A 34-year-old member asked:
There is no swelling or extreme pain. but there is bleeding during strained bowel movement. could this be internal hemorrhoids?
2 doctor answers • 3 doctors weighed in

Dr. Howard Hackanswered
Gastroenterology 34 years experience
Yes: Rectal bleeding may be caused by hemorrhoids. Colonoscopy is the standard of care to evaluate rectal bleeding in people over 40.
6.3k viewsReviewed >2 years ago

Dr. Eric Kaplananswered
Colon and Rectal Surgery 43 years experience
Could: Be internal hemorrhoids as they usually are associated with painless bleeding, could also be a chronic fissure which may alos bleed painlessly. More importantly one should determine the reason for having to strain to have bm. Probably best to get checked by a GI doctor or a colorectal surgeon.
5.4k viewsAnswered >2 years ago
Last updated Dec 5, 2019
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