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An external hemorrhoid can be diagnosed by examination and the symptoms they cause. A hemorrhoid can be felt as a bulging lump of tissue that protrudes from the rectum. In some cases, the only symptom that comes from these types of hemorrhoids is the protruding clump of tissue. This clump of tissue can be painless, but it can make it difficult to perform good anal hygiene.
Sometimes a hemorrhoid can bleed with the passage of hard stool or by irritation from wiping with rough toilet tissue. Since rectal bleeding can be a sign of a more serious condition, it is a good idea to make an appointment to confirm the bleeding is coming from hemorrhoids.