Internal hemorrhoids on the other hand generally cause less discomfort. They may also be difficult to see or feel. One indication of internals of hemorrhoids is bleeding from the rectum, so if you see small amounts of blood after a motion on your toilet tissue or bowl, then these may be due to internal hemorrhoids.
Hemorrhoids are present globally, found most in foreign and overseas, statistics can be found in international magazine or on net.
Since internal hemorrhoids do not contain any pain sensitive fibres, the bleeding caused by them is usually painless. If you have internal hemorrhoids then you may not feel fully relieved even after a motion and may want to clear your bowels again. Too much straining then results in bleeding and may end up pushing the hemorrhoid out of the anus, which may cause pain. When an internal hemorrhoid gets pushed out of the anus it is called a prolapsed hemorrhoid. Sometimes with a prolapsed hemorrhoid, there may be secretions of mucus containing some small remains of your stool, which can cause itching in that area. This condition is called pruritus ani and is a kind of local skin ailment.
The degree of severity and treatment of internal hemorrhoids varies from person to person. Internal hemorrhoids can be of the following four types, based on where they are present:
- First-degree (or grade 1) piles are small swellings on the inside lining of the anal canal. They cannot be seen or felt from outside the anus.
Second-degree (or grade 2) piles are larger and stick out (or prolapse) from the anus when you go to the toilet, but return afterwards.
Third-degree (or grade 3) piles are similar, but hang out from the anus and only return inside when pushed back with a finger.
Fourth-degree (or grade 4) piles permanently hang down from the anus and you cannot push them back inside.
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