Hemorrhoids Symptoms, Hemroids Treatment, Internal Hemorrhoids Symptoms br br br br Internal hemorrhoids br br Internal hemorrhoids usually present with painless, bright red, rectal bleeding during or following a bowel movement. br br The blood typically covers the stool, a condition known as hematochezia, is on the toilet paper, or drips into the toilet bowl. br br The stool itself is usually normally coloured. br br Other symptoms may include mucous discharge, a perianal mass if they prolapse through the anus, itchiness, and fecal incontinence. Internal hemorrhoids are usually only painful if they become thrombosed or necrotic.