Internal hemorrhoids & External Hemorrhoids symptoms
In spite of the fact that quite a few people have a hemorrhoid, they may not generally encounter symptoms. Some have internal hemorrhoids and external hemorrhoids at the same time! Usually, the side effects of external and internal hemorrhoids fluctuate and typically go away in a couple of days.
These are some symptoms you need to look out for:
Bleeding during bowel movements. You may find red blood on the toilet paper or in the toilet bowl after straining during a bowel movement. Itching Rectal pain that can make the anal area difficult to clean Internal Hemorrhoids. The main symptom of internal hemorrhoids is painless bleeding. After a bowel movement there can be bright red traces of blood on the toilet paper, in the toilet bowl or in the stool. Small internal hemorrhoids don’t create much of a problem and are not painful. Large ones that push through the anus and bulge out of its opening (prolapsed internal hemorrhoids) can be painful if they swell up and get squeezed by the anal muscles. They also give out a mucus discharge. The severe pain can indicate that the blood supply to the hemorrhoid is being cut off (strangulated internal hemorrhoids). If so, immediate attention is needed.
The mucus release can irritate the skin around the anus and lead to itching. You may feel a certain fullness in the anus or the urge to pass stool right after a bowel movement since it feels as if you’ve not fully emptied the rectum. This embarrassment is due to the bulging hemorrhoid at the end of the large intestine (anal canal). The larger the hemorrhoid, the more there’s embarrassment.
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Unlike internal hemorrhoids, which are generally not painful, external hemorrhoids can be rather painful. The symptoms are bleeding and anal itching. Excessive straining, cleaning or rubbing around the anus can also cause symptoms of bleeding and itching, leading to a vicious cycle. Draining mucus may further aggravate the itching. External hemorrhoids can bleed and when the blood gets collected forming a clot inside (thrombosed external hemorrhoids), the soft and fleshy lump hardens and causes extreme rectal pain. A thrombosed or clotted hemorrhoid can look scary since it turns blue or red, and can possibly bleed. Don’t go on appearances, thrombosed hemorrhoids are generally not serious and resolve themselves in a week’s time. While healing, there is scarring, which leaves a skin tag behind that protrudes from the anus. At times, the skin tag can be so large that it becomes difficult to clean the area, causing irritation and itchiness. Do keep in mind that not everyone with external hemorrhoids will have these symptoms. If at any stage you find the pain intolerable, make sure to visit your doctor. Though hemorrhoids are the main cause of anal bleeding, they are hardly ever dangerous. Most hemorrhoids usually get sorted out on their own or by conservative medical treatment.
Much of the time, individuals feel discomfort and reluctant to get treatment, which is fairly awful since an unmistakable treatment from a specialist is an unquestionable requirement. Without the right treatment, on the other hand no treatment by any means, the condition may decline to the point that surgical removal of the hemorrhoid gets to be vital!
Its important to rule out other diseases of the anus and rectum with internal hemorrhoids that can have similar symptoms such as cancer, colon polyps, perianal hematoma, skin diseases, fistulas, rectal prolapse, abscesses, infections and inflammatory bowel syndrome (IBS). If you have these diseases or symptoms, and are 50 years of age or above, with a family history of colon cancer, do make sure to visit your doctor for an accurate diagnosis so you can save yourself from internal hemorrhoids and external hemorrhoids.
The Right Diagnosis
Symptoms of hemorrhoids usually come and go quickly, but if simple procedures don’t help and the condition is getting worse, get a proper check-up. Your doctor will want to know your clinical history, so you’ll be asked questions about your diet, family predisposition, constipation, diarrhea, weight loss, changes in appetite or bowel habits, abdominal pain, itching, discharge, rectal bleeding, heavy lifting or prolonged sitting. Your doctor will also conduct a digital rectal exam with a lubricated, gloved finger to check for swollen blood vessels that point to internal hemorrhoids or external hemorrhoids or any other abnormality.
Diagnostic Procedures of hemorrhoids
If required, a closer visual inspection of the rectum and anus might be done with an anoscope to see internal hemorrhoids. Or a proctoscope can be used to examine the entire rectum. At the same time, an indirect anoscopy is done with a special mirror to see the anus and the effects of straining has on it. It gives your doctor a good idea if what are cascade are internal hemorrhoids, rectal polyp or lining, or the rectum itself. Again, based on your doctor’s choice, scrapings of the anus can be taken to diagnose cancers, infections or skin diseases. If you’ve been bleeding, your colon which is located above the rectum, will also need to be examined in order to avert other causes of gastrointestinal bleeding besides internal hemorrhoids, such as colitis, polyps and colon cancer. The rectum and lower colon are inspected utilizing a sigmoidoscope, while the whole colon is examined with a colonoscope. Both diagnostic technique of sigmoidoscopy and colonoscopy likewise include the utilization of lit, adaptable tubes, which are embedded through the rectum. Sigmoidoscopy will give your specialist a perspective of the last 60cms of your colon and rectum, while colonoscopy permits a perspective of the whole huge inside (colon). It’s essential to comprehend that the exact reason behind this condition is not totally clear as per western solution.