Hemorrhoids: It starts with a bit of blood on the toilet paper

Hemorrhoids can be a pain. Not only because they are painful and itchy, but also because this condition is not something one likes to talk about. Not even with the doctor. Which in turn increases the likelihood that a harmless suffering becomes an ordeal.

Hemorrhoids: what you feel

Our 10 most important tips against hemorrhoids

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The most common first symptom is bright red blood on the toilet paper. Although this may have many other harmless causes, it is often small broken capillaries of a hemorrhoidal nodule. Not infrequently, itching and burning eventually joins in - leading to severe pain in bowel movements in more advanced stages.

Although hemorrhoids are not actually dangerous or even life-threatening. But if left untreated and eliminated, as they progress, they can develop into a real torment that greatly affects well-being. That is why early treatment is worthwhile. Or even better: the prevention.

Hemorrhoids: how to get them

Typical causes of hemorrhoids include:

  • Too little movement
  • too little fiber (fruits, vegetables, whole grains)
  • constipation
  • hard bowel movement with strong pressing


Read also:
To which doctor do you go with hemorrhoids?

Hemorrhoids: You can do that yourself

Most importantly, turn off the above risk factors. By the way, even if the hemorrhoids are already there. Also important: good anal hygiene. So clean well and keep dry.

Naturopaths also recommend dandelion or Milk thistle tea.

Features and stages of hemorrhoids

Stage I - painless and invisible

  • painless, bright red bleeding, also as a blood deposit on the toilet paper ·
  • often a foreign body sensation in the rectum and anal area
  • rarely itching
  • no externally visible nodes

Stage II - palpable knots

  • with eczema (skin inflammation) around the anus
  • often burning and oozing in the anal area
  • often pain, especially during bowel movements
  • rarely bleeding
  • only externally visible and palpable knots when pressing

Stage III - almost always painful

  • almost always pain
  • clear incident of the haemorrhoidal nodule before the anus, which, however, can be pushed back after the bowel movement
  • often slimy secretions
  • itching
  • rarely bleeding
  • possibly very painful anal thrombosis because of the slowed blood flow in the hemorrhoid vein
  • possible pinching of the hemorrhoids in the anus

Stage IV - emerging from the anal canal

  • strong pain
  • Itching in the anal area
  • slimy secretions
  • the hemorrhoids that have come out of the anal canal can not be pushed back

Read also:
What are typical complaints of hemorrhoids?

Author: Dr. med. Jörg Zorn

Do you have your own experiences or a different opinion? Then write a comment (please observe rules).
Comments (5)
Hemorrhoids and eczema
5 Thursday, August 10, 2017 at 17:48
Eva V.
I have 2 hemorrhoids, which can be pushed back and around it an eczema. It itches like hell and you just want it to stop.
Which treatment is the right one ?! Is the application of the rectal ointment posterisan acute ?!
I hope you can help me. I am a medical assistant myself and work at the same time as most other doctors. So it's a bit difficult with medical appointments. Thanks in advance
Hemorrhoids very likely
4 Saturday, 04 February 2017 10:37
Dr. Jörg Zorn
Hello M,
yes, that can be hemorrhoids. The signs are very typical. Of course, only a local doctor can say that.
All the best
Dr. J. anger
Slight pain during bowel movements, blood on toilet paper
3 Friday, 03. February 2017 at 19:30
Hello, I often have pain during the bowel movement at the "exit" and when wiping I find then bright red blood on toilet paper, otherwise no complaints. Can it be hemorrhoids?
Bloody hemorrhoids
2 Tuesday, July 14, 2015 at 18:00
Heinz Wolter
Have the same problem, and strangely no itching or pain.
OK, at least 65 years old. At a young age it was less, but now very often, as I said by a lot of sitting and too little exercise.
Hemorrhoids located inside
1 Monday, 06 July 2015 at 21:07
Ernst Albus
Good day!

I have just read another article, because it is not even spoken by the inner, but only by the outer hemorrhoids.
After a schematic drawing, the hemorrhoids are quasi-lateral and swell from there to the gatekeeper. But that turned out to be different with me, by leaking real thick balls and then like Christmas balls hung on something thin and swinging back and forth.
That really scared me, but at least I got over that well and that was over 30 years ago.
The "new" inner I have now for many years and now I have again level 3 to 4.
Due to my age, my tissue is probably no longer regenerable and for several weeks I bleed massively and constantly.
When the stool arrives, it is always at the end that it is first time to see coagulates mixed with blood, then fresh blood comes, until I have carefully cleaned everything and pushed everything back inwards.
The bleeding indicates to me that some sort of perforation has been going on for some time now. In the best case, a burst vein that may eventually heal.
But probably not, after the self-healing forces tend to diminish with age.
Since I have no time for the necessary measures, fewer seats, etc. (computer work) and our health system also offers nothing clever for prevention for free, I currently see no clever approach how to get rid of that, without failing much or could continue to avoid better - without these fantasy language structures, which leave you alone in reality very quickly.
When I hear all this, I seriously wonder why I should go to a proctologist.
By the way, I have almost no pain, neither before nor after. Just push carefully, I have to constantly ...


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