internal hemorrhoids cannot usually be felt. The rectal exam may be deferred if there is intense pain or swelling. In addition, hemorrhoids and constipationmay be associated with anal fissures or cracks in the skin
Any rectal bleeding, no matter how slight, should always be looked at by a doctor, as the causes of rectal bleeding can include external hemroids, anal fissures, polyps, warts, fistulas, ulcers, and colorectal cancer. Nearly all of those conditions need to be treated by a doctor immediately...