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Internal vs. External Hemorrhoids: What You Need to Know

Internal and external hemorrhoids are classified based on their location and produce different symptoms. Learn about the differences in symptoms, treatments, and preventative measures

Hemorrhoids are a common medical condition that affects millions of people worldwide. They are swollen and inflamed blood vessels in the anal and rectal area that can cause discomfort, pain, and bleeding.

Hemorrhoids can be classified into two types based on their location:.

Internal Hemorrhoids

Internal hemorrhoids are located inside the rectum and are usually painless. They are not visible or felt unless they become severe. The common symptoms of internal hemorrhoids include:.

  • Bleeding during bowel movements
  • Pain or discomfort during bowel movements
  • A sensation of fullness or pressure in the rectum

Internal hemorrhoids can be classified into four grades based on their severity:.

  • Grade 1 Hemorrhoids: These are small and are located in the lining of the anus
  • Grade 2 Hemorrhoids: These are larger and may protrude outside the anus during a bowel movement. They usually return to their normal position after the bowel movement.
  • Grade 3 Hemorrhoids: These are large and protrude outside the anus all the time. They may require manual repositioning.
  • Grade 4 Hemorrhoids: These are the most severe and cannot be repositioned. They may require surgery.

External Hemorrhoids

External hemorrhoids are located outside the anus and can cause discomfort and pain. They are usually visible and can be felt as a lump near the anus. The common symptoms of external hemorrhoids include:.

  • Pain and discomfort in the anal area
  • Swelling and inflammation around the anus
  • Bleeding during bowel movements

External hemorrhoids can also be classified into four grades:.

  • Grade 1 Hemorrhoids: These are small and do not protrude outside the anus.
  • Grade 2 Hemorrhoids: These are larger and may protrude outside the anus during a bowel movement, but return to their normal position afterwards.
  • Grade 3 Hemorrhoids: These are very painful and need to be manually reduced.
  • Grade 4 Hemorrhoids: These are the most severe and cannot be reduced. They may require surgery.

Differences Between Internal and External Hemorrhoids

The main difference between internal and external hemorrhoids is their location. Internal hemorrhoids are located inside the rectum and are usually painless, while external hemorrhoids are located outside the anus and can cause pain and discomfort.

Another difference is the type of symptoms they produce. Internal hemorrhoids cause bleeding during bowel movements, while external hemorrhoids cause pain and swelling around the anus.

The treatment for both types of hemorrhoids also differs. Internal hemorrhoids can be treated with over-the-counter creams and ointments, dietary changes, and sitz baths. However, Grade 3 and 4 internal hemorrhoids may require surgery.

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On the other hand, external hemorrhoids can be treated with over-the-counter creams and ointments, but persistent pain and swelling may require a minimally invasive procedure or surgery.

Risk Factors for Hemorrhoids

Hemorrhoids can develop in anyone, but certain factors increase the risk of developing them:.

  • Pregnancy
  • Aging
  • Obesity
  • Straining during bowel movements
  • Sitting for long periods
  • Chronic constipation or diarrhea
  • A low-fiber diet

It is important to note that some of these factors, such as pregnancy and aging, cannot be prevented.

However, lifestyle changes can be made to reduce the risk of developing hemorrhoids, such as maintaining a healthy weight, drinking plenty of water, and eating a high-fiber diet. Regular exercise can also help prevent constipation, which is a common cause of hemorrhoids.

Preventing Hemorrhoids

Preventative measures can be taken to reduce the risk of developing hemorrhoids. These measures include:.

  • Eating a high-fiber diet to prevent constipation
  • Drinking plenty of water to stay hydrated
  • Taking breaks from sitting for long periods
  • Exercising regularly to prevent constipation
  • Avoiding straining during bowel movements
  • Avoiding lifting heavy objects
  • Avoiding sitting on the toilet for long periods

By making these lifestyle changes, the risk of developing hemorrhoids can be significantly reduced.

Conclusion

Hemorrhoids are a common medical condition that can cause discomfort, pain, and bleeding. They can be classified into two types based on their location: internal and external hemorrhoids.

Internal hemorrhoids are located inside the rectum and are usually painless, while external hemorrhoids are located outside the anus and can cause pain and discomfort. Treatment for both types of hemorrhoids varies and can include over-the-counter creams, lifestyle changes, and surgery. By making lifestyle changes, the risk of developing hemorrhoids can be reduced.

If you have symptoms of hemorrhoids, it is important to consult with a healthcare professional for further evaluation and treatment.

Disclaimer: This article serves as general information and should not be considered medical advice. Consult a healthcare professional for personalized guidance. Individual circumstances may vary.
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