Hemorrhoids occur when veins around the anus become distended. There are two types of hemorrhoids: internal (inside the anus) and external (outside the anus). External are more common, but also more difficult to treat. Some common symptoms of hemorrhoids include: painless bleeding during bowel movements itching/irritation in the anal region pain or discomfort swelling around the anus sensitive or painful lump(s) around the anus fecal leaking Hemorrhoids can be caused by heavy