[header] How to tell if you have internal hemorrhoids [title] Be aware of bleeding during a bowel movement. [step] You might notice some blood on the toilet paper or in the toilet bowl. This is the most common symptom of an internal hemorrhoid. 
[substeps] Blood or mucus in your stools can be a symptom of other illnesses as well. It can signal colorectal cancer or anal cancer, as well as hemorrhoids.