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Internal hemorrhoids occur at the beginning of the rectum, just inside the anus. You may see bright red streaks of blood on toilet paper or bright red blood in the toilet bowl after having a bowel movement. You may see blood on the surface of the stool.
Internal hemorrhoids are small, swollen veins in the wall of the anal canal. But they can be large, sagging veins that stick out of the anus all the time. They can be quite painful if they bulge out, and are subsequently squeezed by the anal muscles. If the blood supply to the hemorrhoid is cut off, and your hemorrhoids stick out, you also may see mucus on the toilet paper or stool.
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