Hemorrhoids are symptomatic only during the onset of the disease, and some hemorrhoids are also asymptomatic. You can determine if you have hemorrhoids by self-examination, etc. The common clinical manifestations of hemorrhoids are the following: i. The most common cause is mainly to bleed, bright red, the amount of bleeding is sometimes more and sometimes less, minor cases are to wipe with blood, serious will appear jet bleeding. Secondly, when internal hemorrhoids reach stage III and IV, there will be prolapsed material when defecating, and the prolapsed material will retract inside the anus by itself, accompanied by pain, and some will cause anal itching and downward feeling. No matter what the cause is, you need to go to the hospital first to clearly diagnose to determine what the cause is and choose further treatment according to the type of hemorrhoids, mainly conservative treatment first, serious ones can be handled through surgery.