Internal Hemorrhoid Treatment Options
Sometimes, all it takes is a little bit of time to ease a hemorrhoid flareup. After a few days, the inflammation and irritation may subside. Soaking in a sitz bath, resting on a soft cushion, using oral or topical pain relievers, and applying ice packs can help while you’re waiting for relief.
If your hemorrhoid causes bleeding, make an appointment with your doctor. Other colorectal conditions list bleeding as a symptom, and a doctor can confirm which one is plaguing you.
If there’s no bleeding, give the irritation a week to go away before scheduling an appointment. After that, it’s smart to see the doctor so that you can get an official diagnosis and discuss whether you’d benefit from additional treatment.
Your doctor might be most likely to recommend a procedure if your hemorrhoids are advanced or have recurred multiple times.
One of the best treatments for hemorrhoids is rubber band ligation. The doctor places a small band around the base of the inflamed tissue. This restricts blood flow, and the swollen tissue will shrivel and then fall off. Hemorrhoid banding is often recommended for Grades I through III.
Lasers can also be used for minimally invasive hemorrhoid treatment. The laser ablates the tissue so that it shrinks. This procedure is suitable for many Grade II and III hemorrhoids.
Essential Orgs For Hemorrhoid Information
This site provides a comprehensive review of what hemorrhoids are, what causes them, and how to treat them. In cases when pain is severe and hemorrhoids aren’t healing with at-home treatment, in-office treatment by a healthcare provider is necessary. This can involve surgical and nonsurgical options.
The Mayo Clinic offers trusted guidance on symptoms, causes, diagnosis, and treatment of hemorrhoids. You can also find answers to specific questions about home remedies and hemorrhoid treatment during pregnancy.
Bleeding Internal Hemorrhoids What Can You Do
ByJoy Deschaine | Submitted On March 14, 2010
Having hemorrhoids is bad enough, but having Bleeding Internal Hemorrhoids can be a bit frightening. Seeing a toilet bowel full of bright red blood after a bowel movement can make anyone a little nervous. The blood may also be seen on your toilet paper or show as ‘bright red’ on your stool.
First let me say that it is important to see your doctor if you have any rectal bleeding that you are unsure about. Make sure that what you have is indeed a hemorrhoid and then you will know exactly what you are dealing with.
When the blood vessels in the lower rectal area become swollen, and start to bulge beyond the rectal wall, is when bleeding can occur. The straining and pressure applied to the area during a bowel movement, causes the vessel to rupture and this is when the bleeding can begin. Avoiding pressure and straining on the rectal area and on the hemorrhoids is essential for them to heal.
If you choose to take a traditional medical approach, you may be surprised to find that there is no medication that can cure your hemorrhoids. Medicines can treat some symptoms for a while, but they will not keep your hemorrhoids from coming back. Guess what? There are things you can do right at home that can cure your hemorrhoids permanently for good.
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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.
Before Internal Hemorrhoid Treatment: Understanding The Condition
We all know that hemorrhoids are a pain in the rear, metaphorically and literally. But how do hemorrhoids form?
What are the symptoms that point out you have them? What causes them in the first place?
To get to the root of the problem, you need to understand the condition itself. To put it in a nutshell, hemorrhoids are swollen vessels in the region of the anus. They can occur inside or on the outer part of the anus .
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What Do External Hemorrhoids Look Like
Hemorrhoids, often referred to as piles, get their name from the Greek word haimorrhoides. If you do hear someone talking about piles, just know that piles and hemorrhoids refer to the same thing.
This means veins that are liable to discharge blood. Do external hemorrhoids go away? Yes, in most cases, they’ll go away in a few days and won’t require any medical treatment.
External hemorrhoids, unlike internal ones, are noticeable to the human eye. They are located underneath the skin that surrounds the anus.
When external hemorrhoids swell, they can be visible. When an external hemorrhoid becomes swollen, it will prolapse to the outside of the anus and can then be seen or felt.
External hemorrhoids appear as clumps of dilated blood vessels outside the opening of the anus.
When hemorrhoids swell, the veins enlarge, and their walls become stretched, causing the swollen bulges we see in external hemorrhoids.
External hemorrhoids appear in bunches as soft lumps. They are generally soft or squishy to touch and can range in size. Witch hazel is often used for external hemorrhoids.
External hemorrhoids can be as small as a pea and as large as a grape. There is a mucus covering on hemorrhoids that can become damaged during bowel movements.
This is when bleeding external hemorrhoids occur.
External hemorrhoids that become thrombosed may appear different as explained in the next section.
You may experience serious hemorrhoid pain with a thrombosis.
What Are The Signs And Symptoms Of An Internal Or Prolapsed Hemorrhoid
Most often, internal hemorrhoids have no symptoms but are only found if there is bleeding with a bowel movement or if the hemorrhoid prolapses so that it can be felt outside of the anus. This may lead to itching and pain as well as the bleeding.
Prolapse of an internal hemorrhoid occurs when the internal hemorrhoids swell and extend from their location in the rectum through the anus. A prolapsed internal hemorrhoid:
- Can be felt as a lump outside the anus
- Can be gently pushed back through the anus, this may resolve the location of the hemorrhoid, but does not fix the hemorrhoid itself
- May enlarge and swell even more if it cannot be pushed back
- May become entrapped, which requires more urgent medical attention
Hemorrhoids may also cause anal itching , and a constant feeling of needing to have a bowel movement .
Internal hemorrhoid severity can be graded:
- Grade I: Prominent blood vessels with no prolapse
- Grade II: Prolapse with bearing down but with spontaneous reduction
- Grade III: Prolapse with bearing down but requiring manual reduction
- Grade IV: Prolapse with inability to manual reduction
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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.
Stages Or Grades Of Internal Hemorrhoids
There are different stages of hemorrhoids and not all of them form because of the same reasons. These stages are measured by intensity and their severity.
Stage OneIn this stage, the internal hemorrhoid is prolapsed and causes a bleeding session. But it still stays inside the rectum and is not spread out further.
Stage TwoAfter prolapsing, the internal hemorrhoids tend to extend out the anal canal and they can even reduce on their own.
Stage ThreeAt this stage, the hemorrhoids dont reduce and its even further prolapsed than the previous stage. Although they can manually reduce themselves which is good news. Using different methods, these hemorrhoids can be pushed back into the rectum. Read the article, How to push hemorrhoid back in or watch the YouTube video here.
Stage FourThe internal hemorrhoids at this stage are the most intense and severe for the patient. At this stage, the internal hemorrhoids can not be reduced and they remain like that. Even if you try manual reduction methods, they wont exactly work on this.
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What Do Internal Hemorrhoids Look Like
Hemorrhoid tissue is a part of every individuals body makeup. Normal hemorrhoid tissue cannot be seen by the naked eye.
It is when hemorrhoid tissue becomes inflamed that we can visibly notice hemorrhoids.
No matter what type of hemorrhoid you have, they are characterized as swollen veins in the lower part of the rectum or anus.
Hemorrhoids that become more irritated cause the veins to bulge. This results in the vision of hemorrhoids that you may already have in your head.
Internal hemorrhoids are a little different. Because there are no pain-sensing nerves where internal hemorrhoids are located, you often will not realize you have them.
Internal hemorrhoids form in the same way external hemorrhoids do, but we cannot see them due to their location. This is why external hemorrhoid pictures are more difficult to get.
With internal hemorrhoids, the lining of the rectum becomes substantially enlarged.
When an internal hemorrhoid becomes prolapsed, this will be the only type of internal hemorrhoid that is visible.
Related Conditions And Causes Of Hemorrhoids
Gastrointestinal problems such as constipation and diarrhea can lead to or worsen hemorrhoids. The prolonged sitting or straining that may occur when you’re dealing with these issues puts pressure on the hemorrhoidal tissue.
Hemorrhoids also often develop during pregnancy. This is similarly due to greater pressure in the area but can also be due to an increase in blood volume and as a result of hormonal changes that increase the likelihood of swelling. Constipation during pregnancy is a common cause of hemorrhoids.
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Signs Your Hemorrhoids Warrant A Doctor’s Visit
Your doctor may also check for blood in the stool, examine the muscle tone of your anus, and perform a rectal exam to diagnose internal hemorrhoids. This is done in the doctor’s office with a gloved, lubricated finger and an anoscope . Your doctor may also recommend additional tests to rule out other causes of bleeding, especially if you are over age 40.
What Do Hemorrhoids Look Like In Pregnancy
Depending on what type of hemorrhoid you have during pregnancy, hemorrhoids will look like a skin-colored cluster of bumps, and the size of which depends on the severity.
These are external hemorrhoids, and when they become thrombosed, they can appear blue or purple due to the blood clot formation trapped inside of them.
Internal hemorrhoids are not visible because they are located in the lowest part of the rectum.
During pregnancy, you may experience rectal bleeding, and this is the only indication of the presence of irritated internal hemorrhoids.
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What Do Hemorrhoids Look Like When They Fall Out
Internal hemorrhoids can get to the stage where they become prolapsed. Prolapsed hemorrhoids are internal hemorrhoids that become so big that they bulge outside of the opening of the anus.
So, if your hemorrhoid has fallen out, you have an internal prolapsed hemorrhoid.
When you have a prolapsed hemorrhoid, you will notice a moist bump that is pinker than the surrounding area. What does a prolapse look like? This is a picture of a prolapsed hemorrhoid.
Prolapsed hemorrhoids usually go back on their own, but some can be gently pushed back into place.
Internal hemorrhoids are generally divided into one of four stages. The more serious the stage of the internal hemorrhoid is, the more likely it is to be seen. Stage one internal hemorrhoids are not seen externally.
Although they cause some hemorrhoid bleeding, they will not push out of the opening of the anus. Internal hemorrhoids at stage 2 begin to prolapse.
Although they might be seen on the outside of the opening of the anus, they generally retract back into the rectal cavity on their own.
Stage 3 internal hemorrhoids have prolapsed externally and often require at-home or physician treatment.
The most serious internal hemorrhoids, stage 4, protrude out of the opening of the anus and are likely to become thrombosed.
Prolapses can often be the result of the combination of hemorrhoids and pregnancy, when there is a big increase in the pressure surrounding the veins in the anal canal.
What Is Stapled Hemrroidectomy
The following are pictures of the stapled hemorrhoidectomy procedure.
- Picture of Hollow Tube Inserted into the Anal Canal and Pushing up the Hemorrhoids
- Picture of Internal Hemorrhoids in Anal Canal
- Picture of Suturing the Anal Canal Through the Hollow Tube
- Picture of Bringing Expanded Hemorrhoidal Supporting Tissue into the Hollow Tube by Pulling on Suture
- Picture of Hemorrhoids Pulled Back Above Anal Canal After Stapling and Removal of Hemorrhoidal Supporting Tissue
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How Can I Prevent Hemorrhoids
Hemorrhoids are common as you get older. These steps can help prevent hard stools and constipation that can lead to hemorrhoids:
- Dont sit too long or push too hard on the toilet.
- Go the toilet when the urge hits dont delay bowel movements.
- Drink plenty of water throughout the day.
- Eat more high-fiber foods or take supplements. Generally, women should aim for 25 grams of fiber per day, while men should get 35 grams of fiber.
- Stay physically active. Being on the move keeps bowels moving.
- Take laxatives or use enemas only as recommended by your healthcare provider. Too many laxatives or enemas can make it hard for your body to regulate how you poop.
Whom Do Hemorrhoids Affect
Although most people think hemorrhoids are abnormal, almost everyone has them. Hemorrhoids help control bowel movements. Hemorrhoids cause problems and can be considered abnormal or a disease only when the hemorrhoidal clumps of vessels enlarge.
Hemorrhoids occur in almost everyone, and an estimated 75% of people will experience enlarged hemorrhoids at some point. However only about 4% will go to a doctor because of hemorrhoid problems. Hemorrhoids that cause problems are found equally in men and women, and their prevalence peaks between 45 and 65 years of age.
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Who Is At Risk For Internal Hemorrhoids
The risk of hemorrhoids increases as your age advances because of the weakening of tissues supporting veins in the rectum and anal canal.It may also happen when there is increased intra abdominal pressure, which in turn increases pressure inside the rectum
- Internal hemorrhoids can seldom cause complications,
- You can get anemia because of the constant chronic blood loss,
- Piles may get strangulated and cause immense pain
- A blood clot inside your piles may lead to Thrombosed Hemorrhoids, which should be managed effectively
- Piles may Prolapse
How To Diagnose Internal Hemorrhoids
If you have any above-mentioned history, signs, and symptoms, consult your doctor for an early diagnosis, your doctor may do a Per Rectal examination or digital rectal examination to confirm the diagnosis of hemorrhoids. Apart from DRE, proctoscopy can help in diagnosis.
In order to rule out other diseases, you might need other tests such as sigmoidoscopy & colonoscopy.
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Possible Causes Of Hemorrhoids
First of all, like many other conditions, hemorrhoids might be genetic, if your mother or father had them. Secondly, hemorrhoids might come as a result of pregnancy or obesity, but also from following a diet that is low in fiber .
Additional causes might be anal intercourse, prolonged sitting or any kind of strain while bowel movements take place. Generally speaking, hemorrhoids tend to appear when a lot of strain is put on the rectum from various causes.
Three Types Of Prolapsed Hemorrhoids
If the prolapsed hemorrhoid retracts back into the anus on its own then its considered second degree. If the only way for the hemorrhoid to get back into the anus is with manual manipulation, then it falls into the third degree category.
And finally, if the hemorrhoid cant even be manually manipulated back into the anus, well then you have a third degree prolapsed hemorrhoid.
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What Should I Eat If I Have Hemorrhoids Diet
Individuals with hemorrhoids should soften their stools by increasing the fiber in their diets.
Fiber is found in numerous foods, including
- fresh and dried fruits,
- whole grains, and
In general, 20 to 30 grams of fiber per day is recommended, whereas the average American diet contains less than 15 grams of fiber. Fiber supplements, like psyllium, methylcellulose, and calcium polycarbophil, also may be used to increase the intake of fiber.
Stool softeners and increased drinking of liquids also may be recommended, as well as bulk-forming laxatives. Nevertheless, the benefits of fiber, liquids, and stool softeners have not been well-tested with respect to hemorrhoidal control in scientific studies.
Common Symptoms Of Hemorrhoids
When hemorrhoids start to become severe, they result in painful bowel movements and strain in the specific area. Some of the symptoms that hemorrhoids present are:
These are just a few of the symptoms you might experience if you are suffering from hemorrhoids. Specialists point out that there are no proven causes of hemorrhoids, but there are a few factors that could lead to their formation.
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The Sensation Of Having Hemorrhoids
A very annoying symptom is that they can cause ones bottom to become itchy, particularly round the anal opening. However, this symptom could also be a symptom of worms and or parasites. One guy sent me a photo complaining of the terrible itch he had had for months, when I looked, to my trained eye, I could see the poor bloke was infected with pubic lice. Thats one of the reasons why I put up pages to tell you about other conditions that may imitate symptoms of hemorrhoids.
There can be a burning sensation, pain or discomfort around the anal opening.
Hemorrhoids can also cause a feeling of incomplete evacuation of the bowel you dont feel like youve emptied your bowel, even though you have. This symptom is a particularly nasty one, as trying to get a stool out that isnt there can aggravate or cause hemorrhoids in its own right. I think the bowel is interpreting large hemorrhoids or clusters of hemorrhoids as a bowel motion that hasnt passed.
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