Symptoms of External and Internal Hemorrhoids
Hemorrhoids are extremely common—millions of people experience them worldwide.
Hemorrhoids are enlarged blood vessels located in the rectum or anus. They can be internal, meaning they occur inside the rectum, or external, meaning they develop outside the anus.
Internal hemorrhoids are usually painless and may go unnoticed unless they bleed or prolapse, while external hemorrhoids can be painful and cause itching or irritation.
Symptoms of Internal Hemorrhoids
Internal hemorrhoids affect the lower rectum and anus. Unlike external hemorrhoids, which can be easily seen and felt, internal hemorrhoids are located inside the rectum and are not typically visible.
However, they can still cause discomfort and pain.
Internal hemorrhoid symptoms include the following
- Rectal bleeding
One of the primary symptoms of internal hemorrhoids is rectal bleeding. This bleeding is generally painless. It might be evident in the toilet bowl or after wiping. The bleeding is often associated with bowel movements and may be accompanied by a feeling of incomplete evacuation. - Inflammation or protrusion
Another symptom of internal hemorrhoids is the presence of a lump or swelling around the anus. This can be felt as a sensitive or painful lump or as a protrusion from the anus, known medically as a prolapsed hemorrhoid. In some cases, the lump may retract back into the rectum after a bowel movement. - Anal itching
Some patients experiencing internal hemorrhoids may experience a sensation of fullness or heaviness in the rectum. This symptom can be uncomfortable and may make it difficult to sit or move around comfortably. - Mucus leakage
Internal hemorrhoids can also cause the leakage of mucus or fecal material, creating hygiene challenges and significantly contributing to itching and discomfort.
Symptoms of External Hemorrhoids
External hemorrhoids occur when the blood vessels in the anus below the rectum become inflamed. The enlarged blood vessels can cause various symptoms that can vary in intensity.
External hemorrhoid symptoms are usually more serious and debilitating than those of internal hemorrhoids.
- Burning around the anus
One of the most common symptoms of external hemorrhoids is an itching and burning sensation around the anus. Scratching the area may provide temporary relief, but it can worsen the symptoms and lead to further complications. - Pain
Swollen blood vessels can cause discomfort, especially during bowel movements or during prolonged sitting. The pain might range from minor to severe, depending on the hemorrhoids' size and location. - Rectal bleeding
External hemorrhoids may also bleed. Bleeding can occur during bowel movements or because of straining. The blood is typically bright red and might be seen on toilet paper or in the toilet bowl.
It is critical to understand that bleeding from the rectum might also be an indication of potentially dangerous disorders. Please consult a healthcare professional if bleeding occurs. - Full sensation
External hemorrhoids can also cause a feeling of fullness or a lump near the anus, making it difficult to sit or walk. The lump may be tender to the touch and can sometimes be pushed back into the anus.
Symptoms of Thrombosed Hemorrhoids
In some cases, external hemorrhoids can become thrombosed. This means a blood clot has formed within the hemorrhoid, causing severe pain and swelling. Thrombosed hemorrhoids may require medical intervention to alleviate the symptoms and prevent complications.
Thrombosed hemorrhoids are generally external, though they can occasionally occur internally. They present the same symptoms as external and internal hemorrhoids, though some symptoms can cause medical complications.
- Darkened blue lump
One of the most prominent symptoms of thrombosed hemorrhoids is the presence of a dark blue or purple lump or swelling around the anus. This lump is usually firm and can be felt when touching the affected area. The pain associated with thrombosed hemorrhoids can range from mild discomfort to intense and excruciating. - Infection
In rare circumstances, thrombosed hemorrhoids can develop abscesses and ulceration, causing tissue death. This complication is potentially serious.
Dr. Fox - Hemorrhoid Artery Embolization
Texas Hemorrhoid Institute: Providing State-of-the-Art Endovascular Hemorrhoid Treatment
Texas Hemorrhoid Institute is a leading provider of advanced, minimally invasive hemorrhoid artery embolization (HAE) treatments for symptomatic hemorrhoids. This non-surgical procedure is designed to provide relief from the pain and distress associated with hemorrhoids.
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