What Are Internal and External Hemorrhoids and Their Differences?

Hemorrhoids are a common and discomforting health issue caused by the dilation of blood vessels in the anal region. They generally come in two main types: internal and external hemorrhoids. These two types of hemorrhoids differ in their locations, symptoms, and treatment methods. Internal hemorrhoids are located inside the anal canal, while external hemorrhoids are situated around the anal opening.

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What Are Internal Hemorrhoids?

Internal hemorrhoids are clusters of blood vessels located inside the anal canal, in the final section of the rectum. This type of hemorrhoid usually develops without causing symptoms and is difficult to detect in the early stages. The most notable feature of internal hemorrhoids is that they can cause bleeding without pain. This bleeding is typically noticed during bowel movements and appears bright red. Over time, internal hemorrhoids can enlarge and protrude outside the anus, leading to pain, discomfort, and itching. This condition is known as prolapse and can lead to serious complications if left untreated.

Diagnosis of internal hemorrhoids involves methods such as anoscopy or rectoscopy. Treatment options include dietary changes, medications, and surgical interventions in advanced cases. Early diagnosis and appropriate treatment are crucial in managing internal hemorrhoids.

What Are External Hemorrhoids?

External hemorrhoids develop due to the dilation of blood vessels around the anal opening. This type of hemorrhoid presents noticeable symptoms such as pain, swelling, and itching during and after bowel movements. External hemorrhoids are easily felt because they are located under the skin and can be sensitive to touch. Thrombosed external hemorrhoids occur when a blood clot forms within the vessel, causing severe pain, a hard swelling, and sometimes bleeding. Thrombosed external hemorrhoids often require urgent treatment.

For the treatment of external hemorrhoids, pain and inflammation can be reduced using topical anesthetic creams, anti-inflammatory drugs, and warm sitz baths. In severe cases, surgical intervention may be necessary. Lifestyle changes play an important role in preventing the recurrence of external hemorrhoids. Regular exercise, a diet rich in fiber, and ample water intake are effective methods for managing external hemorrhoids.

What Are the Differences Between Internal and External Hemorrhoids?

Internal and external hemorrhoids show significant differences in their locations, symptoms, and treatment methods. Internal hemorrhoids are situated inside the anal canal, while external hemorrhoids are found around the anal opening. This difference in location is crucial in determining the symptoms and treatment approaches. Internal hemorrhoids are generally painless, with bleeding being the most common symptom. On the other hand, external hemorrhoids manifest with symptoms such as pain, swelling, and itching. Internal hemorrhoids can protrude and cause pain when they prolapse, whereas external hemorrhoids are more noticeable and sensitive as they are located under the skin.

The treatment methods also vary. Dietary changes and medications are primarily used for treating internal hemorrhoids, while local anesthetics and warm sitz baths are more commonly preferred for external hemorrhoids.

What Are Internal and External Hemorrhoids and Their Differences?