Signs and symptoms Symptoms often depend on whether a haemorrhoid is located on the inside or outside of the body. Internal haemorrhoids lie inside the rectum and generally do not cause discomfort. However, straining or irritation when passing a stool can damage the surface of a haemorrhoid causing it to bleed. Sometimes, straining can push an internal haemorrhoid through the anal opening resulting in a protruding or prolapsed haemorrhoid, which can cause pain and irritation. External haemorrhoids lie under the skin around the anus. When irritated they can itch or bleed. Blood can pool inside an external haemorrhoid and form a clot, which causes severe pain, swelling, and inflammation. Signs and symptoms of Piles may include: · Pain or uneasiness, especially when sitting · Pain during bowel activities · Itchin...