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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.
If you have severe constipation that is accompanied by abdominal pain, alternates with diarrhea, or you pass mucus or blood, call your doctor or midwife immediately. Also, straining during a bowel movement or passing a hard stool can lead to or worsen hemorrhoids, which are swollen veins in the rectal area.