Hemorrhoids are swollen and enlarged veins present in the anal canal. These veins are swollen due to increased pressure on the veins during bowel movement and also during pregnancy. There are other reasons for getting hemorrhoids, which we will discuss later. Currently, we will discuss with types of hemorrhoids. Basing on the location of hemorrhoids i.e.., swollen veins, there are two types of hemorrhoids namely Internal Hemorrhoids and External Hemorrhoids.
Internal Hemorrhoids – Hemorrhoids which are present inside your anal canal and cannot be seen or touched with hand are called internal hemorrhoids. Internal hemorrhoids are swollen veins present in your anus. When the pressure on these veins increases, the veins will get swollen and eventually bleed. This why hemorrhoid suffers often see blood in their stool when having bowel movement. Usually these hemorrhoids are painless when compared to external hemorrhoids.
External Hemorrhoids – External hemorrhoids are present under the skin that covers your anus. As pressure on the veins present under your skin that covers your anus increases, these veins will get swollen and get ruptured. When extreme pressure is put on these veins, these veins will get swollen and become hard lumps that will fall out from the anus to outside. These are extremely painful and will cause heavy discomfort when passing the stool out. If the stool is hard, then person will face great difficulty in passing the stool out with extreme pain. One must treat their condition of external hemorrhoids, as this may cause severe damage to daily life activities.
Hemorrhoids are commonly caused due to constipation, because constipation is the condition in which the stool will pass out with putting much pressure when having bowel movement. Due to this, the pressure is put on the veins present in the anus and these will get swollen. If this activity continues daily, then the increased pressure on the veins will lead to formation of lumps both inside and outside of your anus. These lumps are filled with full of blood. Whenever more pressure is put on those veins when having bowel movement, the swollen veins will get bulged out and the blood present in those lumps will flow out, as a result a person suffering from hemorrhoids will see blood in their stool often when passing out the stool during bowel movement. Hemorrhoids are most common at the age of 50. But it can occur at any stage of life, as pressure on the veins increases hemorrhoids may occur.
Pregnancy is also one of the causes for hemorrhoids. During pregnancy, the fetus which is present in the uterus adds extra weight to the body and also adds pressure on the veins present in the anus. As the fetus grows up, the weight also increases and so pressure on the veins. When the pregnant lady takes her bowel movement, the weight of the fetus will be put on the veins present in the rectum which adds stress on the veins and eventually will result in swelling and then hemorrhoids. Other causes for hemorrhoids may include chronic liver diseases and diarrhea. In diarrhea, people used to have watery stools, which result in free delivery of the stool. But during diarrhea people will have urge to go to toilet even though there is no stool left in their colon. This happens many times in day, so the person will put extra pressure in getting out the stool, though there is no stool left in the body. This will leads to get hemorrhoids.
The most common symptom is getting blood in stool. This may happen without even pain, you can see blood in your toilet paper, blood in stool. This indicates that the person is having hemorrhoids. Whenever if you see blood in your stool, then there are other conditions than hemorrhoids like IBD (Inflammatory bowel disease) and other tumors can also occur, so if anyone observes blood in their stool, they will have to check this with your doctor.
The other symptoms for hemorrhoids are, you can see a small lump on the outer side of your anus when rubbing your anus with toilet paper, this maybe a sign of external hemorrhoids. If the pressure you put on your veins increases, then the size of this lump increases and blood may pool in to the lump forming a bigger lump. The same thing happens with internal hemorrhoids also, but they cannot be touched or seen. Whenever if you experience extreme pain when having your bowel movement, then there are higher chances that you are suffering from hemorrhoids. People suffering with hemorrhoids can experience the urge to go to bowel movement, even if they don’t have any stool left in their rectum.
Prolapsed internal hemorrhoids
Internal hemorrhoids are the swollen veins present inside your anus and cannot be seen or touched. These internal hemorrhoids are present in the rectum. When heavy pressure is put on these veins present in the rectum, these veins will get swollen and extend from the location rectum to anus. These extended swollen veins comes out of anus, these are called prolapsed internal hemorrhoids. When these extended veins come outside, the sufferer must push those veins inside gently to the anus, but it won’t fix the condition of hemorrhoids. These prolapsed internal hemorrhoids can be felt as a lump which was filled with blood comes out of the anus. If these hemorrhoids are not pushed back, then the veins will swell even more and become bigger in size. If the person got bigger prolapsed internal hemorrhoids, then he/she would definitely need a medical checkup.
Thrombosed external hemorrhoids
Thrombosed external hemorrhoids is a painful condition in which the blood clots in the veins forming a bulb shaped material filled with blood. These hemorrhoids are very sensitive and can rupture easily. They are present outside of the anus, and when these hemorrhoids have bigger lumps, the person cannot be able to sit, as these lumps will get damaged and causes great pain if he sits. These hemorrhoids will cause great pain when having bowel movement, as the stool has to pass pushing these blood clotted swollen veins. The person suffering with thrombosed external hemorrhoids will experience great difficulty for his daily activities like sitting, walking, having bowel movement and a lot more. Thrombosed external hemorrhoids often need medical care, and without this, the person will face great difficulties.
When to seek medical help
Bleeding from the anus when having the bowel movement is never a normal thing, one must visit their healthcare practitioner and discuss this thing. Other reasons for blood in stool may be rectal bleeding, IBD or even cancer of the colon.
Individuals who are facing headache and weakness due to frequent blood loss during their bowel movement would need immediate medical attention.
If the individual is facing an abdominal pain with bleeding during bowel movement, then he must go to his doctor and take treatment for it, as hemorrhoids won’t cause abdominal pain without bleeding.
People with prolapsed hemorrhoids which are in big size and cannot be pushed back may seek immediate attention to the doctor.
Thrombosed external hemorrhoids are extremely painful, one cannot bear this pain and it even damages the daily activities, so the person suffering with this condition would definitely need a doctor.