Is it a problem if the stool is hard at the beginning and soft at the end when passing stool with internal hemorrhoids?

When internal hemorrhoids are present, the first part of the stool during defecation may be hard, followed by soft stool. This situation is closely related to both hemorrhoids and constipation. Constipation may be one of the factors that cause hemorrhoids, and in turn, hemorrhoids may further affect bowel movement regularity. When the stool is initially hard and then becomes soft, the hard portion may aggravate hemorrhoid symptoms such as pain and bleeding. To address this condition, it is recommended to improve dietary habits by consuming more easily digestible foods, avoiding spicy, irritating, and greasy foods, and increasing dietary fiber intake—for example, by eating more fresh vegetables and fruits—to help maintain regular bowel movements. Additionally, maintaining good bowel habits and perianal hygiene is also very important. If symptoms persist or worsen, timely medical consultation is advised.