·        Pain or ache around the anus and lower bowel (rectum), which can     be really quite severe.

·        There may be itching of the area especially after passing motions.

·        There may be bleeding from the back passage. This will be bright red blood, not usually mixed in with the motion, but often seen on the toilet paper.

·        There is often a feeling of something coming down, or a bulge or lump at the anus.

·        If a haemorrhoid at the outside of the anus gets a blood clot in it (thrombosed external pile) it leads to a particularly tender, hardish lump.