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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.
Unfortunately, it only temporarily masks the symptoms by shrinking hemorrhoid tissue with a chemical called phenylephrine. It does not treat the cause of hemorrhoids. The hemorrhoids will subside, but return after a few weeks or months with more severe pain and bleeding. Using a cream to mask symptoms but not treating the real source of the problem is the number one reason people end up at the doctor's, needing major treatment or surgery.