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Internal haemorrhoids are more likely to cause symptoms, which include: Bleeding (fresh blood may be seen on toilet paper, in the toilet following defecation or on the stool surface) Anal itching and irritation (due to discharge of mucus) Discomfort following defecation Mucus associated with stools Third or fourth degree haemorrhoids may impair fecal continence (eg, they may prevent the anal sphincter closing properly) Occasional, additional symptoms arise due to complications of the haemorrhoids

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