Internal Hemorrhoids

internal hemorrhoidsInternal hemorrhoids are simply hemorrhoids that are inside your rectum.  They are often small and most people don’t even know that they have them.

Internal hemorrhoids can get large and painful, however, if they are not treated. Untreated internal hemorrhoids can lead to a severe form of hemorrhoids called prolapsed hemorrhoids.  This is when the hemorrhoid pulls down a part of the lining of the rectum, loses its normal anchor, and gets pushed outside the anus.  The prolapsed hemorrhoid can be pushed back inside with a finger, but it usually prolapses again with the next bowel movement.  The risk with this is that sometimes the prolapsed hemorrhoid can get trapped outside the anal opening, cutting off the blood supply.  When the blood supply is cut off, the blood vessels and cushions begin to die, leading to condition known as gangrene.  Gangrene requires medical treatment.

For describing the severity of internal hemorrhoids, the following grading system is often used:

  • First-degree hemorrhoids:  These are hemorrhoids that bleed, but are not prolapsed.
  • Second-degree hemorrhoids:  These are hemorrhoids that prolapse, but that can retract on their own.

The first two categories above are generally considered less serious and usually involve less aggressive hemorrhoid treatment methods.

  • Third-degree hemorrhoids: These are hemorrhoids that prolapse, but do not retract on their own and must be pushed back in by finger.
  • Fourth-degree hemorrhoids: These hemorrhoids have prolapsed and cannot be pushed back in.  These are the most severe and painful.

What causes internal hemorrhoids?

Internal hemorrhoids can come from a variety of pressure related reasons.   Here are a few of them:

  • Diarrhea
  • Constipation
  • Pregnancy and child birth
  • Obesity
  • Lifting heavy objects
  • Prolonged sitting

How to know if you have internal hemorrhoids

With internal hemorrhoids, you may see bright red streaks of blood on the toilet paper after a normal bowel movement or on the surface of the stool.  Don’t panic!  This is often a common sign of internal hemorrhoids.  This happens when the hemorrhoid gets irritated by the passing of the stool.  It is important to note that the blood could also be the result of other medical conditions.  Therefore, if the bleeding persists, it is important to seek medical attention.

How to treat internal hemorrhoids

There are a variety of ways in which to treat internal hemorrhoids.  Choosing the best hemorrhoid treatment method depends on the severity of the hemorrhoid.  As always check with your physician.

In general, an effective way to deal with and treat internal hemorrhoids is with a healthy diet that is rich in fiber.  For the most effective home remedy treatment for internal hemorrhoids which uses diet and natural ingredients, see the H-Miracle System.

For less severe hemorrhoids such as first and second degree hemorrhoids, Hem-Reilief, Venapro, sitz baths, hemorrhoid cream, suppositoriesinternal hemorrhoids, and stool softenersinternal hemorrhoids are often recommended.

For severe and painful hemorrhoids, hemorrhoid surgery may be your only option.  In this case, you will have to look at the following options: rubber band ligation, hemorrhoid laser surgery, and sclerotherapy.  Make sure to investigate about the different procedures and talk with your doctor to see which would be best for you.

If you have been suffering from prolonged bleeding or excessive bleeding from your rectum, consult with your doctor immediately!  The bleeding may be due to conditions other than internal hemorrhoids.

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