Approach

A characteristic feature of symptomatic internal haemorrhoids is painless, bright red bleeding or a protrusion from the rectum, which often follows a bowel movement. Pain may accompany complication of haemorrhoids. The presence of altered bowel habit (diarrhoea and/or constipation), abdominal pain, weight loss, iron-deficiency anaemia, or passage of blood clots and/or mucus (especially if persistent) should arouse suspicion of other potential diagnoses such as anal fissure, anal fistula, proctitis, inflammatory bowel disease, or colorectal cancer.

BMJ Best Practice is an evidence-based point of care tool for healthcare practitioners.

To continue reading and access all of BMJ Best Practice's pages you'll need to log in or start a free trial.

You can access through your institution if your hospital, university, trust or other institution provides access to BMJ Best Practice through either OpenAthens or Shibboleth.

Use of this content is subject to our disclaimer