Hemorrhoids, often known as piles, are probably familiar to you. Your anus may develop masses around inflamed veins, which can be very uncomfortable. 

Both internal and external hemorrhoids can co-occur. They can also be only one or the other.

  • 1. Under the skin that surrounds your anus, external hemorrhoids can develop.
  • 2. You can develop internal hemorrhoids in the rectum and anus.

Both types typically disappear on their own but occasionally require medical attention.

In accordance with the Central Institute of Digestive and Gastroenterology and Kidney Diseases, hemorrhoids are widespread, affecting 1 in 20 Americans overall and around half of those over 50.

Additionally, some people, such as those who constantly strain while pooping and pregnant women, tend to experience them more frequently.

Types Of Hemorrhoids

Hemorrhoids (piles), a wart-like swelling, anal fissures, which are rips in the anus membrane, and anal fistulas, which are pus tunnels forming between the anus surface and the end of the colon, are the three main forms of hemorrhoids.

Hemorrhoids (piles)

On the anus, hemorrhoids (piles) are wart-like swellings.

Internal hemorrhoids are the piles that develop inside the anus throughout the dentate line, and external hemorrhoids are those that develop outside.

Alveolar fissure

Anal fissures are tears in the anal epithelium, which is located close to the anus’ outflow and lies below the dentate line. When someone is constipated or has diarrhea, the membrane in this region is ripped, which results in impaired blood flow all around the anal canal. In contrast to the mucosal surface inside the urethra, which can cause significant discomfort coupled with an anal fissure, the anal epithelial underneath the edentulous line has a nervous system (nerves that experience pain).

Alveolar fistula

Anal fistulas are passageways that connect the scrotum and skin close to the anus. Around the anus, a pus-filled anal abscess forms, and if it persists for a long time, it transforms into an anal fistula.

Causes of external hemorrhoids

When one or more irritating bumps appear beneath the skin covering your anus, you have external hemorrhoids. These are swollen, dilated veins that protrude from the skin.

The bulging blood vessel may thrombose or clot with blood inside. In rare instances, this might create a painful hard lump.

There are numerous similarities between the causes of external and internal hemorrhoids. These consist of:

  • 1. Pooping while straining. Repeated straining during bowel movements is the most frequent cause of external hemorrhoids. Severe instances of diarrhea or constipation are common causes of this. Blood accumulates in the area when you strain.
  • 2. Spending a lot of time on the toilet. Additionally, this may place strain on the tissues close to your anus and rectum.
  • 3. Compromised support tissues. The tissues around the rectum and anus have a tendency to deteriorate with age.
  • 4. Pregnancy. Hemorrhoids may also be more common in pregnant persons due to the additional strain the abdomen places on these veins.
  • 5. Obesity. Hemorrhoids and obesity have been linked in the past.
  • 6. Strenuous lifting If you routinely carry large objects, your risk of hemorrhoids may be increased.
  • 7. Consuming insufficient fiber. Constipation from a low-fiber diet might result in hemorrhoids.

How are External Hemorrhoids Diagnosed?

A doctor will inquire about your medical history and current symptoms in order to diagnose external hemorrhoids. A physical examination will probably also be performed.

When it comes to external hemorrhoids, they can usually spot them by looking at the region around your anus.

They might also conduct an anoscopy and digital rectum exam to look for problems inside your rectum and anal canal, such as internal hemorrhoids.

Your doctor will slide a fingertip into your anus while wearing gloves and lubricant during a digitally rectal exam. The anomalies inside them will be palpable.

A tool called an anoscope, which the doctor will introduce into your rectum during an anoscopy to enable them to see any abnormalities, will be used.

In order to rule out colon cancer, your doctor would likely order a laparoscopy or colonoscopy if you also have vaginal bleeding. Any internal hemorrhoids will also be found using these techniques.

Difference Between External Hemorrhoids & Internal Hemorrhoids?

Internally bleeders

Hemorrhoids of this kind, which form inside the rectum, are known as internal hemorrhoids. Although they are less frequent than external hemorrhoids, they can nonetheless be extremely painful. Internal hemorrhoids can typically be cured with over-the-counter drugs or, if the symptoms are severe, by consulting a doctor.

Hematomas on the outside?

Hemorrhoids that form around the anus are known as external hemorrhoids. They can be very painful and are more prevalent than internal hemorrhoids. There are several things you may do to lessen the pain and suffering of external hemorrhoids, but in extreme circumstances, you could need medical attention.

Identification of internal hemorrhoids furthermore external hemorrhoids.

Although internal hemorrhoids don’t always result in symptoms, when they occur, bleeding is the most typical sign. Around the anus, you could also feel pain, itching, or swelling. It’s crucial to visit a doctor for a diagnosis and treatment if you suspect you have internal hemorrhoids.

Hemorrhoids on the outside

Due to the swollen and erythematous area around the anus, external hemorrhoids are typically simple to identify. They might also result in bleeding, itching, and pain. To receive treatment, it’s critical to consult a doctor if you notice any of these signs.

Internal hemorrhoids and external hemorrhoids primarily vary in that internal hemorrhoids form inside the rectum while external hemorrhoids form around the anus. Although internal hemorrhoids typically don’t produce any symptoms, when they do, bleeding is the most prevalent sign. Pain, itching, and swelling are more frequently experienced with external hemorrhoids. To receive treatment, it’s critical to see a physician if you experience any of the following symptoms.

What are the treatment options For External Hemorrhoids?

If external hemorrhoid forms a clot and becomes painful, specialized treatment may be necessary. Within a few days, the majority will disappear on their own. If they continue, they could make you uncomfortable, itchy, or hurt. Home treatments are capable of reducing these symptoms.

To treat hemorrhoids, people might attempt a variety of home treatments, including:

  • 1. Using a warm bath
  • 2. wiping the anus carefully after a bowel movement, frequently with wet wipes or cotton pads
  • 3. Applying cold packs with cloth covers to minimize swelling consuming over-the-counter (OTC) painkillers like ibuprofen or acetaminophen to ease distress, using ointments like hydrocortisone or witch hazel lotions to soothe itching

Side Effects oF Home Treatment Of External Hemorrhoids

The majority of hemorrhoids do not lead to major problems, although they can be irritating and painful at times. People who have hemorrhoids rarely experience:

  1. 1. Anemia.
  2. 2. Hemorrhoids on the outside form blood clots.
  3. 3. Infection.
  4. 4. Body hair
  5. 5. hemorrhoids with strangulations 

Frequently Asked Questions:

Can you remove external hemorrhoids?

If an external hemorrhoid has developed into a troublesome blood clot (thrombosis), your physician can remove the hemorrhage, which can offer relief right away. The most beneficial timing for this local anesthetic technique is 72 hours after the clot forms.

How do you get rid of external hemorrhoids that won’t go away?

  • 1. Sit in a bath. Several inches of hot water should be placed on your anal area to do this.
  • 2. Utilize wet wipes. External hemorrhoids may experience rubbing and irritation with toilet paper.
  • 3. Apply an ice pack.
  • 4. Avoid using the toilet for extended amounts of time or straining.
  • 5. Make use of an OTC product.

Do external hemorrhoids need to be removed?

If external hemorrhoid forms a clot and becomes painful, specialized treatment may be necessary. The majority will disappear on their own in a few days. Those that linger could make you uncomfortable, itchy, or hurt a little. These symptoms may be relieved by natural cures.

Can you rubber band external hemorrhoids?

Only internal hemorrhoids, not external hemorrhoids, can be treated by hemorrhoid banding. The scrotum and anus wall is where internal hemorrhoids develop.

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