Hemorrhoid Symptoms
We all have hemorrhoidal veins in the rectum, anal canal,
and anus. When these veins become irritated and inflamed,
they become hemorrhoids or piles, with the accompanying symptoms
of swelling, pain, bleeding, itching, or burning sensation.

There are two types of hemorrhoids:
External hemorrhoids
Hemorrhoids located outside of the anus are called external
hemorrhoids. Here, swollen veins cause a soft lump around
the anal opening. These lumps can turn hard if blood clot
develops, and become painful thrombosed hemorrhoids. Since
the anus has many nerve endings, external hemorrhoids can
be very painful or itchy. Sometimes, the clot may even break
out of the hemorrhoid by itself or dissolve back into normal
blood circulation.
Internal hemorrhoids
Internal hemorrhoids are located inside the rectum or anal
canal, and are usually not painful. This is because the anal
canal does not have many nerve endings. Indeed, most people
are not aware that they have internal hemorrhoids until a
hard stool rubbing against them cause these hemorrhoids to
rupture and bleed.
Left untreated, some internal hemorrhoids can "prolapse"
or be pushed out of the anal opening. Sometimes, the sphincter
muscle can close shut in a spasm and trap this prolapsed hemorrhoid
outside the anus. This cuts off the blood circulation, and
creates a strangulated hemorrhoid.
Some prolapsed hemorrhoids can be manually "pushed"
back inside the anus. Advanced cases of prolapsed hemorrhoids,
however, must be surgically treated.
Prolapsed and strangulated hemorrhoid are a serious medical
condition that requires immediate attention. Also, bleeding
of any amount should be checked by a doctor since it may be
an indication of more serious conditions, such as colorectal
cancer.
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