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A 41-year-old member asked:

Is it possible to have a hemorrhoid that bleeds but isn't painful at all?

2 doctor answers4 doctors weighed in
Dr. David Gutman
Internal Medicine 21 years experience
Yes: Internal hemorrhoids can bleed without any pain at all. Internal hemorrhoids are located above the "dentate line." this is where the lining of your colon meets the skin of your butt (similar to the difference between the outside of you lips and the inside of your mouth). Above the dentate line there is very minimal sensation, so irritated internal hemorrhoid tissue can bleed without pain.
Dr. Charles Crabbe
Internal Medicine 43 years experience
Many patients with internal hemorrhoids can present with painless bleeding, seen only with their bowel movements. Almost always bright red and small volume.
Feb 5, 2012
Dr. Jan Rakinic
Colon and Rectal Surgery 39 years experience
Yes, internal H's: Internal hemorrhoids are the ones that bleed; external ones can swell and if thrombosed (clotted) can cause pain. However, rectal bleeding should always be evaluated, so see your doctor for a proper diagnosis.
Last updated Oct 3, 2016

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