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Types Of Hemorrhoids

by Biene Maja / Feb 01, 2018 / category : hemorrhoids / 572 views
Types Of Hemorrhoids

There are two main types of hemorrhoids according to their location. These  are internal hemorrhoids and external hemorrhoids. Internal hemorrhoids are  within the anal canal while external hemorrhoids are located outside the anal  canal often near the anal opening.  Internal Hemorrhoids

Internal hemorrhoids are the most common type of hemorrhoids. These  hemorrhoids develop along the passage to the anus above the dentate line.  Internal hemorrhoids are normally painless, as the visceral nerves above the  dentate line do not sense any pain. These nerves can only sense pressure.  Sometimes, internal hemorrhoids could come out of the anus as protrusions.

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These protrusions appear as small lump-like masses. These are prolapsed  hemorrhoids. These protrusions cannot be pushed back in to the anal canal.  Sometimes these protrusions cause excessive pain. The anal sphincter  muscles trap these protrusions and cut off the blood supply. This is the cause  for the severe pain.

A hard stool could sometimes cause little discomfort while passing through  the internal hemorrhoids during a bowel movement. Mucus leakage is a  common symptom of internal hemorrhoids. This leakage causes extreme  discomfort coupled with an itching sensation.

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It is not possible to diagnose an internal hemorrhoid by yourself, as there are  no signs. Only a doctor can diagnose an internal hemorrhoid after a complete  exam. Internal hemorrhoids normally occur due to weakening of tissues  supporting the anal canal veins.

Internal Hemorrhoids Grading System

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Internal hemorrhoids occur with different levels of severity and have a  specific grading system. This includes:  First-degree hemorrhoids: These hemorrhoids bleed but do not protrude  from the anus or prolapse.

Second-degree hemorrhoids: These hemorrhoids protrude from the anus  during a bowel movement and retract on their own back into the anal canal  although a little later.

Third-degree hemorrhoids: These hemorrhoids protrude from the anus  during the bowel movement. However, they do not retract by themselves  and you need to push them back inside with a finger.

Fourth-degree hemorrhoids: These hemorrhoids protrude or prolapse  from the anus and it is not possible to push them back into the anal canal.

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External Hemorrhoids

External hemorrhoids develop outside the anal canal, more so near the anal  opening. These hemorrhoids are more painful as the skin around them is  very sensitive. These hemorrhoids can develop ruptures and thereby cause  bleeding. Sometimes, a vein within the external hemorrhoid breaks and  forms blood pools under the skin. These lumps could become hard and cause  severe pain. These are thrombosed or clotted hemorrhoids.

External hemorrhoids cause sharp pain during bowel movements and often  for some time after bowel movements. Further, these hemorrhoids cause  severe itching and a burning sensation around the anus. People with external  hemorrhoids can sense a hard lump. This lump is very sensitive and can  bleed on rupture.

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