I’ve had piles since my youngest was born 5 years ago and have been through 3 births, the 2nd being the worst. They are internal and don’t generally cause much problem but they can be very itchy and they do bleed sometimes when I go to the toilet, mainly seen on the toilet roll, always bright red in colour. I had a shower this morning and think I may have dried myself too hard and irritated them as this is the first time I have noticed blood spotting In my underwear near that area, it is only a small amount but wondered if this was likely to be the cause? Nothing to make me be concerned otherwise