Do internal hemorrhoids cause rectal damage and blood in the stool?

Yes: The hemorrhoid is clear evidence of damage. And yes, is often cause for blood in stool.Now we must discuss treatment and prevention.I suggest that the cause is a hard stool.More fiber & exercise.No bathroom breaks longer than 10 min nor shorter than 5 min.Better hydration-the colon's job is to recover fluid-you are deficient.I hope this helps.