Internal Hemorrhoids!

Internal Hemorrhoids

Internal hemorrhoids occur inside the rectum and are usually caused by straining during bowel movements. The lining in the the walls of the rectum become engorged with too much blood (varicose veins) and bulge. Internal hemorrhoids can sometimes bleed, but rectal bleeding of any kind should be examined right away. Internal hemorrhoids can sometimes prolapse, i.e., protrude out the anus.

Bleeding hemorrhoids are indicative of internal hemorrhoids. Corrective procedures include laser coagulation, injection sclerotherapy, rubber band ligation, infrared photocoagulation, and the hemorrhoidectomy. Two other types of hemorrhoid surgery (injection sclerotherapy and rubber band ligation) are used for external hemorrhoids. Any remedy is best achieved with lots of fiber and water in a diet.

Internal hemorrhoids cannot cause surface skin pain, but they can bleed and sometimes prolapse. Prolapsing internal hemorrhoids cause perianal pain by a spasm of the sphincter complex. This spasm causes discomfort during the time that the prolapsed hemorrhoids are exposed. This discomfort is relieved with hemorrhoidal reduction. Internal hemorrhoids can also cause severe pain when they are incarcerated and/or strangulated. Again, this pain is attributed to the sphincter complex spasm. Additionally, atrangulation with necrosis can cause even more deep discomfort. As these catastrophic events occur, the resulting sphincter spasm often produces concomitant external thrombosis, which in turn causes acute cutaneous pain.