Hemorrhoids, also known as piles, are swollen veins near the rectum and anus that cause discomfort and pain. They are common and come in two main types: internal and external. Internal hemorrhoids occur inside the rectum, while external hemorrhoids develop under the skin around the anus. Both types can cause bleeding and other symptoms, and it’s important to understand their differences and how to treat them effectively.

Internal And External Hemorrhoids Anatomy

Hemorrhoids are simply blood vessels in the rectum and anus. Internal hemorrhoids are located inside the rectum, above the pectinate line, and are covered with cells similar to those in the intestines. Because they are deeper within the body, they are usually not visible and tend to cause less pain. The most common sign of internal hemorrhoids is rectal bleeding, which might be noticed during bowel movements. Although they often resolve on their own, prolonged discomfort should prompt a visit to a healthcare provider. In Faridabad, some of the best stomach doctors specialize in treating internal hemorrhoids effectively.

External hemorrhoids, on the other hand, are found near the anus, under the skin. These hemorrhoids are closer to the surface, making them more painful, especially during activities like sitting, bowel movements, or physical exertion. Sometimes, external hemorrhoids are visible as small lumps near the anus. While they aren’t usually serious, they can cause significant discomfort and may bleed with straining. If you experience severe discomfort or heavy bleeding, consult the best gastroenterologist in Faridabad.

Symptoms of Internal and External Hemorrhoids

Internal Hemorrhoids Symptoms

Internal hemorrhoids usually cause less pain because fewer pain-sensing nerves are present in that area. Common symptoms include:

  • Painless bleeding during bowel movements.
  • Prolapse, where tissue bulges out from the anus, causing mild discomfort.
  • Itching and irritation around the anus.
  • Burning sensation after bowel movements.

External Hemorrhoids Symptoms

External hemorrhoids are more painful due to the presence of numerous pain-sensing nerves. Symptoms include:

  • Pain during activities such as sitting or passing stools.
  • Itching around the anus.
  • Bleeding after bowel movements.
  • Swelling near the anus, sometimes visible as lumps.

Causes of Hemorrhoids

Several factors can cause or worsen hemorrhoids, including:

  • Pregnancy: The expanding uterus puts pressure on the colon, leading to hemorrhoids.
  • Obesity: Extra body weight increases pressure on the veins in the rectal area.
  • Constipation: Straining during bowel movements due to hard stools adds pressure to the colon.
  • Heavy lifting: Regular lifting of heavy objects can strain the muscles and contribute to hemorrhoids.
  • Aging: People aged 45-65 are at higher risk of developing hemorrhoids.
  • Genetics: A family history of hemorrhoids increases the likelihood of developing them.
  • Liver cirrhosis: This condition can increase the risk of hemorrhoids. If you have liver disorders, consult a liver specialist in Delhi NCR or Patna for appropriate treatment.

Treatment of Hemorrhoids

Treatment depends on the severity of the symptoms. Most hemorrhoids resolve within 14-15 days with proper care. Here are some treatment options:

Home Remedies for Hemorrhoids

Many hemorrhoids can be managed by Hemorrhoids Self-Care at home:

  • High-fiber diet: Include fruits and vegetables to soften stools and increase bulk.
  • Hydration: Drink plenty of water and other fluids to help prevent constipation.
  • Regular exercise: Stay active to reduce pressure on the veins and prevent constipation.
  • Cold compresses or warm sitz baths: These can reduce pain and swelling.

Non-Surgical Treatments

If home remedies aren’t effective, over-the-counter hemorrhoid creams or medications may help relieve pain. Always consult a healthcare provider before using these products.

Hemorrhoidectomy (Internal-External Hemorrhoid Surgery)

In severe cases, hemorrhoids can lead to complications like blood clots, infections, or prolapse. When hemorrhoids become too large, surgery may be required to remove them. Hemorrhoidectomy is a surgical procedure to treat serious hemorrhoids. For expert treatment, consider consulting a top gastroenterologist at Max Saket or a liver specialist in Patna.

Internal and External Hemorrhoids at the Same Time

Sometimes, people develop both internal and external hemorrhoids simultaneously, known as combined hemorrhoids. This condition can cause more severe symptoms and requires prompt treatment to prevent future complications.

FAQs

What are hemorrhoids?
Hemorrhoids are swollen veins in the rectum and anus that cause discomfort and bleeding. Learn more about What Are Hemorrhoids?.

Can hemorrhoids go away on their own?
Yes, many hemorrhoids resolve on their own within a couple of weeks with proper care, like diet changes and over-the-counter treatments.

What causes hemorrhoids?
Common causes include pregnancy, obesity, constipation, heavy lifting, aging, genetics, and liver disorders.

Are internal hemorrhoids more painful than external hemorrhoids?
No, external hemorrhoids are generally more painful because they are closer to pain-sensing nerves.

When should I see a doctor for hemorrhoids?
If you experience severe pain, heavy bleeding, or hemorrhoids that don’t improve with home treatment, consult a healthcare provider.

Conclusion

Understanding the differences between internal and external hemorrhoids is crucial for proper treatment and relief. Whether you’re dealing with mild discomfort or severe symptoms, early intervention can prevent complications and improve your quality of life.