can internal hemorrhoids cause bleeding
Symptoms of hemorrhoids. Symptoms of hemorrhoids can often include: 1  Bleeding, usually painless. 2  The patient may notice red on the toilet paper or in the toilet bowl. 3  Itching or irritation in the anal area. 4  Discomfort and pain in the anal region. 5  Lumps protruding from the anal region. 6  Swelling in the anal region.