Internal and Thrombosed External Hemorrhoids

Symptoms of Hemorrhoids:

When you have hemorrhoids or piles and you are aware of what the symptoms of hemorrhoids are, you don’t have to waste any time trying to figure out what the problem is. Instead, you can recognize them sooner rather than later, hopefully keeping them to a minimum. The sooner they are treated the better. Some of the more common symptoms of hemorrhoids include but are not limited to:

* Bleeding during bowel movements
* Itching in and around the anal area
* Rectal pain
* Skin irritation
* Secretions from the anus
* Discomfort during a bowel movement

These are just some of the hemorrhoids symptoms. Of course, if you treat yourself for hemorrhoids and you don’t find any relief, you will want to visit your doctor. It’s important to visit your doctor as these same symptoms can be connected to other conditions as well. Many times hemorrhoids can actually develop a blood clot in them and this may need to be treated by a doctor.

In some patients when they leave them too long without treatment, the hemorrhoids become so large that they actually make defecating very difficult or impossible. In these cases the hemorrhoids usually will not be able to be resolved on their own.

Types of Hemorrhoids:

If the hemorrhoid originates at the top (rectal side) of the anal canal, it is referred to as an internal hemorrhoid. If it originates at the lower end of the anal canal near the anus, it is referred to as an external hemorrhoid.

Technically, the differentiation between internal and external hemorrhoids is made on the basis of whether the hemorrhoid originates above or below the dentate line (internal and external, respectively).

Prolapsed Hemorrhoids:

Prolapsed hemorrhoid is treated by a doctor and requires medical attention right away. If you have recently been diagnosed with prolapsed hemorrhoids you may not even know what this is or why it is of significance. A lot of people get hemorrhoids, but most people do not get this type of hemorrhoid. This being said, a prolapsed hemorrhoid is one that is internal and gets so big that it is pushed outside of the anus.

The problem with this is that if the sphincter goes into spasm it’ll trap the hemorrhoid outside of the anal opening, the blood supply will be cut off, and it will become what is known as a Strangulated Hemorrhoid.

There is a grading system by which prolapsed hemorrhoids are diagnosed to help with treatments and diagnosis.

The grading system for prolapsed hemorrhoids is:

Grade I :The hemorrhoids are not prolapsed.
Grade II :The hemorrhoids prolapse during defecation but suddenly reduce.
Grade III :The hemorrhoids prolapse during defecation but must be manually reduced.
Grade IV :The hemorrhoids are prolapsed and cannot be manually reduced.

Prolapsed Hemorrhoids usually have to be treated surgically if they do not respond to treatment within seven to ten days. The only benefit of having a prolapse is that you have more remedies that you can try because you have direct access to the hemorrhoid. The prolapse itself is not painful, but it can be painful for the hemorrhoid to be exposed to direct pressure that comes from sitting.

Thrombosed External Hemorrhoids:

Thromboded external hemorrhoid diagram waiting for removal Thrombosed external hemorrhoids are usually very tender and it can make living with hemorrhoids very difficult. Most people don’t know that their hemorrhoids have become thrombosed and there is no clear reason why some people’s hemorrhoids become thrombosed and why other’s do not. Healthy people often develop thrombosed hemorrhoids, so this is not something that just affects those that are in poor health or even those of a certain age range.

Thrombosed hemorrhoids have different treatment options than those that are internal. Some doctors will give their patients the ability to wait it out for a few weeks. Many times, if you give the body a change, it will reabsorb the blood in the hemorrhoids and the problem will take care of itself. If you have internal thrombosed hemorrhoids this will not be an option as surgery is required.

Thrombosed hemorrhoids are treated by the doctor making an incision over the clot and squeezing the clot out. Unfortunately, many people have to have this done several times and the pain associated with the process can be excruciating.

Internal Hemorrhoids:

As soon as you know that you have hemorrhoids you need to set up an internal hemorrhoids treatment plan. You can immediately start treating with creams, gels, and suppositories. You can buy these products over the counter at most drug stores and they are very easy to use, safe for most people, and can sometimes be effective. These creams sometimes help to reduce the inflammation as well as the itching that comes along with hemorrhoids. Also be aware that many of these products do not work at all…

Your internal hemorrhoids treatment also needs to include a better diet. You need to do away with your intake of foods such as nuts, alcohol, caffeine, and spicy foods. These foods can serve as irritants to the intestines as well as the anus and the rectum. When you have hemorrhoids you need to do all that you can to avoid inflammation and limiting or doing away with these foods should be considered as part of your internal hemorrhoids treatment.
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