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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 answers3 doctors weighed in
Dr. Howard Hack
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.
Dr. Eric Kaplan
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.
Last updated Dec 5, 2019

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