Hemorrhoids, also spelled haemorrhoids, are vascular structures in the anal canal.^[7][8] In their normal state, they are cushions that help with stool control.^[2] They become a disease when swollen or inflamed; the unqualified term “hemorrhoid” is often used to refer to the disease.^[8] The signs and symptoms of hemorrhoids depend on the type present.^[4] Internal hemorrhoids often result in painless, bright red rectal bleeding when defecating.^[3][4] External hemorrhoids often result in pain and swelling in the area of the anus.^[4] If bleeding occurs it is usually darker.^[4] Symptoms frequently get better after a few days.^[3] A skin tag may remain after the healing of an external hemorrhoid.^[4]