Bleeding Hemorrhoids can lead to bleeding during a bowel movement. If the bleeding is painless, it could be a sign of hemorrhoids, according to the Mayo Clinic, but if the bleeding is accompanied by pain, it could be a sign of a more serious problem. Irritation Hemorrhoids often cause intense itching, swelling or other irritation around the anus, according to the Mayo Clinic. They may also produce a sensitive or painful lump in the same area. External hemorrhoids can protrude from the anus and be seen easily. Difference Between Symptoms Symptoms depend on where the hemorrhoids are, according to the Mayo Clinic. Internal hemorrhoids form inside the rectum, and most often show themselves by rupturing from the strain of a bowel movement. Straining may also cause an internal hemorrhoid to protrude through the anus. External hemorrhoids are located under the skin around the anus. They itch and bleed, and when the blood coagulates (hardens), severe pain can result. Warning Bleeding is a common symptom of hemorrhoids, but the Mayo Clinic warns that people should not assume they have hemorrhoids if they have blood in the stool. Anal bleeding can be a sign of a much more serious condition such as cancer. Relief And Treatment Over-the-counter creams and other remedies can treat mild hemorrhoids. Doctors tread clots in external hemorrhoids with a quick incision. For hemorrhoids that just won't go away, your doctor may recommend a minor medical procedure. These include cutting off their circulation by tying them off with small rubber bands, or shrinking them with an injection, laser or infrared light. Home Remedies Warm baths, cold compresses, using wet toilet paper and taking over-the-counter pain relievers can relieve the pain of mild hemorrhoids. A high-fiber diet produces stools that are easier to pass, drinking plenty of fluids and excercising can all relieve the pressure on the veins where hemorrhoids occur, according to the Mayo Clinic.