A member asked:

There is no swelling or extreme pain. but there is bleeding during strained bowel movement. could this be internal hemorrhoids?

3 doctors weighed in across 2 answers
Dr. Howard Hack answered

Specializes in Gastroenterology

Yes: Rectal bleeding may be caused by hemorrhoids. Colonoscopy is the standard of care to evaluate rectal bleeding in people over 40.

Answered 12/5/2019

6.3k views

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Dr. Eric Kaplan answered

Specializes in Colon and Rectal Surgery

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.

Answered 6/10/2014

5.4k views

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