The classic symptom of an internal hemorrhoid is the presence of blood when you go to the bathroom. The blood is found on the stool or toilet paper or in the toilet bowl. Internal hemorrhoids occasionally extend outside of the anus. Certain conditions may cause internal hemorrhoids to bulge and/or become irritated and bleed, including the following: pregnancy and trauma during childbirth, obesity, chronic (long-lasting) constipation with straining, diarrhea, anal intercourse and rarely, a bulging internal hemorrhoid may cause a blood clot to occur.

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