Internal

Is often painless rectal bleeding found in toilet bowel or on toilet paper.

Treatment is often increasing fiber and other creams to promote healing
   -  Citrucel
   -  Metamucil
   -  Rowasa supp
   -  Sitz bath
   -  Anucort cream
   -  Rubber band ligation in some circumstance may be appropriate

External

Sudden onset of pain and often bleeding on toilet paper.

Frequent follow straining with bowel movement
  
Treatment
   -  Anucort cream
   -  Rubber band ligation in some circumstance may be appropriate