Internal Hemorrhoids Symptoms Explained: Learn what to look out for and how to treat this common medical condition.

Internal Hemorrhoids Symptoms Explained: Learn what to look out for and how to treat this common medical condition.

Internal hemorrhoids occur inside the rectum and are often not visible to the naked eye. However, they can cause a series of symptoms that can be annoying and irritating. Recognizing the symptoms of internal hemorrhoids is crucial to seeking timely medical attention and proper treatment.

One of the most common symptoms of internal hemorrhoids is rectal bleeding. This occurs when inflamed blood vessels inside the rectum rupture and bleed. Although the bleeding is usually painless and often appears as bright red blood on the toilet paper or toilet bowl, it is important not to ignore this symptom. It is essential to rule out other serious conditions that can cause rectal bleeding, such as colorectal cancer, so it is advisable to consult a healthcare professional for an accurate diagnosis.

Important information: Rectal bleeding can be a sign of other serious conditions, so a medical evaluation is necessary to determine the underlying cause.

In addition to rectal bleeding, people with internal hemorrhoids may experience itching in the anal area. This itchy sensation is caused by mucus secreted by inflamed blood vessels in the rectum. The itching can be intense and persistent, causing discomfort and irritation. Proper hygienic measures, such as gentle cleaning with soap and water after defecating, can help relieve the itchy sensation.

Another symptom of internal hemorrhoids is the presence of a lump or swelling in the anal region. It may be noticeable during defecation or when wiping after going to the bathroom. The lump is caused by enlarged blood vessels and can vary in size. Although it is not always painful, it can cause discomfort or a feeling of fullness in the rectal area. If a lump is detected, it is recommended to consult a healthcare professional for proper evaluation and diagnosis.

Important information: It is essential to go to the doctor if there is a lump or swelling in the anal region to rule out any serious condition.

Symptoms of Internal Hemorrhoid

1. Rectal bleeding: One of the most common symptoms of internal hemorrhoids is rectal bleeding. This occurs when the fans of the rectum break and blood is released. Blood can be bright red or appear as dark clots. It can appear on the toilet paper after cleaning or in the cup of the náter after defecating. Although rectal hemorrhage may also be due to other conditions, such as anal fissures or colorectal cancer, it is important to consult a healthcare professional to confirm the underlying cause.

Important information:

  • Internal hemorrhoids can cause rectal bleeding, which can be bright red or appear as dark clots.
  • Consult a healthcare professional to confirm the underlying cause of rectal hemorrhage.

2. Discomfort or pain: Internal hemorrhoids can cause discomfort or pain, especially during defecation or when sitting for long periods of time. These discomforts or pain are usually described as a feeling of fullness or pressure in the rectum. It can also be accompanied by itching or burning sensation. Although minor discomfort is frequent, intense or persistent pain must be evaluated by a medical professional.

3. prolapse: In some cases, internal hemorrhoids can excel or prolapse through the anus. This can happen during defecation or with effort. Prlypared hemorrhoids can cause a feeling of bulge or “bulge” near the anus and can be associated with an incomplete feeling of evacuation. It is important to note that prolapsed hemorrhoids can be reintegrate manually or resolved by themselves.

Important information:

  • Internal hemorrhoids can cause discomfort, pain, itching or burning sensation.
  • Prlypared hemorrhoids can excel by the anus and cause an incomplete feeling of evacuation.
Common symptoms of internal hemorrhoids
Rectal bleeding
Discomfort or pain

Pain and Discomfort

A medical condition that usually causes pain and important discomforts are internal hemorrhoids. These are inflamed blood vessels located inside the rectum that can cause bleeding, itching and pain. While external hemorrhoids are visible and are outside the anal channel, internal hemorrhoids are not easily detectable by visual examination. Instead, people may experience symptoms such as

  • Pain or rectal discomfort
  • Feeling of fullness or pressure in the rectum
  • Pain during defecation

The intensity and frequency of pain can vary depending on the seriousness of internal hemorrhoids. In some cases, pain can be constant, while in others it can worsen during deposits or physical activities. It is important to note that not all people with internal hemorrhoids experience pain. Some only have minor discomfort or do not present any symptoms.

IMPORTANT: If you experience persistent pain or worsen, or notice some change in your intestinal habits, it is crucial to consult a healthcare professional to obtain a precise diagnosis and appropriate treatment options.

  1. Being proactive when addressing pain and discomfort is essential to maintain optimal health and wel l-being.
  2. Internal hemorrhoids can cause significant pain, discomfort and pressure.
  3. Pain can be experienced during defecation or as a constant sensation.
Signs and symptoms Description
Pain or rectal discomfort Sensation of pain or palpitation in the rectal zone.
Feeling of fullness or pressure in the rectum Feeling heaviness or compression in the rectum.
Pain during defecation Acute or sharp pain that is experienced when defecating.

Bleeding from the Rectum

A possible cause of rectal bleeding is internal hemorrhoids. These are inflamed blood vessels located inside the rectum that can cause discomfort and hemorrhages. Internal hemorrhoids are not usually visible and are classified into four degrees, according to their severity.

  • Degree I hemorrhoids are small inflammations, usually not visible or felt by the patient.
  • Grade II hemorrhoids are greater than degree I and can excel the rectum during defecation. However, the feces are retracted by themselves.
  • Degree III hemorrhoids require manual relocation, since they stand out from the rectum and are not retracted spontaneously.
  1. Grade IV hemorrhoids are the most serious and always remain out of the anus. They cannot be repaired manually and may require surgical intervention.

If you note rectal hemorrhage, it is important to consult a healthcare professional to determine the cause and receive the proper treatment. It is especially important to seek medical attention if bleeding is persistent, is accompanied by intense pain or if it has a family history of colorectal cancer or other related conditions.

Itching and Irritation: Symptoms of Internal Hemorrhoids

Itching: Itching is a common symptom of internal hemorrhoids and is caused by inflammation of the hemorrhoidal tissues. This irritation can cause a persistent and intense itching sensation in and around the anus. It is often difficult to resist the urge to scratch, but excessive scratching can cause further irritation and even lead to bleeding.

  • The itching sensation can be both internal and external, depending on the location of the internal hemorrhoid.
  • In the case of external itching, the area around the anus may become red, swollen and sensitive.
  • Internal itching may be accompanied by a feeling of fullness or discomfort in the rectum.

Irritation: Irritation is closely associated with itching and is also a common symptom of internal hemorrhoids. Inflamed hemorrhoidal tissues can become irritated due to friction, moisture, or contact with aggressive substances, such as excessive wiping with rough toilet paper. Irritation can worsen existing symptoms and cause a continuous cycle of itching and discomfort.

  1. Friction caused by frequent rubbing or sitting for long periods can exacerbate the irritation.
  2. Moisture caused by excessive sweating or poor hygiene can contribute to irritation and itching.
  3. Contact with aggressive substances, such as scented soaps or scented toilet paper, can irritate the already sensitive hemorrhoidal tissues.

Note: It is important to avoid excessive scratching and maintain proper hygiene to reduce itching and irritation. Gentle cleansing with unscented soap and water after each bowel movement can help relieve discomfort. Drying the area with a soft towel or a cool hair dryer can also help prevent irritation.

Prolapse of Hemorrhoid

A distinctive feature of internal hemorrhoid prolapse is the appearance of a pink or reddish lump outside the anus when straining, defecating, or even during routine activities such as sitting or standing. This lump usually retracts into the rectum on its own, but in severe cases it may need to be repositioned manually. Prolapsed internal hemorrhoids can be classified into four different grades based on the extent of the protrusion:

  1. Grade I: The hemorrhoid remains inside the rectum and does not protrude from the anus.
  2. Grade II: The hemorrhoid extends beyond the anus during defecation, but retracts spontaneously.
  3. Grade III: The hemorrhoid protrudes from the anus during defecation and must be manually pushed inward.
  4. Grade IV: Hemorrhoid is permanently prolapsed and cannot be repositioned manually.

It is important to note that prolapsed internal hemorrhoids can be strangled if they are trapped outside the anus and cannot be retracted or stood out chronically. This condition can cause intense pain, swelling and the formation of blood clots within the hemorrhoid, which is known as thrombosis. If strangulation or thrombosis occurs, it is essential to receive immediate medical attention, since an intervention may be necessary to relieve pain and avoid subsequent complications.

Feeling of Incomplete Bowel Movement

The sensation of incomplete defecation may be due to several causes. A possible cause is constipation, which occurs when the feces move too slowly through the digestive tract, giving rise to hard and dry stools difficult to evacuate. Chronic constipation can cause an accumulation of fecal matter in the colon, causing the sensation of incomplete evacuation. Another possible cause is an obstruction in the rectum or anus, which may be due to conditions such as anal fissures, rectal prolapse or hemorrhoids.

Note: A persistent sensation of incomplete defecation should not be ignored, since it can be indicative of an underlying medical condition. It is important to consult a healthcare professional for adequate evaluation and diagnosis.

  • Constipation, characterized by rare deposits and difficulty evacuating, can contribute to the sensation of incomplete evacuation.
  • Anal fissures, which are small tears in the lining of the anus, can cause pain and discomfort during defecation, which leads to an incomplete sensation of evacuation.
  • Hemorrhoids, both internal and external, can cause the sensation of incomplete evacuation due to the presence of swollen blood vessels in the rectum.

To determine the cause of the sensation of incomplete evacuation, a healthcare professional can perform an exhaustive review of the medical history, a physical examination and, possibly, recommend additional diagnostic tests such as a colonoscopy or sigmoidoscopy. Treatment options for this symptom depend on the underlying cause and may include lifestyle modifications, diet changes, medications or surgical interventions, if necessary.

Mucus Discharge: Causes, Symptoms, and Treatment

Causes of mucous secretion

  • Infections: certain infections, such as respiratory tract, sinusitis, bronchitis or sexually transmitted infections, can trigger excessive mucus production and secretions.
  • Allergies: Allergic reactions to substances such as pollen, dust mites or pet dander can cause increased mucus production and subsequent discharge.
  • Inflammatory bowel disease (IBD): Conditions such as Crohn’s disease or ulcerative colitis can cause inflammation in the intestines, leading to the secretion of mucus in the stool.
  • Hormonal changes: Hormonal fluctuations during pregnancy or the menstrual cycle can cause changes in cervical mucus, leading to abnormal discharge.

Mucous discharge can be a symptom of various medical conditions and should not be ignored. It is important to consult a healthcare professional for proper evaluation and diagnosis.

Symptoms of mucus secretion

  • Change in color and consistency: Abnormal mucous discharge may appear thicker, cloudier, or have a different color than usual.
  • Odor: A foul-smelling mucous discharge may indicate an infection or underlying disease.
  • Accompanying symptoms: Mucous secretion may be accompanied by other symptoms, such as coughing, sneezing, abdominal pain or itching.
  • Frequency and duration: Excessive or persistent mucous secretions that last a long time should be consulted with a healthcare professional.
  1. Consult a healthcare professional: If you experience abnormal or concerning mucous discharge, it is important that you consult a healthcare professional for an accurate diagnosis.
  2. Diagnostic Tests: Depending on the location and nature of the discharge, the healthcare professional may order various tests, such as blood tests, imaging scans, or swab tests, to identify the underlying cause.
  3. Treatment options: Treatment of mucous discharge depends on the underlying cause. It may include medications, lifestyle modifications, or surgical interventions.
Medical conditions Treatment options
Sinusitis Antibiotics, nasal decongestants, saline irrigation
inflammatory bowel disease Anti-inflammatory medications, immunosuppressants, dietary changes
Sexually transmitted infections Antibiotics, antiviral medications

In general, mucus discharge can be indicative of various underlying conditions, from infections to hormonal changes. It is important to pay attention to any changes in mucous secretion and see a doctor for appropriate evaluation and treatment.

Anemia and Fatigue

One of the most common causes of anemia is iron deficiency. Iron is essential for the production of hemoglobin, the protein responsible for transporting oxygen in the blood. When there is not enough iron in the body, it is difficult to produce enough hemoglobin, which causes a decrease in the oxygen-carrying capacity of the blood. This can cause symptoms such as fatigue, weakness, shortness of breath, paleness, and dizziness.

  • Fatigue: Feeling excessively tired or lacking energy is a common symptom of anemia. This occurs because the body’s cells do not receive enough oxygen to function properly.
  • Weakness: Anemia can cause weakness in the muscles, making it difficult to perform simple tasks or physical activities.
  • Shortness of breath: Due to decreased oxygen supply, people with anemia may experience shortness of breath, even with minimal physical exertion.
  1. Pale skin: Anemic individuals may appear pale or washed out due to a reduced number of red blood cells.
  2. Dizziness: Lack of oxygen reaching the brain can cause dizziness or lightheadedness, especially when standing up or exerting effort.
  3. Fast heart rate: Anemia can cause the heart to beat faster in an attempt to compensate for the blood’s lower oxygen-carrying capacity.

Important information: If you are experiencing symptoms of anemia, it is essential that you seek medical attention for proper diagnosis and treatment. Anemia can be easily diagnosed through a blood test, and treatment options may include dietary changes, iron supplements, or other medications, depending on the underlying cause of the condition.

Psychological Distress and Anxiety

People with psychological disorders often present symptoms such as persistent sadness, irritability, and loss of interest in activities they previously enjoyed. They may also have difficulty concentrating, making decisions, and experience changes in appetite and sleep. It is important to note that the severity and manifestation of symptoms can vary from person to person.

Common symptoms of psychological distress:

  1. depressed mood
  2. Loss of interest or pleasure in activities
  3. Feelings of worthlessness or guilt
  4. Changes in appetite or weight
  5. Difficult to focus
  6. Impaired decision-making ability
  7. Restlessness or feeling sluggish
  8. Changes in sleep patterns (insomnia or hypersomnia)
  9. Generalized feelings of sadness or emptiness
  10. Recurrent thoughts of death or suicide

Psychological distress and anxiety can greatly impact a person’s quality of life, relationships, and overall functioning. It is important to seek professional help if you or someone you know is experiencing symptoms of psychological distress. A healthcare or mental health professional can provide an accurate diagnosis and recommend appropriate treatment options, which may include therapy, medication, or a combination of both.

Furthermore, it is essential to promote awareness and understanding of mental health to reduce the stigma surrounding psychological distress and anxiety. By creating a supportive environment and encouraging open discussions about mental health, people can feel more comfortable seeking help and adopting self-care practices to manage their symptoms effectively.

Author of the article
Dr.Greenblatt M.
Dr.Greenblatt M.
Medical oncologist at the Robert Larner College of Medicine, MD, at the University of Vermont

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