Hemorrhoids are among the ailments that people are often ashamed to admit having with. Ironically, both women and men commonly experience hemorrhoids. It is a serious case, therefore, everyone, even those who are not experiencing it should know the different symptoms of hemorrhoids, both internal and external hemorrhoids symptoms.
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Half of the human population have experienced or are experiencing hemorrhoids by the time they reach fifty. Women often experience hemorrhoids during pregnancy. The strain of the fetus in the womb, as well as hormonal adjustments, often causes the hemorrhoidal vessels to expand. Furthermore, these vessels are also placed under severe pressure during childbirth. For most women, though, hemorrhoids brought by pregnancy are pretty common and just a temporary problem.
Hemorrhoids are classified to two types: one is external hemorrhoids and the other one is internal hemorrhoids. While not usually life-threatening and dangerous, and in some cases, the symptoms just disappear within a few days, still, if not given proper medical attention, hemorrhoids may lead to more serious health problems.
So how does a person determine if he/she has hemorrhoids? The following are among the common symptoms of hemorrhoids that, if detected early, can help preventing the worsening of the hemorrhoids.
- Every person has hemorrhoidal veins, which are found inside and outside the anus. When these veins become irritated and swollen, these results to the development of the illness we refer to as hemorrhoids.
- Presence or traces of blood around the stool is the most obvious internal hemorrhoids symptoms. Blood spots may also appear on a toilet paper after wiping the anal area. Since the bleeding is internal, small amount of blood may still leak from the anal area even when not taking bowel. This is can happen to those more serious cases. This is often a result of rectal bleeding, which also resulted from the rupture of the veins around the rectal area.
- Itching and stinging pain around the anal area are an indication of internal hemorrhoids, as well as difficulty and incredible pain in taking a bowel, which is often considered a primary symptom as swollen veins may block the passage of stool. Swollenness can be a result of excessive straining and rubbing of the anus. Mucus may begin to seep from internal hemorrhoids, and may cause itchiness. If the swelling becomes worse, the inflamed veins may begin to be suspended out of the anus. This is referred to as prolapsed hemorrhoids, which can be commonly mistaken as external hemorrhoids due to the fact that they are found outside the anal area.
- One may still feel the need to pass stool even right after having taking a bowel. This uncomfortable sensation is rooted from the protrusion of the hemorrhoid in the end portion of the large intestine, thus, the larger the hemorrhoid the greater the discomfort. This external hemorrhoids symptom is attributed to the nerves in the anus, visceral nerves and somatic nerves. Visceral nerves are located above what is labeled to as the dentate line, or nerve line, while somatic nerves are below the dentate line. Somatic nerves stimulate pain if disturbed, in contrast to visceral nerves, which produce a sensation of pressure, which is felt as either the urge to take a bowel or a feeling of fullness, even after taking a bowel.
- Severe pain can be a sign that the blood supply to the hemorrhoids is cut off, or in medical terms, strangulated hemorrhoids. These situations usually need immediate medical attention as it could lead to infection.
- Internal hemorrhoids, however, are not usually as painful as its external counterpart. Yet large hemorrhoids that protrudes along the anal area can be very painful when muscles that control the anus contracts. This usually happens when taking a bowel, or sitting to a hard surface.
- External hemorrhoids symptoms are usually characterized with painful swelling or stiff lump around the anal area, often as a result of blood clot. These lumps are often spongy in texture. These lumps are also referred to as thrombosed, or clotted, hemorrhoid.
- Similar to internal haemorrhoids, difficulty and pain in taking a bowel is also prevalent among those suffering from external haemorrhoids. Patches of blood on the toilet paper, bright red blood in the toilet bowl after having a normal bowel movement, or presence of blood on the surface of the stool may indicate external haemorrhoids.
Although those aforementioned symptoms of hemorrhoids are usually related to hemorrhoids, these may also indicate symptoms of another disease, such as more serious ones. Presence of blood on the stool may be a symptom of colon cancer. Or perhaps difficulty in taking a bowel may indicate other intestinal problems.
Nevertheless, once these symptoms of hemorrhoids are detected, consultation to a physician is the best way to prevent further complications.

