External hemorrhoids are mostly annoying, but sometimes painful – especially during bowel movements. Thrombosed or clotted blood vessels are especially painful, but the pain and swelling usually dissipate within a few weeks.
Sometimes an external hemorrhoid may form a skin tag (protrusion from the skin) after it heals. You may also experience itching around the anus and it may be difficult to practice proper hygiene because of the pain.
External hemorrhoids are prolapsed, meaning they have dropped outside the pectinate line (this line divides the lower third and upper two thirds of the anal canal). Prolapse occurs when part of the large intestine drops outside the anus and are sensitive to temperatures and pain.
Internal hemorrhoids are classified as those which appear above the pectinate line and are divided into four classes – Grade 1 (no prolapse); Grade II (prolapse with straining, but can be reduced); Grade III (prolapse when straining and requires manual reduction); Grade III (prolapse when straining, but inability to reduce).
Some rectal bleeding may occur with internal hemorrhoids during or after a bowel movement. You may also experience a mucous discharge, itching and feel unable to produce a bowel movement.
You likely won’t experience pain with internal hemorrhoids unless they become prolapsed. Other rectal problems may be associated with or falsely referred to as hemorrhoids.
Rectal bleeding may also occur because of colitis, IBS (Inflammatory Bowel Disease) diverticulitis, colorectal cancer and angiodsplasia. If you’re also diagnosed as anemic, other medical problems should be considered.
Some conditions that may also be misdiagnosed as hemorrhoids include anal warts and skin tags, polyps, rectal prolapse and some blood pressure conditions (portal venous). Hypertension (high blood pressure) doesn’t increase your chances of having hemorrhoids.
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Warren Tattersall has been a full time nutritional consultant for over a decade and works with people all over the world to help them improve their health, increase their personal energy levels and to use supplements to assist with diet related health issues.
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