You notice itching, discomfort, or a bit of blood—and suddenly you’re searching what hemorrhoids look like. Many people expect a single, clear picture, but hemorrhoids don’t have just one appearance.
They can look different depending on where they are, how severe they are, and whether a blood clot is present. This uncertainty often causes unnecessary worry.
Quick Answer:
Hemorrhoids look like swollen or bulging veins in or around the anus. They may appear as small skin-colored lumps, red or purple bumps, or invisible internal swelling that causes bleeding.
This article is for educational purposes and does not replace medical advice.
🧠 What Does Hemorrhoids Look Like?
When people ask what do hemorrhoids look like, they’re usually trying to match symptoms with appearance. Hemorrhoids are inflamed blood vessels caused by pressure from straining, constipation, pregnancy, or prolonged sitting.
Internal Hemorrhoids (Inside the Rectum)
- Not visible from the outside
- Often painless
- Common internal hemorrhoids symptoms include:
- Bright red blood on toilet paper
- A feeling of fullness
- Bright red blood on toilet paper
- May protrude outward in later hemorrhoids stages
External Hemorrhoids (Outside the Anus)
- External hemorrhoids look like small bumps or lumps near the anal opening
- Can be:
- Skin-colored
- Red
- Swollen
- Skin-colored
- Often itchy, tender, or painful
Thrombosed Hemorrhoids
- A type of external hemorrhoid with a blood clot
- Thrombosed hemorrhoids appearance:
- Dark purple or blue
- Firm to the touch
- Often very painful
- Dark purple or blue
In short:
Hemorrhoids = swollen veins = bumps, bleeding, or discomfort depending on type.
👁️ Detailed Visual Description of Hemorrhoids
For people searching for pictures of hemorrhoids explained, here’s what medical images usually show:

- Size:
- Ranges from pea-sized to grape-sized
- Ranges from pea-sized to grape-sized
- Texture:
- Soft and spongy (early)
- Firm and tense (thrombosed)
- Soft and spongy (early)
- Color:
- Skin-colored or pink (mild)
- Red or purple (inflamed)
- Blue-black (blood clot present)
- Skin-colored or pink (mild)
- Surface:
- Smooth or slightly shiny
- May look stretched or swollen
- Smooth or slightly shiny
Swollen hemorrhoids may increase in size after bowel movements and shrink later.
📍 Where and When Hemorrhoids Are Commonly Noticed
Hemorrhoids usually become noticeable during specific situations:

- 🚽 During or after bowel movements
- 🤰 Pregnancy and postpartum period
- 🪑 Long hours of sitting
- 🏋️ Heavy lifting
- 🍔 Low-fiber diets causing constipation
Many people first notice hemorrhoids bleeding or small hemorrhoids bumps rather than pain.
💬 Signs of Hemorrhoids in Real Life
Here are realistic symptom-based scenarios:

Example 1
“I feel a painful hemorrhoids lump when I sit.”
Example 2
“There’s blood when I wipe, but no pain.”
→ Common internal hemorrhoids symptoms
Example 3
“I noticed small hemorrhoids bumps near the anus that itch.”
Example 4
“There’s a dark purple bump and it hurts badly.”
→ Typical thrombosed hemorrhoids appearance
Example 5
“It feels swollen after bowel movements.”
→ Early hemorrhoids stages
🕓 How to Identify Hemorrhoids (When to Worry vs When Not To)
Understanding how to identify hemorrhoids helps reduce anxiety.
✅ Usually Not Serious
- Mild itching or swelling
- Occasional bleeding
- Symptoms improve within days

❌ See a Doctor If You Have:
- Heavy or persistent bleeding
- Severe pain or fever
- A hard lump that doesn’t shrink
- Symptoms lasting more than 7–10 days
Hemorrhoids Stages Explained
| Stage | Appearance | What It Means |
| Stage 1 | Internal swelling | Often painless |
| Stage 2 | Protrudes during bowel movement | May bleed |
| Stage 3 | Needs manual pushing back | Discomfort |
| Stage 4 | Permanently outside | Medical care needed |
🔄 Hemorrhoids vs Anal Fissure (and Other Look-Alikes)
Many people confuse hemorrhoids vs anal fissure because both cause pain and bleeding.
| Condition | Appearance | Key Difference |
| Hemorrhoids | Swollen bumps or veins | Vein-related |
| Anal fissure | Small tear or crack | Sharp pain |
| Skin tags | Loose skin | No bleeding |
| Abscess | Red, warm swelling | Fever present |
| Rectal prolapse | Tissue protrusion | Larger mass |
❓ FAQs About What Does Hemorrhoids Look Like
Q1: What do hemorrhoids look like externally?
They look like small swollen bumps near the anus, sometimes purple or red.
Q2: Can hemorrhoids look like pimples?
Yes, small hemorrhoids bumps are often mistaken for pimples.
Q3: Are hemorrhoids dangerous?
Most are harmless, but ongoing symptoms should be checked.
Q4: Do hemorrhoids always bleed?
No, but hemorrhoids bleeding is common with internal types.
Q5: Could it be something more serious?
Persistent bleeding or weight loss should always be evaluated.
Q6: How long do hemorrhoids last?
Mild cases may resolve in days; severe cases last weeks.
Q7: Can hemorrhoids burst?
Thrombosed hemorrhoids may rupture and bleed suddenly.
Q8: Are hemorrhoids related to cancer?
No, but symptoms can overlap—medical confirmation is important.
✅ Conclusion
If you’re searching what hemorrhoids look like, you’re trying to understand a common but confusing condition. Hemorrhoids appearance varies—from invisible internal swelling to painful external lumps and thrombosed bumps.
Knowing the signs of hemorrhoids, their stages, and how they differ from other conditions helps you respond calmly and appropriately.
If symptoms worsen, last longer than a week, or cause concern, seeing a healthcare professional is always the safest choice.

Mitcheel Satrac is a passionate visionary dedicated to creativity, innovation, and meaningful success. His work reflects authenticity, purpose, and a drive to make a real impact.