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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 may develop painful blood clots. If this happens, theyâre called thrombosed hemorrhoids. Internal hemorrhoids may prolapse, which means they drop through the rectum and bulge from the anus. External or prolapsed hemorrhoids can become irritated or infected and may require surgery.