What are the symptoms of hemorrhoids with rectal bleeding?

　　The common symptoms of hemorrhoids with rectal bleeding generally include bright red blood, pain during defecation, anal itching, prolapsed hemorrhoids, and difficulty in bowel movements. A detailed analysis is as follows:

　　1. Bright red blood: Blood flows directly from the hemorrhoids without being adequately mixed in the gastrointestinal tract, so hemorrhoidal bleeding is typically bright red. The blood usually adheres to the surface of the stool or appears on toilet paper after wiping following a bowel movement.

　　2. Pain during defecation: The skin and mucous membranes in the area of the hemorrhoids are highly sensitive and may also be inflamed. Although the bleeding itself may not be painful, defecation can cause pain.

　　3. Anal itching: Local inflammation or infection may irritate the anal skin, causing itching. The itching usually occurs around the anus and may be accompanied by rashes or exudate. Patients may scratch unconsciously due to the itching, further aggravating the symptoms.

　　4. Prolapsed hemorrhoids: Long-term constipation or increased intra-abdominal pressure and other factors may weaken the pelvic floor muscles and anal sphincter function, causing the submucosa of the rectum to prolapse outside the anus, resulting in rectal prolapse. Hemorrhoids may also protrude outside the anus during defecation, manifesting as a bulge or mass in the anal area.

　　5. Difficulty in bowel movements: As hemorrhoids gradually enlarge, they may block the anus, thus affecting normal defecation. Patients may experience symptoms such as a thinner stool caliber and prolonged defecation time; in severe cases, manual assistance may even be required to evacuate the bowels.

　　If any discomfort symptoms appear, it is recommended to visit a hospital promptly and follow medical advice for treatment.