Anal bleeding is actually a symptom of hemorrhoids, it can appear with internal and external hemorrhoids. In case of internal
hemorrhoids you must be even more cautious because bleeding can be a sign of additional gastro-intestinal troubles such as
fissure, fistula, colorectal cancer, diverticulosis or colitis.

That is why it is very important to have your doctor diagnose it properly.

Cause of bleeding hemorrhoids

Usual reason why hemorrhoids bleed are veins in rectum that grow to be enlarged with too much blood and rupture because of it.

Usually it happens either during or just after the bowel movement. In most cases with internal hemorrhoids it is caused
by a pallet like, very hard stool.

Stool this hard is difficult to push out and straining caused by this is responsible for hemorrhoids swelling with blood even more. It is easy for stool this hard to tear open the already injured, inflated hemorrhoid tissue and cause the bleeding.

In case that you are experiencing a hemorrhoid prolapse, the cause can be external (too much rubbing with toilet paper, extended sitting periods or even synthetic underwear).

With external hemorrhoids similar to hemorrhoid prolapse, anal bleeding can be caused "mechanically" by excessive wiping
and cleaning of an already irritated area.

Symptoms

First thing you are going to notice is going to be small blood streaks in your stool, on your underwear and toilet paper. Before bleeding starts sometimes you can also feel other hemorrhoid symptoms like general discomfort in your rectal area, anal itching and burning sensation.

But you can equally experience hemorrhoids bleeding as the very first symptom of hemorrhoids without experiencing any of the
not as much alarming symptoms at first. In case of external hemorrhoids you will notice hemorrhoids symptom very easy and
very fast.

Usually you are going to sense the bulge or swelling around your anus, you might also experience itching and burning feeling but with external hemorrhoids you always have the option to use the hand held mirror and check what is going on.

Treatment

Treatment is never high-speed, but you have more than a few methods that can help your body heal the damage faster. First thing you have to do is to soften your stool in order to prevent the damage that can be done to your colon by hard stool.

This is going to help the injured tissue restore to health quicker and stop the anal bleeding. This is crucial for internal as well as for external hemorrhoids.

You should try to avoid using toilet paper, instead use moist wipes or better yet take a shower or wash up in a bidet after the bowel movement. This is essential for external hemorrhoids because most of the rectal bleeding in this case is caused by
mechanical damage done to the damaged tissue by wiping, also try to use soft, cotton underwear.

You can also use suppositories and natural creams for speeding up the healing as well as for lubrication of the colon, this way it will be much easier to pass the hard stool.