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What are Symptoms of Hemorrhoids | Minneapolis & Orlando
Hemorrhoids are swollen varicose veins located around the anus or in the lower rectum. About 50 percent of adults in Minnesota and Florida experience the symptoms of hemorrhoids by the age of 50.
Severe pain is actually not a common symptom of internal hemorrhoids, because internal hemorrhoid happens in the area above the dentate line that is supplied by the visceral nerve, like those found within the intestines, which sense pressure and dull discomfort rather than sharp pain. Many patients have mild irritating pain in their rectum periodically, especially when it has a flare-up.
As the venous complex of an internal hemorrhoid becomes varicose and continues to enlarge, it bulges into the anal canal and loses its normal anchoring, becoming a prolapsing internal hemorrhoid. The prolapsing hemorrhoid usually returns into the anal canal or rectum on its own, or can be pushed back inside using one’s finger, but usually prolapses again after the next bowel movement. In the anal canal, a hemorrhoid is exposed to movement caused by passing stool, particularly hard stools that can cause bleeding and sting pain. The painless rectal bleeding with bright red blood is a common symptom of internal hemorrhoids. The rectal mucosal lining that has been pulled down secretes mucus and moistens the anus and its surrounding skin, while the stool itself can also leak onto the anal skin. Itchiness often occurs as a result of this dual presence of stool and moisture.
In general, symptoms of external hemorrhoids are different than those of internal hemorrhoids. External hemorrhoids can be felt as bulges at the anus, but rarely display any of the same symptoms seen with internal hemorrhoids. They will cause problems, however, if the varicose vein complex ruptures, as blood clots occur and build up the pressure inside the lump. This condition, known as thrombosed external hemorrhoid, causes an extremely painful bluish anal lump and often requires medical attention. The somatic nerve in the anal canal (below the dentate line) can sense pain, this is why the patients feel significant pain when they develop thrombosed external hemorrhoids. Thrombosed hemorrhoids may heal with scarring and leave a tag of skin protruding from the anus. Occasionally, the tag turns out to be quite large, which can make anal hygiene (cleaning) difficult or irritate the anus.
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So, What are Hemorrhoids? | Minneapolis & Orlando
When hemorrhoids become inflamed, they can become painful, especially if they’re located externally. Other symptoms include anal itching, bleeding and prolapse. Unfortunately, over 10 million people suffer from inflamed hemorrhoids every year. How can something so small cause so much pain and discomfort?
There are three types of hemorrhoids – internal, external, and mixed hemorrhoids that consist of both internal and external. Internal hemorrhoids occur above dentate line of the rectum and anal area. In contrast, external hemorrhoids are located on the outside of the body where the skin has very sensitive nerve endings.
Internal hemorrhoids are graded from I to IV based on the degree of prolapse. Grade I hemorrhoids usually don’t have bulge with defecation; grade II lesions also bulge with defecation, but then recede spontaneously. Grade III hemorrhoids require digital replacement after prolapsing, while grade IV hemorrhoids cannot be replaced once prolapsed. There are many treatment options for internal hemorrhoids that vary based on the severity of each case.
External hemorrhoids are those that occur outside the anal verge and affect bowel cleansing after one’s bowel movement, causing skin irritation and itching. A thrombosed external hemorrhoid is usually very painful due to rupture of one’s varicose veins, which causes blood clots and is often accompanied with swelling and irritation. These external hemorrhoids are typically treated with either an incision or removal of the clot, or with an external hemorrhoidectomy performed under local anesthesia.
Procedure Clinic is the specialized clinic that focuses on office procedures in Minneapolis, Minnesota and Orlando, Florida. We provide complete care for all types of hemorrhoids and other common anorectal diseases with minimally invasive approaches. Dr. Shu has more than 20 years of experience in hemorrhoid care—regardless of how severe your hemorrhoids are, the kind of hemorrhoids you’re dealing with, or if you’re battling any anorectal diseases, we’ll help you find a solution.
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