I think I have an internal hemorrhoid. 2 months ago, I started seeing small traces of blood on the TP when I wiped. I thought it was just dry and irritated from wiping with the dry paper, so I started using moist baby wipes. It’s been nicer with the baby wipes (feel cleaner), but I still see traces of blood on TP and wipes. I recently had a scare where I saw A LOT of of bright red blood in the toilet, and on the tissue. I didn’t feel pain, and I wasn’t leaking blood or anything serious. I waited it out, and next session was fine….no traces of blood whatsoever. Still concerned, so I started doing research, and internal hemorrhoids seems to fit the bill (no external hemorrhoids). I started taking a lot of Benefiber and drinking lots of fluids, and ever since I haven’t had a horrific bloody episode, but I still find traces of blood here and there when wiping, nothing serious. I also haven’t had any abdominal or rectal pain…..at all!

My question is….If I maintain a high fiber diet, consume lots of water, not strain and not have long sessions on the toilet; should I be concerned that internal hemorrhoids will get any worse? Will they ever go away on their own?

If your answer is "go see a doctor", then don’t bother answering my question!
I have a high deductible insurance policy, so I like to save the visits for more serious things, and from my research, it sounds like internal hemorrhoids aren’t serious, especially with my mild symptoms. Like I said, I’ve improved my diet and habits, and it’s been good. I’m just concerned about the long run.
I’d like to point out that within the last 4 years, I’ve had about 5 moments of proctalgia fugax….a middle of the night anal charlie horse.

My Urologist is saying I have Bladder Reflux (BR) and I need an Inter-Stim Pacemaker. After doing research I read that BR does not usually show any pain or outward symptoms but yet this Physician is in a hurry to default to this surgery and device. I am a survivor of Infantile Neuroblastoma (Cancer) and have a severely atrophied pelvis as a result of the cancer treatment. Recently I was hospitalized for severe abdominal pain (bladder area) and no urination and the "diagnosis" was Bladder Reflux which I say is BS. My take is it was either the ureter being pinched by intestines/colon in the smaller than normal pelvic area OR a muscle issue with pelvic floor or hip flexor (sp) muscles. ANY help or advice would be welcomed. I am definitely a unique case and I feel the doctors are ignoring my physical anatomy differences due to the cancer and just defaulting to the "easy" way out for them which more than likely isn’t the TRUE cause. H E L P, please.