What Are The Types Of Hemorrhoids
Hemorrhoids can happen inside or outside the rectum. The type depends on where the swollen vein develops. Types include:
- External: Swollen veins form underneath the skin around the anus. Your anus is the canal where poop comes out. External hemorrhoids can be itchy and painful. Occasionally, they bleed. Sometimes they fill with blood that can clot. This is not dangerous, but can result in pain and swelling.
- Internal: Swollen veins form inside the rectum. Your rectum is the part of the digestive system that connects the colon to the anus. Internal hemorrhoids may bleed, but they usually arent painful.
- Prolapsed: Both internal and external hemorrhoids can prolapse, meaning they stretch and bulge outside of the anus. These hemorrhoids may bleed or cause pain.
Is It A Hemorrhoid Or Something Else
Dr. Pickron: Most of the patients we see for anorectal pain don’t have hemorrhoids, but everybody has hemorrhoids to some degree.
Dr. Miller: Most don’t.
Dr. Pickron: Most don’t, but the real causes of pain are more things like fissures, an abscess, and other things that aren’t hemorrhoids.
Dr. Miller: Fissures can be incredibly painful.
Dr. Pickron: They’re horrible.
Dr. Miller: What causes a fissure?
Dr. Pickron: Usually it’s a tear and it happens directly in the front or directly in the back. Most of the time these things heal up just fine, but if they don’t and they get deep enough to where the anal sphincter gets irritated . . .
Dr. Miller: Ouch.
Dr. Pickron: . . . then you get a spasm of that muscle and that prevents the tear from healing and then you just enter this vicious cycle that just won’t quit.
Dr. Miller: So you use different therapies to try to repair that.
Dr. Pickron: Yeah, generally we focus not so much on the tear but on the muscle itself because if we could make the muscle relax and stop the spasm then the tear generally heals just fine on its own.
They Limit Their Screen Time
Whether it’s your tablet, phone, computer, or TV, screen time tends to be idle time. And let’s face it: It’s so easy to overeat while you’re parked in front of a screen. So give yourself a curfew: You’re only going watch or surf for a certain amount of time a day.
Consider this: The average American watches 28 hours of TV per week, but 62% of people in the National Weight Control Registry, who have all lost 30 pounds or more and kept it off for at least a year, watch 10 or fewer hours per week.
Don’t Miss: When To Seek Medical Help For Hemorrhoids
Be Careful Hemorrhoid Can Burst If Becomes Thrombosed
2 minute read
Hemorrhoids are swollen veins within and around the anal canal. The veins around the anus tend to stretch under the increased pressure and may be swollen. If you have experienced an acute anal pain with per rectal bleeding related to the bowel movements, it is highly recommended to seek for an urgent medical attention. This could be the signs and symptoms of ruptured hemorrhoids.
Symptoms Of Thrombosed External Hemorrhoids
External hemorrhoids can be felt as bulges at the anus, but they usually cause few of the symptoms that are typical of internal hemorrhoids.
External hemorrhoids can cause problems, however, when blood clots inside them. This is referred to as thrombosis. Thrombosis of such a hemorrhoid causes an anal lump that is
- very painful,
- tender, and
- often requires medical attention.
The thrombosed hemorrhoid may heal with scarring, and leave a tag of skin protruding in the anus. Occasionally, the tag is large, which can make anal hygiene difficult or irritate the anus. Even after such a hemorrhoid goes away, a residual skin tag may remain, and this may need to be surgically removed.
Read Also: What Is The Best Solution For Hemorrhoids
How Are Hemorrhoids Diagnosed
Your healthcare provider diagnoses hemorrhoids based on symptoms and a physical exam. You may also have:
- Digital rectal exam: Your provider inserts a gloved, lubricated finger into the rectum to feel for swollen veins.
- Anoscopy: Your provider uses an anoscope to view the lining of the anus and rectum.
- Sigmoidoscopy: Your provider uses a sigmoidoscope to view inside the lower part of the colon and rectum. Procedure types include flexible sigmoidoscopy and rigid sigmoidoscopy .
These tests may be uncomfortable but arent painful. They typically take place in a doctors office or outpatient center without anesthesia. You go home the same day.
Your provider may perform a colonoscopy to confirm findings from other tests or check for signs of colon cancer. This outpatient procedure requires anesthesia.
Your Internal Hemorrhoid Problem
Visit your doctor to learn more about this issue and discuss the treatment approach that’s right for you. To find a local colorectal specialist, try our Find a Doctor database.
As with all medical issues, your physician is the ultimate source as to what procedure best fits your needs. Discuss all options and get a second opinion if you have any doubts. These articles are intended to be a source of general information only.
Don’t Miss: Does Cortizone 10 Help Hemorrhoids
How Hemorrhoids Are Diagnosed
In diagnosing hemorrhoids your doctor will talk with you about your health history and will conduct a physical exam, checking your rectum with a gloved finger.
However, if your doctors initial exam does not show a clear cause of your rectal bleeding, she may use:
- A lighted scope to look at the lower third of your colon, or
- Acolonoscope to look at the entire colon
How To Get Rid Of Internal Hemorrhoid Pain
Internal hemorrhoids are located in the lower rectal region where we do not have many nerves that can sense pain.
While internal hemorrhoids are typically not painful, protruding hemorrhoids can be.
These protruding or prolapsed hemorrhoids form when internal hemorrhoids fall through the anal opening.
Prolapsed hemorrhoids can lead to pain, discomfort, and itching.
Another factor of pain associated with protruding hemorrhoids is the occurrence of pruritus ani, or the itching and irritation of the anal opening.
Pruritus ani is when bacteria and mucus collects around the anal opening.
This itching and irritation can also be painful if you are constantly attempting to relieve it by scratching or persistent wiping with toilet paper.
Don’t Miss: How To Hemorrhoids Go Away
Treatment Of Ruptured Hemorrhoids
Ruptured hemorrhoid with excessive per rectal bleeding usually happens from the external hemorrhoid. The primary treatment option is to have the hemorrhoid removed, known as hemorrhoidectomy. It is considered as the most effective approach for this issue with rapid recovery and quickly return to daily activities. Depending on the severity, surgery can be arranged as a Day Surgery procedure or outpatient procedure without hospitalization.
Can Hemorrhoid Pain Radiate
In rare cases, hemorrhoids can create pressure on nerves and cause pain elsewhere.
Except in rare cases, radiating pain is not generally linked to hemorrhoids.
Anal fissures, which are tears in the lining of the anal canal, are more likely to cause radiating pain.
While many cases of external or thrombosed hemorrhoids are accompanied by pain, there are many ways to control the pain associated with hemorrhoids.
How To Ease Hemorrhoid Pain While Pooping
Constipation is one of the leading causes of hemorrhoid pain. For those with external hemorrhoids, bowel movements can be particularly painful.
To ease the pain associated with hemorrhoids, include more fiber in your diet to ensure your stool is soft. Drink plenty of fluids and exercise regularly. Avoid laxatives, as they can make your hemorrhoids worse.
Dont wait too long to use the bathroom. If you need to have a bowel movement, waiting to go will cause your stool to become drier and harder.
Practice proper hygiene, especially after your bowel movement. Rinsing in the shower can be helpful to both hygiene practices and easing the pain of wiping.
Avoid straining during your bowel movements. Elevating your feet can also be very helpful.
Place a step stool at the base of your toilet to change the position of the rectum and allow easier stool passage.
Dealing with hemorrhoids after pregnancy can be very trying. Be sure to take a ganders at our full guide on dealing with hemorrhoids when pregnant.
Bad Smell Around The Anus
Hemorrhoids can cause feces and mucus to leak out of the anus, which may lead to a foul smell. There may also be other causes for this though, among them:
Anal fistula or anal abscess
An anal fistula can result in a bad smelling discharge from the anus. Another symptom of anal fistula is a mild, intermittent pain around the anus. A constant, throbbing pain that is even more pronounced when sitting down, having a bowel movement or when coughing can be the result of an anal abscess that often precedes an anal fistula.
Proctitis and anusitis
Proctitis and anusitis are conditions where the rectum and anus become inflamed. These conditions can cause bad-smelling discharge. Someone with these conditions will also likely experience a frequent urge to have a bowel movement, pain and a feeling a fullness in the rectum.
Fecal incontinence and anal cancer
A bad smell could be caused by fecal incontinence, which can be a sign of anal cancer. Seek prompt medical attention in all cases where anal cancer is suspected.
Don’t Miss: What Makes Hemorrhoids Go Away
Severity Of Ruptured Hemorrhoids
If the hemorrhoid bursts, an emergency care must be sought. The serious complication thats caused by excess blood loss are dizziness, faintness or even hypotension/shock. However, per rectal bleeding can also be a particular sign of other disease conditions, such as colorectal and anal canal cancer. Owning to the fact that these conditions mutually share the certain presentations, careful physical examination and subsequent appropriate diagnostic tests conducted by expert specialists are highly recommended.
Once the hemorrhoid bursts, an immediate care should be provided as to follow the steps:
- Gentle compression using clean soft cloths or sanitary napkins to stop the bleeding.
- Apply cold compression or cold sitz bath to reduce the inflammation and to stop the bleeding.
If per rectal bleeding persists and the following symptoms develop: palpitation, dizziness, faintness and cold hands and/or feet, an immediate medical attention must be obtained.
Prolonged Pain From Hemorrhoids
Jim C over a year ago
over a year ago
In reply to Jim C on 2007-01-18 – click to read
liz_m59323 over a year ago
My colorectal surgeon told my that with my grade IV he would not recommend the staple because of relapse. I was not going to go through the surgery twice, so I opted for total excision. The excision, went every well because the surgeon was NOT aggressive in his approach. If you remove too much rectal mucosa that is when stitcture/stenosis and other complications occur. I am fortunate I had a great surgeon.
I’m glad to hear that this went really well. Can you tell me which surgeon you went with? I hope that’s not too nosy but I’d like to know if that’s an option I could go with. Thanks!
Guest over a year ago
Guest over a year ago
Read Also: What Is The Best Ointment For Hemorrhoids
What Should I Do If A Hemorrhoid Bursts
A burst hemorrhoid usually doesnt require any treatment. But you may want to take a sitz bath to soothe the area and keep it clean while it heals. A sitz bath can also help to increase blood flow to the area, which aids the healing process.
To take a sitz, bath, follow these steps:
- Fill a clean bathtub with 3 to 4 inches of warm water make sure its not too hot.
- Soak the area for 15 to 20 minutes.
- Try bending your knees or putting your legs over the edge of the tub to make sure the areas submerged.
- Gently pat dry the area with a clean towel, making sure you dont rub or scrub.
Treatments For Fissures And Hemorrhoids
Dr. Miller: When do you treat a fissure or hemorrhoids with a procedure?
Dr. Pickron: I’ll talk about the fissures first and probably maybe 10 or 20% of those are actually treated surgically. We have creams that we can use that generally take care of things. If that doesn’t work, Botox injection is an option. If those don’t work, then the last resort is certainly surgery.
Dr. Miller: So that’s treatment for fissures, how do you treat hemorrhoids?
Dr. Pickron: Again, most of these are treated non-operatively. There are procedures in the office we do. The most common thing we do is a procedure called rubber band ligation, where we put rubber bands around the hemorrhoids on the inside. That sounds pretty painful, but truthfully the internal hemorrhoids really have no sensation, so it’s a very easy procedure to do and very well tolerated. It’s usually just some mild pressure for about 24 hours and that’s it. The ones that do need to be treated surgically, like I said, are typically the external ones and those are, fortunately for patients, fairly rare.
Dr. Miller: It would seem to me to be rare, but are there times that the pain could be induced by something like a cancer?
Dr. Pickron: It is. That’s certainly one reason that these symptoms need to be evaluated very thoroughly.
Dr. Miller: So if they’re going on for weeks, that’s something that probably ought to be looked at?
Also Check: What Causes Hemorrhoids In Males
How To Get Immediate Relief From Painful Hemorrhoids
Are you looking for ways to relieve painful hemorrhoids now?
These practical techniques by Pelvic Floor Physiotherapist Michelle Kenway help you know how to gain immediate relief.
Read on now for hemorrhoid relief with:
- 9 ways to relieve hemorrhoids now
- Typical hemorrhoid symptoms
- What causes hemorrhoids
What Causes Hemorrhoids
Traditionally, hemorrhoids are associated with chronic constipation, straining during bowel movements, and prolonged sitting on the toilet all of which interfere with blood flow to and from the area, causing it to pool and enlarge the vessels. This also explains why hemorrhoids are common during pregnancy, when the enlarging uterus presses on the veins.
More recent studies show that patients with hemorrhoids tend to have a higher resting anal canal tone that is, the smooth muscle of the anal canal tends to be tighter than average . Constipation adds to these troubles, because straining during a bowel movement increases pressure in the anal canal and pushes the hemorrhoids against the sphincter muscle. Finally, the connective tissues that support and hold hemorrhoids in place can weaken with age, causing hemorrhoids to bulge and prolapse.
Read Also: How Do You Get Hemorrhoids
Change In Bowel Habits
With a prolapsed internal hemorrhoid you may develop the sensation that you cant fully evacuate your bowels. You may also notice a mucous discharge or difficulty cleaning yourself following a bowel movement because of displaced toilet tissue.
These symptoms can be uncomfortable but easily treated with medical intervention.
Hemorrhoids: Signs Symptoms And Complications
Andy Miller, MD, is board-certified in internal medicine and infectious disease. He is an associate professor at Weill Cornell Medicine in New York City.
For most people, the signs and symptoms of hemorrhoidsitchiness, swelling, discomfortwill be mild and respond to home remedies. In a minority of cases, however, hemorrhoid signs and symptoms will be severe enough that they require treatment from a physician. Rarely, hemorrhoids that cause significant blood loss or a blood clot can be life-threatening. It’s important to note that one of the chief calling cards of hemorrhoids, blood in or on the stool or on toilet paper, should never be considered normal. While the cause could indeed be hemorrhoids, a more serious condition could be afoot.
Hemorrhoids can come with external and/or internal symptoms, depending on how they form.
Hemorrhoids on the outside of the anus are known as external hemorrhoids. A hard lump might be felt in that area and can often be uncomfortable because it is irritated by bowel movements and by wiping with toilet paper. External hemorrhoids are painful because of the many nerve endings located on the skin around the anus.
Recommended Reading: Is There Medication For Hemorrhoids
Different Kinds Of Hemorrhoids Can Cause Similar Symptoms
When internal hemorrhoids do progress, they will often protrude outside the anus, becoming prolapsed hemorrhoids. You can read about prolapsed hemorrhoids in several of our blog posts: Prolapsed Internal Hemorrhoids, What is a Prolapsed Hemorrhoid, and Rectal Prolapse or Hemorrhoids?). An internal hemorrhoid that has reached this stage can cause some external hemorrhoid-like symptoms, such as itchiness and swelling. Since prolapsed hemorrhoids and external hemorrhoids can cause similar symptoms, its sometimes difficult to know which is which without a doctors professional diagnosis. It is also not uncommon for both to be present at once.
How To Soar To Self
Different Types of Hemorrhoids
There are two types of hemorrhoids: external and internal. External hemorrhoids arise from the anal canal, while internal hemorrhoids arise from the rectum, immediately above the anal canal. According to Cuckoo Choudhary, MD, associate professor of gastroenterology at Thomas Jefferson University in Philadelphia, one type is not worse than the other, but both can cause problems. “It all depends on the size and degree of the hemorrhoid,” Dr. Choudhary says. “Untreated internal hemorrhoids can cause bleeding. External hemorrhoids can cause thrombosis , which gives way to severe pain from hemorrhoidal strangulation.”
Know When to See Your Doctor
Though the annoyance of hemorrhoids can be reason enough to call your doctor, use this checklist to know when a visit is a must:
- If you’re experiencing any type of rectal bleeding
- If the hemorrhoids are causing you pain or discomfort
- If the problems persist despite trying over-the-counter hemorrhoid creams or other remedies
- If you’re passing stools that look maroon in color or tarry in color, a sign of bleeding
If you experience a large amount of rectal bleeding that is accompanied by dizziness or faintness, be sure to seek emergency medical care immediately.
You May Like: What Kind Of Food Is Good For Hemorrhoids