Internal haemorroids may be harmless at first although they can start to bleed when straining too much during the passing of stool. Signs for that include blood on toilet paper or in the toilet bowl.
A doctor will make his diagnosis with a thin tube-like instrument called an anoscope. To look for other sources of bleeding a specialist may examine the inside of the colon.
Internal haemorroids may protrude outside the anus and then become irritated and painful. This is condition is called prolapsed haemorroids. They can be removed by method of rubber band ligation (cutting off of blood circulation), sclerotherapy (injection of a chemical solution), infrared coagulation (hemorrhoidal tissue is burned) or classic surgery called hemorrhoidectomy.
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