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Other symptoms include itching and bleeding There are three types of hemorrhoids External hemorrhoids are distal to the dentate line Internal hemorrhoids are proximal to the dentate line Mixed hemorrhoids are located both proximal and distal to the dentate line Internal hemorrhoids (above the dentate line): no pain, but bright red blood per rectum Internal hemorrhoids typically manifest with bleeding after defecation

However, if you have a sensitive stomach, taking them with a light snack is perfectly fine

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Your doctor can distinguish between the two with a properly collected midstream urine test