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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.
But straining or irritation when passing stool can damage a hemorrhoid's delicate surface and cause it to bleed. Occasionally, straining can push an internal hemorrhoid through the anal opening. This is known as a protruding or prolapsed hemorrhoid and can cause pain and irritation.External hemorrhoids are under the skin around your anus. When irritated, external hemorrhoids can itch or bleed.ometimes blood may pool in an external hemorrhoid and form a clot (thrombus), resulting in severe pain, swelling and inflammation. When to see a doctor. Bleeding during bowel movements is the most common sign of hemorrhoids.