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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.
Internal hemorrhoids generally are painless but can cause bleeding. They can cause bright red rectal bleeding, but if you have bleeding, don't assume it's hemorrhoids, says Patricia Raymond, MD, of Chesapeake, Va. Colorectal cancer can also cause rectal bleeding, so you need to see your doctor to rule out cancer or other serious causes of rectal bleeding.