A hemorrhoid (piles) is an inflammation, or a swelling of one of the veins around
the anus and rectum. This inflammation is caused by increase pressure or strain on
these veins, which may be caused by constipation, diarrhea, diet, pregnancy, Cirrhosis,
and a whole host of other factors.
There are typically two types of hemorrhoids that have different symptoms and ramifications;
namely, internal hemorrhoids and external hemorrhoids.
External hemorrhoids (basically, hemorrhoids that are found on the outside of the
anus), are swollen or inflamed veins that form a lump somewhere around the opening
of the anus.
These types of hemorrhoids usually have some degree of pain that accompanies it due
to the fact that it is located in an area of the body that contains a lot of nerve
Also, since it is in the external part of the body, it can easily be scratched, and
further aggravates the hemorrhoid.
An external hemorrhoid usually comes with a little discomfort but sometimes, a hemorrhoid
becomes a thrombosed hemorrhoid, which is caused by a blood clot in the hemorrhoid.
When this occurs, pain becomes significant and will necessitate emergency medical
There also some instances when a hemorrhoid bursts due to a significantly straining
bowel movement. This leads to bleeding and some sensitivity in the area.
Internal hemorrhoids are not usually painful since, in the anal canal, there are
not a lot of nerve endings. In fact, a lot of people are not even aware they have
internal hemorrhoids until such time that these become irritated and / or bleed due
to bowel movements. When hard fecal matter rubs against internal hemorrhoids, these
might cause them to rupture, which can lead to bleeding.
These hemorrhoids can also "prolapse" (pushed out of the opening of the anus). There
are also some instances, although rarely is this seen, where the sphincter muscles
spasm and trap these hemorrhoids outside, which cuts out blood circulation and turns
these internal hemorrhoids into strangulated hemorrhoids. In both these instances,
immediate medical care should be received for these two are considered serious conditions.
Internal hemorrhoids also come with a lot of symptoms that include:
• Rectal bleeding
• General discomfort
As was discussed earlier, rectal bleeding may occur when these hemorrhoids get ruptured.
Although this is not any cause for alarm, excessive bleeding should be consulted
with a doctor since this might indicate other illnesses like cancer, or other serious
Itching also usually accompany internal hemorrhoids, as well as skin irritation.
Itching and irritation occur because these hemorrhoids usually seep, as well as secrete
mucus that can irritate the skin and cause an itching sensation.
There are even some people who claim to have the sensation of needing to pass stool
immediately after a bowel movement. This might indicate an internal hemorrhoid that
grew at the end of the large intestine, causing the said sensation.
Although hemorrhoids tend to not be a serious medical concern (at least the basic
or normal hemorrhoids), it is still important to know the signs, types, and symptoms
of hemorrhoids for easy identification and easy diagnosis. Below is a discussion
on the definition and symptoms of each type of hemorrhoid.