31 August 2026
Do I Have Haemorrhoids? Common Symptoms and What Else It Could Be
If you have noticed rectal bleeding, itching, discomfort or a lump around the anus, you may be wondering whether your symptoms are caused by haemorrhoids. These symptoms are common, but they can also be caused by other colorectal conditions.
What are haemorrhoids?
We all have haemorrhoidal cushions, pads of blood vessels at the top of the anal canal. They can become swollen, prolapse and bleed.
Common symptoms include:
Bright red blood after a bowel movement
Itching or irritation
A lump or swelling
Pain or discomfort
Mucus or a feeling of incomplete bowel emptying
Internal haemorrhoids are often painless but may bleed. External haemorrhoids can be painful, particularly if a blood clot develops.
What causes haemorrhoid sypmtoms?
Haemorrhoids can cause trouble when there is increased pressure in the pelvis. Common contributing factors include constipation, straining, prolonged toilet sitting, pregnancy, childbirth, heavy lifting and ongoing diarrhea.
Is rectal bleeding always caused by haemorrhoids?
No. Rectal bleeding can also be caused by anal fissures, bowel inflammation, polyps or colorectal cancer. Seek medical advice if bleeding is new, persistent or recurrent, or occurs with changes in bowel habits, unexplained weight loss, abdominal pain or anemia.
How are haemorrhoids diagnosed?
A doctor or colorectal specialist can often diagnose haemorrhoids through a discussion of your symptoms and an examination. Further investigation may sometimes be recommended, depending on your age, symptoms, and risk factors.
Intus colorectal specialists assess and treat haemorrhoids and other anal and bowel conditions across the South Island. Specialist assessment can help identify the cause of your symptoms and determine whether treatment is needed.