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Home/What is Hemorrhoid?

What is Hemorrhoid?

Hemorrhoid is the swelling and enlargement of the veins located inside or around the anal canal. Internal hemorrhoids occur within the inner part of the anal

Table of Contents

  1. 1.What is Hemorrhoid?
Op. Dr. Yasir Gozu

Op. Dr. Yasir Gozu

General Surgery and Proctology Specialist

This page has been reviewed by a specialist

Medical Review

Medical Responsibles: Op. Dr. Yasir Gozu (General Surgery and Proctology Specialist, 20+ years) · Dr. Hatice Sahin (General Surgery Specialist)

Institution: Avrupa Cerrahi

This content is prepared in line with current scientific sources and clinical experience. It is for informational purposes only and does not replace a personal examination. If you have symptoms, please contact us or book an appointment.

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What is Hemorrhoid?

Quick answer: Hemorrhoid is the swelling and enlargement of the veins located inside or around the anal canal. Internal hemorrhoids occur within the inner part of the anal

Medically reviewed by Op. Dr. Yasir Gözü · General Surgery and Proctology · Last updated: July 20, 2026

Hemorrhoid is the swelling and enlargement of the veins located inside or around the anal canal. Internal hemorrhoids occur within the inner part of the anal canal, while external hemorrhoids form outside the anal opening. Hemorrhoids usually result from excessive dilation of the veins due to pressure. This condition often results in p Hemorrhoids are a common health issue, and many people experience this condition at some point in their lives. Most of the time, initial-stage hemorrhoids do not pose a serious health risk but can cause p

What Causes Hemorrhoids?

Several factors can lead to the formation of hemorrhoids. The most common causes include prolonged constipation or diarrhea, sitting on the toilet for long periods, obesity, pregnancy, and regular heavy lifting. These factors cause increased pressure in the pelvic and rectal area, leading to the dilation of the veins and consequently the formation of hemorrhoids. Aging also increases the risk of hemorrhoids, as the body’s tissues weaken over time and the vascular structures can lose their support. Genetic factors can also play a role in the development of hemorrhoids; individuals with a family history of hemorrhoids are more likely to experience this condition.

What are the Symptoms of Hemorrhoids?

Symptoms of hemorrhoids vary depending on the type and severity of the hemorrhoids. Internal hemorrhoids are generally p External hemorrhoids can cause itching, burning, and sometimes p Large hemorrhoids may lead to the presence of blood on toilet paper or in the toilet bowl. In addition, external hemorrhoids can feel like one or more hard lumps in the anal area. In severe cases, hemorrhoids may protrude during defecation and need to be manually pushed back in. These symptoms can negatively affect d

How Can Hemorrhoids Be Identified?

The presence of hemorrhoids is usually determined by symptoms and physical examination. Symptoms include itching, burning, discomfort in the anal area, and bleeding during defecation. External hemorrhoids can manifest as swellings that can be felt outside the anal region. Internal hemorrhoids are harder to see and feel because they are located inside the anal canal and are usually p However, the observation of bright red blood on toilet paper or in the toilet bowl is a typical symptom of internal hemorrhoids. The intensity and duration of symptoms can help diagnose hemorrhoids and play a significant role in determining treatment options.

What are the Grades of Hemorrhoids?

Hemorrhoids are typically classified into four grades, which are used to determine the severity of the hemorrhoids and treatment methods:

  • First Degree: At this stage, hemorrhoids are only inside and do not protrude. They are generally p
  • Second Degree: Hemorrhoids protrude during defecation but retract back on their own after defecation.
  • Third Degree: Hemorrhoids protrude during defecation and must be manually pushed back in.
  • Fourth Degree: Hemorrhoids are constantly protruding and cannot be pushed back in. They are often p

How is a Hemorrhoid Examination Conducted?

A hemorrhoid examination is typically performed by a proctology specialist. The examination begins with a visual inspection of the external anal region; this can help detect the presence of external hemorrhoids or anal fissures. The doctor may then perform a rectal examination, where a gloved and lubricated finger is carefully inserted into the anal canal. This allows for the palpation of internal hemorrhoids or other abnormalities.

When necessary, an anoscopy can be performed for a more det Anoscopy is a short, tube-like instrument used to visually inspect the inside of the anal canal. This procedure is particularly useful for identifying internal hemorrhoids or other rectal problems. In cert These examinations are important to confirm the diagnosis of hemorrhoids, determine their grade, and plan appropriate treatment methods.

Frequently Asked Questions

What is a hemorrhoid?

A hemorrhoid is the swelling and enlargement of veins located inside or around the anal canal, usually resulting from excessive dilation of the veins due to pressure. Internal hemorrhoids form within the anal canal, while external ones form outside the anal opening.

What causes hemorrhoids?

Common causes include prolonged constipation or diarrhea, sitting on the toilet for long periods, obesity, pregnancy, and regular heavy lifting, all of which increase pressure in the pelvic and rectal area. Aging and genetic factors also raise the risk.

What are the symptoms of hemorrhoids?

External hemorrhoids can cause itching, burning, and hard lumps in the anal area, while internal hemorrhoids typically show up as bright red blood on toilet paper or in the toilet bowl. In severe cases, hemorrhoids may protrude during defecation and need to be pushed back in manually.

What are the grades of hemorrhoids?

Hemorrhoids are classified into four grades: first degree stay inside, second degree protrude during defecation but retract on their own, third degree must be manually pushed back in, and fourth degree are constantly protruding and cannot be pushed back.

How is a hemorrhoid examination done?

A proctology specialist starts with a visual inspection of the external anal region, then may perform a rectal examination with a gloved, lubricated finger to feel for internal hemorrhoids. When necessary, an anoscopy with a short tube-like instrument is used to inspect the inside of the anal canal.

Sources

  • NHS - Piles (haemorrhoids)
  • NIDDK - Hemorrhoids
  • American Society of Colon and Rectal Surgeons (ASCRS) - fascrs.org

This article is for informational purposes only and does not replace a professional medical consultation. For diagnosis and personalized treatment, please book an appointment.