Internal hemorrhoids is one of the common problems of the gastrointestinal tract that many people may encounter during their life but are not aware of it... This complication is caused by the swelling of blood vessels inside the anal canal and is often painless in the early stages, which is why it remains hidden from the symptoms of this disease for a long time.. and effective treatment.. Join us to talk more about the cause, symptoms and treatment method of internal hemorrhoids.

What is an internal hemorrhoid?

Before we explain about internal hemorrhoids, it is better to know what hemorrhoids are.... Hemorrhoids or hemorrhoids are swelling and inflammation of the blood vessels of the anus and rectum.... Internal hemorrhoids are one of the most common types of this disease and cause swelling of blood pressure in the lower part.. from the rectum.. Bleeding without pain, itching and discomfort.... Since internal hemorrhoids occur inside the rectum, they cannot be seen and usually are not felt.... This state usually does not cause much pain and a person notices it by observing bleeding during defecation.

How is an internal hemorrhoid?

This type of hemorrhoid is seen as a bulge or soft swelling of hemorrhoidal tissue, which is often red or purple in color. Depending on the severity of the disease, its size can vary from a small, asymptomatic mass to bumps that sometimes come out and disappear again.

"Internal hemorrhoids are usually not palpable because they are inside the rectum unless they are large or prolapsed."

Internal hemorrhoids are usually not palpable because they are inside the rectum, unless they are large or prolapsed..

Images of internal hemorrhoids

Internal hemorrhoids occur in the inner area of the anal canal and cannot be seen with the eye in the early stages.... Below you can see some photos of mild internal hemorrhoids in different shapes and sizes:

What are the symptoms of internal hemorrhoids?

If the question "How do we know if we have internal hemorrhoids?" It also boggles your mind, we must say that internal hemorrhoids are usually not visible from the outside and in most cases do not cause significant symptoms.. In fact, about 5% of people only experience symptoms of internal hemorrhoids.

• discomfort or pain
• Swelling near the anus
• Itching or burning around the anus
• Presence of mucus in stool
• Feeling of fullness or incomplete defecation
• The presence of a lump near the anus that may be sensitive or painful.

Many people confuse the symptoms of internal hemorrhoids, especially when they have prolapse and protrusion, with anal abscess, when the two conditions are fundamentally different from each other..

Symptoms of internal hemorrhoids in men

Symptoms of this type of hemorrhoids in men usually appear gradually and may be ignored at first...Observation of bright blood in the stool or on the toilet paper after defecation is one of the main symptoms of internal hemorrhoids in men....Some men feel heaviness, pressure or fullness in the long-term physical stage or a heavy body mass for anal activities.. It may protrude from the anus.. There will be itching, mucus discharge and skin irritation.

Symptoms of internal hemorrhoids in women

Symptoms of internal hemorrhoids in women are very similar to men, but due to hormonal changes, pregnancy and childbirth, they may become more severe....In the early stages, women usually experiencebleeding during defecation or seeing streaks of blood on the stool...Discomfort, pressure or mass in the anus are other common symptoms of internal hemorrhoids in women....When the internal hemorrhoid protrudes from the anus, it is accompanied by itching and mucus discharge.

What is the cause of internal hemorrhoids?

The main cause of internal hemorrhoids is an increase in pressure in the lower part of the rectum... This increase in pressure causes swelling, enlargement or weakening of the blood vessels in the tissue inside the rectum... Factors such as the following can increase pressure in the lower part of the rectum and cause internal hemorrhoids:

• Chronic constipation or diarrhea
• Sitting for long periods of time, especially on the toilet
• Low fiber diet
• Chronic cough
• Repeated lifting of heavy objects

Some factors that may increase the likelihood of developing internal hemorrhoids include:

• Age between 45 and 65 years
• Pregnancy (when the uterus is growing, it puts more pressure on the rectal vessels.)
• Lots of weight gain
• Underlying diseases such as chronic obstructive pulmonary disease (COPD)

Types of internal hemorrhoids

Internal hemorrhoids are divided into 4 categories depending on severity and complications.... The doctor usually makes this classification based on the protrusion of the pile of hemorrhoids.... Low-grade internal hemorrhoids have fewer symptoms and complications, but when they protrude, they require specialized treatment by a general surgeon... Below are pictures of the various degrees of internal hemorrhoids:

1- Grade 1 internal hemorrhoids

As you can see in the photo of internal hemorrhoids grade 1, the hemorrhoidal mass appears as a bulge inside the rectum.

2- Grade 2 internal hemorrhoids

A grade 2 internal hemorrhoidal mass has prolapse, but returns to the rectum on its own.

3- Grade 3 internal hemorrhoids

Looking at the picture of grade 3 internal hemorrhoids, you will notice that the pile of internal hemorrhoids hangs and is placed under the tooth line.... You can push this type of internal hemorrhoid with your finger into the rectum.

4- Grade 4 internal hemorrhoids

The grade 4 internal hemorrhoidal mass has continuous prolapse and does not go back inside with pressure.... At this stage, the patient feels pain when sitting and defecating.

Dangers of internal hemorrhoids

You are probably asking yourself Are internal hemorrhoids dangerous? In response to this question, we must say that if internal hemorrhoids are not diagnosed and treated in time, they may cause the following complications:

• Thrombotic hemorrhoids: Sometimes a clot (thrombus) may form in the hemorrhoids, causing severe pain, swelling, inflammation, and a hard mass near the anus.
• Protruding Hemorrhoids: This is when the internal hemorrhoid is swollen and the surrounding muscle is stretched and protrudes from the anal sphincter.
• Severe pain: It is mostly seen in thrombosed hemorrhoids.
• Bleeding: You may see bright red blood after defecation.. This can lead to excessive blood loss and severe anemia over time.
• Infection: May occur in rare cases, especially after surgery or in case of thrombosed hemorrhoids.

When should we see a doctor for internal hemorrhoids?

Early medical intervention can help prevent serious complications. Therefore, if you see any of the following symptoms, it is better to see a doctor:

• Severe pain or discomfort in the anus area
• Significant bleeding from the anus due to bloody hemorrhoids
• Chronic hemorrhoids despite home treatment
• Symptoms of anemia such as weakness, shortness of breath or fatigue

What is the difference between internal and external hemorrhoids?

If you look at the picture of internal and external hemorrhoids, you will notice significant differences....Unlike external hemorrhoids, internal hemorrhoids are formed in the inner part of the anal canal and in the early stages are often painless....because there are not many pain receptors in this area....while the external area of hemorrhoids is the main site of skin hemorrhoids....anusand is often a prominent, swollen, and sometimes dark-colored mass..It looks like....external hemorrhoids with There is pain and bleeding.

How to diagnose internal hemorrhoids without bleeding

The diagnosis of internal hemorrhoids begins with a physical examination and careful examination of the patient's symptoms. The doctor first takes the patient's history and asks questions about the history of constipation, bleeding during bowel movements, and other possible symptoms of hemorrhoids.

What is the best way to treat internal hemorrhoids

The treatment of internal hemorrhoids can be different depending on the severity and degree of the disease... If the degree of the disease is low, internal hemorrhoids can be treated at home, otherwise you need more specialized treatments under the supervision of a specialist doctor.. In general, the treatment options include the following:

1- Home treatment of internal hemorrhoids

To cure hemorrhoids quickly at home, you need to make some changes in your lifestyle... For example, a high-fiber diet is the enemy of hemorrhoids.... Increasing fiber consumption can soften the stool and make it easier to pass..

• Sitz bath (sitting in a basin or tub of lukewarm water)
• Consumption of high-fiber foods (such as fruits, vegetables, and whole grains) or fiber supplements as needed
• Keeping the body hydrated
• Applying a cold compress
• Avoid straining during defecation
• Regular physical activity
• Use of non-steroidal anti-inflammatory drugs such as ibuprofen and naproxen
• Keeping the anal area clean

"Home remedies such as sitz baths and hemorrhoid creams can reduce internal hemorrhoid symptoms."

Home remedies such as sitz baths and hemorrhoid creams can reduce the symptoms of internal hemorrhoids.

2- Ointment for internal hemorrhoids

The doctor usually prescribes the best ointment for the treatment of internal hemorrhoids for the treatment of internal hemorrhoids that has a prolapsed hemorrhoidal mass and causes symptoms such as itching, burning, and discomfort... Various types of internal hemorrhoid ointments usually contain hydrocortisone or an anesthetic effect and help improve symptoms.>

Sometimes the doctor prescribes diltiazem ointment to treat hemorrhoids... Of course, this ointment is more effective for treating anal fissures, but at the doctor's discretion, it can be used to treat the symptoms of thrombosed hemorrhoids.... Remember that steroid ointments must be used with the direct prescription of the doctor and for the recommended time, because their excessive use causes skin sensitivity.

3- pills for internal hemorrhoids

The best pill for treating hemorrhoids is usually a combination of stool softeners, pain relievers, and anti-inflammatories or corticosteroids.... Your doctor will prescribe different capsules and pills for internal hemorrhoids depending on severity of pain and symptoms.... Avoid self-administration of hemorrhoids because it can cause symptoms of internal hemorrhoids.. Side effects.

4- Suppositories for internal hemorrhoids

Suppositories are one of the common methods of treating internal hemorrhoids that should be used under the supervision of a doctor. This type of medicine usually contains anti-inflammatory, analgesic and sedative compounds and helps reduce pain, itching, inflammation and bleeding. Among the anal suppositories, the doctor may prescribe hemorrhoids for hemorrhoids. does.

5- Minimally invasive treatment of internal hemorrhoids

When internal hemorrhoids do not respond to drug treatment and cause annoying symptoms, it is better to consult a general surgeon online so that the doctor can suggest the best treatment option depending on the degree of the disease... Minimally invasive treatments such as the following are often recommended by the doctor for the treatment of internal hemorrhoids:

• Closing with a plastic band: This method is usually used for protruding internal hemorrhoids... In this method, the doctor places a small plastic band around the protruding hemorrhoid to cut off the blood flow to it and eventually the protruding hemorrhoid falls out.
• Sclerotherapy: A chemical solution is injected into the hemorrhoid to create scar tissue and cut off the blood supply to the pile of hemorrhoids. This helps the internal hemorrhoids shrink and eventually disappear.
• Infrared Coagulation: In this method, a special device is used to apply heat to internal hemorrhoids. The heat can create scar tissue to cut off blood flow to the area and ultimately shrink the hemorrhoid.
• Direct current electrotherapy: This method is similar to infrared coagulation, which uses electric current instead of heat to create scar tissue and cut off blood supply to internal hemorrhoids.

6- internal hemorrhoid surgery

If you have seen the video of internal hemorrhoid surgery, you must know that the doctor performs surgery when the internal hemorrhoids are too protruding.. Internal hemorrhoid surgery is performed by removing the hemorrhoids or hemorrhoidectomy.. In this procedure, the surgeon removes the hemorrhoid with an electrosurgical device.. Usually, hemorrhoidectomy is for grade 3 or 4 internal hemorrhoids that cause pain and bleeding...recommendation The surgeon may use different techniques to remove internal hemorrhoids, including laser therapy.. All techniques have the same goal and help reduce pain and discomfort.

How is the treatment of internal hemorrhoids in traditional medicine?

Traditional medicine doctors consider the use and local use of some medicinal plants, such as the following, to be effective in reducing pain, inflammation, and burning caused by internal hemorrhoids:

• Local use of fresh aloe vera gel in the anal area is useful for relieving the pain and discomfort of internal hemorrhoids.
• Adding olive oil to your daily diet is effective in improving bowel movements and preventing constipation.
• Topical use of coconut oil for hemorrhoids is soothing.
• Consumption of blueberry helps improve blood flow in the body and repair damaged vessels in the anus area.
• Topical use of witch hazel extract as an astringent and cooling agent is useful for temporarily reducing the pain and inflammation of internal hemorrhoids.
• Sitting in a hot bath with chamomile is one of the oldest methods of traditional medicine to treat all types of hemorrhoids.
• Local use of honey in the anal region is another effective way to temporarily reduce pain and inflammation caused by internal hemorrhoids.

Can internal hemorrhoids be prevented?

Some lifestyle changes can reduce the risk of developing internal hemorrhoids, including:

• Drink plenty of fluids, especially water, to keep the stool soft and reduce the pressure on the rectal blood vessels.
• Avoid prolonged sitting especially on the toilet to minimize the risk of internal hemorrhoids
• Eating high-fiber foods to prevent constipation (constipation is one of the main causes of internal hemorrhoids.)
• Limit caffeine and alcohol consumption to prevent dehydration and worsening hemorrhoid symptoms
• Maintaining proper weight in order to reduce the pressure on the pelvic area
• Avoid frequent lifting of heavy objects

Guide to see a doctor

Internal hemorrhoids are one of the common problems of the anus, which are usually caused by severe constipation, prolonged sitting, or a low-fiber diet.. This complication is painless in the early stages, but if it progresses, it can cause discomfort, inflammation, bleeding, and protrusion of the anus. Observing simple tips such as consuming high-fiber foods, drinking enough water, physical activity and avoiding straining during defecation plays an important role in its prevention and treatment.

In this article from the GCORP LLC magazine, we introduced you to the symptoms, causes and treatment methods of internal hemorrhoids.... If you have more questions about this, you can visit the GCORP LLC site and get advice from the best expert doctors.... Also, GCORP LLC has provided you with the possibility of online face-to-face consultation or online consultation.. by phone, text and video.

Frequently Asked Questions

Sources: healthline | NCBI | Cleveland Health Clinic