The symptoms and warning signs of hemorrhoids differ from an individual to an individual, and are dependant on the categorization of hemorrhoid. It must always be remembered that the symptoms and signs discussed below might also be an indicator of an extreme, underlying deficiency.
External Hemorrhoids: Burning, itching and irritation are quite common. Small amount of
blood might also appear on the toilet paper after passing your stool and you might face
some difficulty in cleaning the anal area properly.
Internal Hemorrhoids: Pain accompanied by rectal bleeding is the usual complaint in this
case. Internal hemorrhoids can turn out to be pretty painful as they frequently protrude
and do become thrombosed or clotted. You may notice blood in your stool very
frequently and mucus is also another symptom.
As the anal area of an interior hemorrhoid keeps on enlarging, it swells into the anal canal.
It may possibly even pull down a fraction of the inside layer of the rectum on the top, lose
its standard anchoring, and protrude from the anus. This state is often referred to as a
prolapsing internal hemorrhoid.
The hemorrhoid is repeatedly exposed to the trauma of passing the stool in the anal canal,
especially the hard stools because of constipation. The trauma can easily lead to bleeding
and many a times it becomes painful at the time of passing the stool. The rectal lining that
has been broken down produces mucus and dampens the anus and the surrounding skin.
Stool, in addition can leak into the anal skin and the presence of stool accompanied by
moisture leads to anal itchiness. However, itchiness cannot be considered a common
symptom of hemorrhoids. The protruding hemorrhoid more often than not returns into the
anal canal or rectum all by itself or could be pushed inside with a finger, although it
emerges again at the time of the next bowel movement.
In a few cases, the hemorrhoid protrudes from the anus and hence cannot be pushed back as well; such a state is called ncarceration of the hemorrhoid. Such hemorrhoids can easily stop their supply of blood applying pressure to the anal sphincter so that the blood vessels and the anal cushions an die. This condition is called gangrene. It requires immediate medical treatment.
In order to describe the hemorrhoid conveniently, a lot of physicians make use of a grading system.
* First degree hemorrhoids are those that simply bleed but do not protrude.
* Second degree hemorrhoids are the ones that protrude and retract on their own
with or without bleeding.
* Third degree hemorrhoids protrude but can be easily pushed back in with a finger.
* Lastly, fourth degree hemorrhoids do prolapse but they cannot be pushed back
inside.
They also include all the hemorrhoids that are thrombosed or those that break down the
lining of the rectum.
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