Internal Hemorrhoid Symptoms

Hemorrhoids treatment can be external or internal or both together depending on the nature of the hemorrhoids. What are internal hemorrhoid symptoms?

Internal hemorrhoids occur above the pectinate or dentate line in the anal canal. They are covered by a mucous membrane. The symptoms of internal hemorrhoids show when the anal lining and connective tissues become loose and weakened and the vascular system becomes engorged. The internal hemorrhoid is graded to assist with the selection of a treatment plan. The treatment is then provided according to the grade.

The grade of the hemorrhoid depends on the extent of descent into the anal canal and out of the anus.

a) First degree - Here the internal hemorrhoids are enlarged, but they never prolapse and rarely produce symptomatology. This cannot be visualized during an external examination but require the use of a proctoscope.

b) Second degree - Here the internal hemorrhoids prolapse with defecation but they return to their original position spontaneously. Like the first degree this also cannot be visualized during an external examination but require the use of a proctoscope.

c) Third degree - Unlike the first two internal hemorrhoids prolapse with each bowel movement and even with physical exertion. Some hemorrhoids require manual replacement back to their point of origin.

d) Fourth degree - They are permanently prolapsed despite attempts to place them to their original position.

All four risk for thrombosis, severe pain and bleeding.


1. Blood on the toilet paper after a bowel movement. The stool will be very hard or very large. Blood may also be seen on the toilet seat.

2 Sometimes an internal hemorrhoid protrudes through the anus outside the body, leading to pain and irritation. This is known as a protruding hemorrhoid.

Internal Hemorrhoid Symptoms

Treatment for internal hemorrhoid symptoms

1. Rubber Band Ligation - In this process a small rubber band is placed at the base of the internal hemorrhoid. The blood supply to the hemorrhoid is cut off hence resulting in it to shrink up and fall off in about four to seven days.

2. Injection Sclerotherapy - A chemical solution is injected into the mucous membrane near the hemorrhoid resulting in inflammation and closure of the veins, thereby shrinking the hemorrhoid.

3. Infrared Photocoagulation - An infrared is directed to clot the dilated veins of the hemorrhoid. The hemorrhoids shrink since the blood does not flow through the coagulated blood vessels.

4. Laser Coagulation - An electric current is applied to the hemorrhoids triggering a chemical reaction that shuts down the blood supply in the hemorrhoid and causes the inflamed tissue to shrink.

5. Hemorrhoidectomy - Here the hemorrhoid groups are surgically removed with a scalpel, cattery device or laser.

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