What are the Different Signs of Internal Hemorrhoids?

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  • Written By: J. Mendi
  • Edited By: C. Wilborn
  • Last Modified Date: 10 November 2019
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Signs of internal hemorrhoids can vary. Symptoms associated with hemorrhoids usually consist of bleeding, itchiness, and perhaps some pain. Knowing the signs that are regularly linked to internal hemorrhoids might help determine whether there is a potential cause for the condition. When in doubt, it may be wise to seek medical attention and undergo a physical examination.

The anal passage is comprised of several sections of blood vessels. Their purpose is to help preserve normal bowel function throughout a person's life. Due to a number of causes, the blood vessels can become inflamed, causing hemorrhoids.

Two types of hemorrhoids exist. Internal hemorrhoids develop in the rectum, the upper portion of the anal passage. If hemorrhoids are produced in the lower area of the anal passage, they are referred to as external. The signs of internal hemorrhoids can be somewhat similar to those of their external counterparts, but in some cases, internal hemorrhoids might go unnoticed since it is possible to feel no symptoms at all.

In general, itchiness and bleeding are two common signs of internal hemorrhoids. The itching is due to irritation of the anal membrane caused by the secretion of mucus from the hemorrhoid. It is also possible to find lines of bright red blood inside the toilet bowl or on the tissue paper following a normal bowel movement.


Pain and discomfort can be signs of internal hemorrhoids as well, especially in cases where substantially large hemorrhoids swell and protrude within the anus. It is important to note that pain is not always an indication of an internal hemorrhoid, however. A sensation of having to pass another bowel movement immediately after having done so may be a symptom which can produce an unpleasant feeling. If the internal hemorrhoid is big, the swelling against the anus can cause this discomfort.

Hemorrhoids usually flare up for a short period of time and then go away on their own; however, some factors can be linked to their occurrence. Frequent straining when trying to pass stool, perhaps due to constipation, is assumed to be one culprit. Likewise, chronic diarrhea can also contribute to the problem. Women who are pregnant may at times complain of hemorrhoid symptoms. This is likely due to the extra weight carried during pregnancy, which can cause the blood vessels of the anal passage to swell. Additionally, heavy lifting, obesity, genetics, and age may play a role.

When signs of internal hemorrhoids are present, there may be a number of solutions that can ease some of the symptoms. A variety of cortisone products designed to alleviate the itching and swelling may be an option, but they can only be prescribed by a doctor. Consuming foods with more dietary fiber to help soften stools can also aid in keeping internal hemorrhoids at bay. Although hemorrhoids are not usually considered a serious medical condition, a physical exam may be appropriate to determine the type of hemorrhoid one has, along with a recommended course of treatment.


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