Hemorrhoids or Colorectal Cancer?

Because both can cause rectal bleeding, patients frequently worry about this distinction. Symptoms overlap, and the two conditions can also coexist, which is why self-diagnosis is unreliable.

Findings more suggestive of hemorrhoids

Bright red blood on the paper or dripping after defecation
Itching, a sensation of swelling or a reducible lump
Symptoms fluctuating with constipation or straining

Findings that require prompt investigation

Blood mixed within the stool or dark, tarry stools
Persistent change in bowel habit or pencil-thin stools
Unintended weight loss, fatigue or anaemia
New symptoms at or after the age of 45
Family history of colorectal cancer or polyps

Why both can be present

Finding hemorrhoids on examination does not exclude a lesion higher in the colon. When risk factors or alarm features are present, colonoscopy is advised even if hemorrhoids are visible.

This page is for general information only

The content here is not a diagnosis or treatment recommendation and does not replace an individual medical evaluation. If your symptoms persist, consult a physician. In emergencies call 112 or the nearest emergency department.

Symptoms Treatments FAQ

Frequently asked questions

Can hemorrhoids turn into cancer?

No. Hemorrhoids do not transform into cancer, but they can mask symptoms of another condition.

Do I need colonoscopy if hemorrhoids are found?

It depends on age, risk factors and whether alarm features are present; the decision is individual.

How quickly should I be seen?

Alarm features warrant prompt assessment rather than watchful waiting.