Internal hemorrhoids and external hemorrhoids have different locations and different symptoms. 1. different location: hemorrhoids growing above the dentate line is internal hemorrhoids, hemorrhoids growing below the dentate line is external hemorrhoids. 2. Symptoms are different: the main symptom of internal hemorrhoids is an abnormal protrusion at the anal opening and bleeding. Because the main core of internal hemorrhoids is blood vessels, so the mucous membrane erosion will appear after the bleeding, manifested in the stool with bright red blood, the amount of blood is not much, sometimes there are drops of blood after stool, and sometimes it is jet-like bleeding after stool. The main symptom of external hemorrhoids is a skin flap or protrusion outside the anus. If there are inflammatory changes, it will be secondary to inflammatory external hemorrhoids, which may be painful and accompanied by a small amount of bleeding. In the case of thrombosed external hemorrhoids, the main symptom is pain, and medication is not effective. Most people have mixed hemorrhoids, both internal and external. If you have any of the above symptoms, it is recommended that you consult a doctor in time for examination and reasonable treatment, so as to avoid delaying the aggravation of your condition.