Internal hemorroids – a type of hemorroid in which the vein walls have collapse and the hemorroid is filled up with blood. Internal hemorroids is barely noticeable and cannot be felt because everything takes place inside, internally. And because internal anal membranes lack pain-sensitive nerve fibers, these internal hemorroids usually don't cause discomfort. And that is basically the reason that internal hemorroids doesn’t hurt that much because they have not come into contact with air and outside pressure unlike external hemorroids. But straining or irritation from passing stool can injure a hemorroid's delicate surface and cause it to bleed, and that’s the time internal hemorroid becomes painful. Or if the hemorroids remains outside the anus, it can cause pain, itching, bleeding and results to formation of excess skin or what we called skin tags.
Internal hemorroids basically develop inside the passageway of the anus above the dentate line. Internal hemorroids often are small, swollen veins in the wall of the anal canal. But this small hemorroid can become large, sagging veins that bulge out of the anus all the time. This internal hemorroid can only be painful if they bulge out and are pressed when sitting for a longer period . But this may also be very painful if the blood supply to the hemorroid is cut off.
Painless bleeding and protrusion during bowel movements are the most common symptom of internal hemorroids. Usually you will notice small amounts of bright ,streaking red blood on your toilet paper or on the toilet In addition, excessive straining, rubbing and cleaning with harsh toilet papers around the anus may cause irritation with bleeding and/or itching, which may produce a vicious cycle of internal hemorroid symptoms.
Other symptoms of internal hemorroids may include:
• Itching - a frequent complaint, because internal hemorroids often seep mucus that causes itching.
• Skin irritation due to large bulging hemorroids in the anus that may secrete mucus, causing mild irritation
• Discomfort - This uncomfortable feelings are caused by the bulging of the hemorroids in the end portion of the large intestine. You often have the feeling of urge even after your bowel movement. Mostly, the larger the hemorroids , the greater the discomfort.
o First-degree internal hemorroids do not bulge from the anus.
o Second-degree internal hemorroids bulge from the anus during bowel movements but go back into the anus afterward on their own.
o Third-degree internal hemorroids bulge from the anus during bowel movements, but they can be pushed back into the anus.
o Fourth-degree internal hemorriods may bulge outside the anus all the time.
o Eat high-fiber foods. Eat more fruits, vegetables and grains. By doing this it softens the stool and increases its bulk, which will help lessen the straining that can cause your internal hemorroids
o Drink plenty of liquids. At least a minimum 6 -8 glasses a day also helps in preventing constipation thus lowers the risks of having internal hemorroids.
o Consider fiber supplements. You can ask advise from your doctor for any stool softeners. This can give you relief from internal hemorroids or getting the possibility of having hemorroids.
o Change bowel habits. Respond to the urge to defecate and stay relaxed to avoid straining to avoid bleeding of your internal hemorroid.
o The best way to prevent internal hemorroids is to keep stools soft so they pass easily, thus decreasing pressure and straining, and to empty bowels as soon as possible after the urge occurs.
Treatment for internal hemorroids include laser coagulation, injection sclerotherapy, rubber band ligation, infrared photocoagulation, and the hemorrhoidectomy. In severe cases of internal hemorroid usually suggests to undergo hemorroid surgery. However if home remedies are observe and practice daily it can make the need for hemorroid surgery unnecessary. But if discomfort and pain still persist and blood occurrence in your stool is still noticeable, it is highly adviced to consult your physician and get it investigated because sometimes bleeding may not be due to internal hemorroids but to other serious internal illness.
