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Piles (Haemorrhoids)

Updated 08 August 2018

Symptoms of haemorrhoids

Bright-red blood on the stool could be a sign of haemorrhoids. What else should you look out for?

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Usually, painless bright red blood appears on the stool, on toilet paper, or in the toilet bowl.

Symptoms may, however, depend on the location of the haemorrhoid (internal or external).

Other symptoms may include:

  • Pain or discomfort in the anal area
  • Itching in the anal area 
  • Swelling around the anus
  • A lump that can be felt in or around the anus
  • Difficulty maintaining anal hygiene


Reviewed by Dr Britta Dedekind, General Surgeon at Christiaan Barnard Memorial Hospital. MBChB, FCS (SA), MMED (UCT). April 2018.