Not All Hemorrhoids Are Harmless—Here’s When to Call a Doctor
For most people, hemorrhoids improve with home care, and research suggests that as many as 80% of cases do not require medical intervention. (Source: American Society of Colon and Rectal Surgeons) That means simple changes—like increasing fiber, staying hydrated, and using over-the-counter treatments—can often bring relief.
But while hemorrhoids are common, they aren’t the only cause of rectal discomfort. Sometimes, persistent or severe symptoms signal something more serious, like a thrombosed hemorrhoid, infection, or even a gastrointestinal condition.
This article is not a substitute for medical advice. If you have persistent or worsening symptoms, seek professional evaluation to rule out more serious conditions, such as colorectal cancer, inflammatory bowel disease (IBD), or infections.
Red Flags That Mean It’s Time to See a Doctor
Most hemorrhoids can be managed at home, but certain symptoms should not be ignored. If your symptoms go from "mildly annoying" to "okay, this is a problem," it’s time to get checked out.
1. Severe or Persistent Bleeding
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A small amount of bright red blood on toilet paper? Likely just a hemorrhoid.
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Excessive bleeding, dark blood, or blood that doesn’t stop? Could indicate something more serious.
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Chronic bleeding can lead to anemia, causing fatigue, dizziness, or shortness of breath.
Possible Causes:
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Internal hemorrhoids (more severe cases)
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Anal fissures
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Colon polyps or colorectal cancer
💡 When to Call a Doctor: If bleeding lasts more than a week, is excessive, or is accompanied by dizziness or fatigue.
"At first, I thought the blood was from wiping too hard, but when it didn’t go away after a week, I made the call. Turns out, it was time for a proper check-up." — Eric, 47
2. Intense, Prolonged Pain
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Mild discomfort is normal, especially with external hemorrhoids.
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Sharp, intense pain that doesn’t go away? Could be a thrombosed hemorrhoid, abscess, or anal fissure.
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Thrombosed hemorrhoids can require medical removal, and delaying treatment can prolong discomfort.
Possible Causes:
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Thrombosed external hemorrhoid
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Perianal abscess
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Fissures (small tears in the anal canal)
💡 When to Call a Doctor: If pain is severe, lasts more than a few days, or worsens despite at-home treatments.
"I tried every cream and wipe out there, but the pain just kept getting worse. My doctor ended up removing a clot, and relief was almost instant." — Maria, 50
3. Hard Lumps That Don’t Go Away
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External hemorrhoids usually shrink over time with proper care.
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A firm, unmovable lump that sticks around could indicate a thrombosed hemorrhoid or an abscess.
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Abscesses require medical treatment, as they can lead to infection or serious complications.
Possible Causes:
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Persistent external hemorrhoid
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Thrombosed hemorrhoid
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Perianal abscess
💡 When to Call a Doctor: If a lump remains for more than two weeks, is painful to the touch, or appears infected (red, warm, or oozing pus).
"I kept thinking the swelling would go down, but after two weeks, it was still there. I finally saw a doctor, and I’m so glad I did." — Dave, 39
4. Unexplained Weight Loss or Fatigue
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Hemorrhoids alone shouldn’t make you feel weak, tired, or cause weight loss.
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Unintended weight loss and persistent fatigue could signal anemia from chronic bleeding or a more serious gastrointestinal issue.
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Colorectal cancer, Crohn’s disease, and ulcerative colitis can all cause rectal symptoms that mimic hemorrhoids.
Possible Causes:
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Chronic blood loss from undiagnosed internal hemorrhoids
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Colorectal cancer
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Inflammatory bowel disease (Crohn’s or ulcerative colitis)
💡 When to Call a Doctor: If you experience unexplained weight loss, ongoing fatigue, or other systemic symptoms along with hemorrhoid-like issues.
"I ignored my symptoms for months, assuming it was stress. Turns out, something bigger was going on, and catching it early made all the difference." — Sandra, 55
Don’t Tough It Out—Get Checked Out
If anything on this list sounds familiar, don’t ignore it. A quick doctor’s visit can provide clarity, peace of mind, and, if needed, a treatment plan.
When to Call a Doctor Immediately
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Severe rectal bleeding that won’t stop
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Sudden, intense pain, especially with swelling
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High fever, pus, or signs of infection
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Unexplained weight loss or prolonged fatigue
💡 Remember: Many people assume hemorrhoids are the only possible cause of rectal discomfort, but other conditions can have similar symptoms. If something doesn’t feel right, it’s better to be safe and get checked out.
Disclaimer: This Blog Is for Informational Purposes Only
This article is not intended as medical advice and should not replace professional medical care. If you are experiencing persistent, worsening, or severe symptoms, consult a healthcare provider immediately.