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When they bleed, then, they only produce a very small amount of actual blood. Mucus often mixes with the blood that a person sees with bleeding hemorrhoids, though. When the mucus mixes in with the blood, it can cause it to appear to be more copious. In reality, though, the actual blood present is very small; the majority of what is actually seen is simply mucus.
Signs and symptoms of hemorrhoids may include: 1  Painless bleeding during bowel movements â you might notice small amounts of bright red blood on your toilet tissue or in the toilet bowl. 2  Itching or irritation in your anal region. 3  Pain or discomfort.ometimes blood may pool in an external hemorrhoid and form a clot (thrombus), resulting in severe pain, swelling and inflammation. When to see a doctor. Bleeding during bowel movements is the most common sign of hemorrhoids.