H1& gt; Symptoms of internal hemorrhoids – Learn the signs, causes and treatments of this common medical condition.

Understanding the Nature of Internal Hemorrhoids

Symptoms of Internal Hemorrhoids:

• Bleeding: One of the main symptoms of internal hemorrhoids is rectal bleeding. It is usually painless and can be seen as bright red blood on toilet paper, in the toilet bowl, or in stool.
• Itching and irritation: Internal hemorrhoids can also cause itching and irritation around the anus. These discomforts are usually due to the secretion of mucus from hemorrhoids.
• Pain and discomfort: In some cases, internal hemorrhoids can protrude through the anus, causing pain and discomfort. This condition, known as prolapsed hemorrhoids, can make the anal area difficult to clean and cause bleeding or irritation.
• Achieving the diagnosis: To accurately diagnose internal hemorrhoids, it is essential to consult with a healthcare professional. He or she will perform a thorough examination, which may include a visual inspection, a digital rectal examination, or other diagnostic procedures.

Important: It is essential not to self-diagnose internal hemorrhoids, since other more serious conditions, such as anal fissures or rectal polyps, may present similar symptoms. Seeing a medical professional is essential to obtain an accurate diagnosis and proper treatment.

Treatment options:

1. Lifestyle changes: In many cases, mild internal hemorrhoids can be treated effectively with lifestyle modifications. These may include incorporating high-fiber foods into the diet, maintaining adequate hydration, avoiding sitting or straining during bowel movements, and engaging in regular physical activity to promote healthy bowel habits.
2. Topical medications: Over-the-counter creams, ointments, or suppositories that contain ingredients such as hydrocortisone or witch hazel may provide temporary relief from symptoms such as pain, itching, and inflammation.
3. Minimally invasive procedures: When lifestyle changes and topical medications do not provide relief, healthcare professionals may recommend minimally invasive procedures. These may include rubber band ligation, sclerotherapy, or infrared coagulation, which aim to reduce blood flow to the hemorrhoid and promote its contraction.
4. Surgical intervention: In severe cases or when other treatments have been unsuccessful, surgery may be recommended to remove or reduce the size of hemorrhoids. Surgical options include hemorrhoidectomy or hemorrhoidopexy, but these methods are usually reserved for more extreme circumstances.

Common signs and symptoms of internal hemorrhoids

1. Rectal bleeding: One of the most notable symptoms of internal hemorrhoids is rectal bleeding. This bleeding can occur during defecation or can be seen in the toilet paper. Blood may appear bright or garnet. It is important to remember that rectal bleeding can also be a sign of other conditions, such as anal fissures or colorectal cancer, so it is crucial to consult a health professional to obtain a precise diagnosis.

Note: rectal hemorrhage should never be ignored, and medical advice should be sought to determine the proper cause and treatment.

2. Discomfort or pain: Internal hemorrhoids can cause various levels of discomfort or pain. Some people may experience constant deaf pain or a feeling of fullness in the rectum. Others may feel acute and intense pain during defecation or sitting. The pain can get worse by sitting for a long time or making efforts during defecation.

3. Picor and irritation: Internal hemorrhoids can also cause itching and irritation in the anal region. This itching may be due to the mucus secreted by hemorrhoids or the irritation of the surrounding skin. Scratching the area can provide temporary relief, but you can make irritation and cause more discomfort even more.

4. prolapse: In some cases, internal hemorrhoids can excel out of the anus. This condition is known as prolapsed internal hemorrhoids. The prolapse can cause a sense of bulk or bump near the anus, and may require manual repositioning. Striving during defecation or sitting for a long time can increase the prolapse risk.

Note: If prolapsed hemorrhoids cannot be pushed in or strangle, immediate medical attention is necessary to prevent complications such as blood clots or tissue death.

The Impact of Pain and Discomfort on Internal Hemorrhoids

Pain is one of the main internal hemorrhoid indicators. Although internal hemorrhoids are usually painless lacking nerve endings, complications such as thrombosis or prolapse can cause serious discomfort. Thrombosis occurs when a blood clot within the hemorrhoid, which causes an increase in pressure and pain. On the other hand, a prolapsed hemorrhoid refers to the protrusion of internal hemorrhoids outside the anus, causing stretching and irritation of the surrounding tissues.

Internal hemorrhoid pain may be due to complications such as thrombosis or prolapse. Thrombosis leads to the formation of blood clots within hemorrhoids, while prolapse refers to the protrusion of internal hemorrhoids. Both conditions can cause discomfort and irritation.

The discomfort is another frequent symptom associated with internal hemorrhoids. Patients usually refer a feeling of fullness or the presence of an awkward lump in the rectal zone. This sensation arises due to the enlargement of internal hemorrhoids and the pressure they exert on the surrounding tissues. The inconvenience can be intensified during activities that involve staying for a long time sitting or standing, or making efforts during defecation.

Internal hemorrhoids often cause discomfort, which are attributed to the enlarging of the blood vessels and the pressure they exert. The realization of activities that imply prolonged periods of being sitting, standing or making efforts can increase discomfort.

Recognizing the Presence of Blood in Stool as a Symptom of Internal Hemorrhoids

1. Macroscopic hematochecia: The appearance of bright red or garnet blood in the stool is a key indicator of internal hemorrhoids. This condition, known as macroscopic hematochecia, can be seen in the toilet paper, in the toilet cup or mixed inside the feces. It is important to note that the presence of blood in the feces can also be a sign of other gastrointestinal conditions, such as colorectal cancer or anal fissures, so it is essential to consult a healthcare professional to obtain an accurate diagnosis.

“The appearance of bright or garnet red blood in feces is a key indicator of internal hemorrhoids.”

2. Changes in Depositions: Another symptom to consider is a change in intestinal movements. This may include experiencing frequent episodes of constipation or diarrhea, as well as a greater difficulty in evacuating feces. These changes are usually accompanied by efforts during defecation, which can further aggravate internal hemorrhoids and cause the presence of blood in feces.

• Presence of bright red or garnet blood in the stool.
• Changes in Depositions, including constipation and diarrhea
• Effort during defecation

It is important to remember that the presence of blood in the feces should never be ignored. If any of the mentioned symptoms notice, it is strongly recommended to seek medical attention for adequate evaluation and diagnosis. A time treatment can help relieve discomfort and prevent complications associated with internal hemorrhoids.

The Significance of Early Detection of Internal Hemorrhoids through Rectal Bleeding

One of the most common symptoms of internal hemorrhoids is rectal bleeding. This occurs when the inflamed blood vessels in the rectum or anal channel are broken, resulting in the passage of bright red blood during defecation. Many people can rule out rectal bleeding as a minor problem, but should not be ignored, since it could be an indication of a more serious underlying disease. The early detection of internal hemorrhoids through rectal bleeding is vital for effective treatment and handling.

Important information:

1. Rectal bleeding can be a sign of various conditions, such as anal fissures, polyps and colorectal cancer. Therefore, it is essential to consult a healthcare professional to obtain a precise diagnosis.
2. The early detection of internal hemorrhoids allows us to intervene quickly, preventing the condition from progressing more painful and weakening phases.
3. Internal hemorrhoid treatment options range from lifestyle modifications and free sales medications to minimally invasive procedures and surgery, depending on the severity of the condition.

Periodic control of rectal hemorrhage and other associated symptoms, such as itching, discomfort and anal swelling, can help identify and treat internal hemorrhoids in an early stage. If rectal bleeding persists or worsens, it is imperative to seek medical attention promptly, ensuring adequate diagnosis and treatment to relieve discomfort and prevent possible complications.

Assessing the severity of internal hemorrhoids based on external symptoms

Hemorrhoid size: One of the key factors to evaluate the severity of internal hemorrhoids is their size. Larger hemorrhoids indicate a more advanced phase of the condition. External symptoms, such as the presence of a visible bulge or protuberance around the anus, can suggest the enlargement of internal hemorrhoids.

• A lump or visible protuberance around the anus
• Sensation of fullness or pressure in the rectal zone
• Swelling or inflammation around the anal hole

Pain and discomfort: Although internal hemorrhoids are usually painless, external symptoms related to pain and discomfort can give clues to their severity. The presence of sharp or stabbing pain, especially during defecation, could indicate the existence of larger or thrombosed hemorrhoids.

Bleeding: Another external symptom that helps evaluate the severity of internal hemorrhoids is bleeding. While small amounts of bright red blood on the toilet paper or toilet bowl may be common with hemorrhoids, persistent or heavy bleeding may suggest more serious internal hemorrhoids.

Exploring the Connection Between Itching and Internal Hemorrhoids

Itching, also known as pruritus ani, is an uncomfortable sensation that can be caused by various factors. When it comes to internal hemorrhoids, the itching sensation can be attributed to several factors, such as inflammation of the hemorrhoidal tissues, the presence of mucous discharge, and irritation caused by contact of the surrounding skin with feces or other irritants. To understand the connection between itching and internal hemorrhoids, it is necessary to take a closer look at the underlying mechanisms of this symptom.

Factors Contributing to Itching in Cases of Internal Hemorrhoids:

1. Inflammation: When internal hemorrhoids become swollen and inflamed, they can put pressure on surrounding tissues, causing itching.
2. Mucus secretion: Internal hemorrhoids can secrete mucus, which can irritate the anal area and cause itching.
3. Skin contact with irritants: The anal area is exposed to various irritants, such as feces and moisture. In the case of internal hemorrhoids, inflammation of the blood vessels can cause the surrounding skin to come into contact with these irritants, causing itching.

The itching associated with internal hemorrhoids can be distressing and affect the quality of life of those who experience this symptom. Understanding the factors that contribute to pruritus is crucial to developing effective treatment strategies to relieve this discomfort.

To address itching in cases of internal hemorrhoids, it is important to treat the underlying cause. A comprehensive approach may include lifestyle modifications, such as improving bowel habits, maintaining good hygiene, and avoiding irritants. Additionally, over-the-counter creams or ointments that contain anti-itch ingredients may provide temporary relief. However, if the itching persists or worsens, it is advisable to consult a healthcare professional for a proper diagnosis and appropriate treatment options.

Identifying other symptoms associated with internal hemorrhoids: prolapse and mucus discharge

The prolapse refers to the protrusion or fall of the internal hemorrhoids of the anus. This occurs when the inflamed blood vessels inside the rectum or the anus are enlarged enough to slide down the anal channel. The prolapse can be classified into four degrees:

1. Grade I (firs t-degree prolapse): hemorrhoids remain inside the rectum and cannot be seen or felt from the outside.
2. Grade II (second grade prolapse): hemorrhoids stand out from the year during defecation, but then retract by themselves.
3. Grade III (third grade prolapse): Hemorrhoids require manual intervention to be pushed back into the rectum after exceling the anus.
4. Grade IV (fourth grade prolapse): Hemorrhoids are permanently prolapsed and cannot be r e-entered into the rectum.

It is important to keep in mind that prolapsed internal hemorrhoids can cause discomfort, pain, itching or bleeding. If you experience any important prolapse, it is advisable to consult a healthcare professional to obtain an accurate diagnosis and proper treatment.

Mucosity secretion is another symptom associated with internal hemorrhoids. The rectum secretes mucus naturally to facilitate intestinal movements. However, when there are internal hemorrhoids, there can be an excessive amount of mucus. This can lead to persistent mucus secretion by the anus, which can be noticed in the toilet paper or underwear. Although mucous secretion alone is not usually a reason for concern, it is important to control the quantity and frequency of secretion, since an excess of mucus can indicate underlying problems and justify medical care.

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Author of the article

Dr.Greenblatt M.

Medical oncologist at the Robert Larner College of Medicine, MD, at the University of Vermont