Some people may never know that they actually have internal haemorrhoids until they become irritated.
Internal haemorrhoids generally don’t hurt, because there are very few pain-sensing nerves in the area they are located. The first sign that you have internal piles is usually blood spots on the toilet paper you’ve used after you’ve been for a bowel movement (poo).
There are other signs to look out for with internal piles, such as an itchy bum. This is caused by a discharge that may occur, which can make your bottom sore and uncomfortable. The temptation to scratch your bottom can be overwhelming, but that can make matters worse. There are over the counter products available at your local pharmacy that offer relief from itching.