Bleeding The most common symptom of internal hemorrhoids is bright-red blood that you may notice on toilet paper or covering the stool. This is usually the first indication of hemorrhoids. Protruding Internal Hemorrhoids Excessive straining can force an internal hemorrhoid to push out through the anal opening. This condition is called a protruding internal hemorrhoid. Anal Discomfort Anal discomfort is not a common symptom in people who are suffering from internal hemorrhoids. However, if the hemorrhoids protrude outside of the anus, they can become painful and irritated. Itching and Swelling Internal hemorrhoids can cause severe itching in the anal region. Over-the-counter medications, such as Tucks medicated ointment, can help relieve the itching and discomfort that accompany hemorrhoids. Leakage of Feces When an internal hemorrhoid protrudes, it can cause constant leakage of feces. This can be very embarrassing, as it is uncontrollable and can happen without warning. Symptoms that Need Immediate Medical Attention Some symptoms of hemorrhoids are inevitable, but they can be safely treated at home. However, there are certain symptoms that require a prompt visit to your doctor. These symptoms include: black or tarry stool, blood clots, blood in the stool, lightheadedness, faintness, dizziness and massive rectal bleeding.