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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.
External hemorrhoids occur under the skin around the anus and can be exquisitely painful. Damage to the delicate surface of a hemorrhoid may cause it to bleed. Signs and symptoms of hemorrhoids may include blood in the stool, itching or irritation in the anal region, and a painful swelling or lump around the anus. The Mayo Clinic estimates just about 50-percent of adults have experienced hemorrhoid symptoms by the age of 50.