When my hemorrhoids flare up, they are bad. It does not happen all the time, every few months or so. When they do I take a mirror and look at them just to make sure it isn't anything that I haven't seen before (I know it sounds disgusting, but I just have to be sure). Alright, here we go with the TMI. Everything looked normal, expect at the tip, the area closest to my anus, it was a blueish color and only that small part.