clot (thrombus) that can result in severe pain, swelling, inflammation and a hard lump near your anus.