4 Types Of Hemorrhoids & How They Are Treated
The important thing to remember is that you are not alone. As many as 1 in 20 Americans deal with hemorrhoids, and up to 50 percent of those over the age of 50 will encounter them. Patients should also keep in mind that not all hemorrhoids are the same and that they may not always present with the same symptoms. In fact, there are four distinct types of hemorrhoids, and determining which you have is key to finding safe, effective relief.
Signs & Symptoms of Internal HemorrhoidsInternal hemorrhoids are located inside the rectum. These types of hemorrhoids generally resolve on their own and due to their location, are often asymptomatic. In instances when patients do experience discomfort from internal hemorrhoids, it is often because of their size. Larger internal hemorrhoids may cause symptoms such as pain, itching, or burning.
Signs & Symptoms of External HemorrhoidsExternal hemorrhoids are what most patients envision when they think of hemorrhoids. These occur at the anus as either visible or palpable lumps. Location is the only distinguishing factor between internal and external hemorrhoids, but it can make a significant difference. While internal hemorrhoids may go completely unnoticed, external hemorrhoids often produce a number of uncomfortable symptoms until they are resolved. Most commonly, patients report itching, burning, and pain during activity, while sitting, or during bowel movements.
Signs & Symptoms of Prolapsed HemorrhoidsProlapsed hemorrhoids are internal hemorrhoids that have grown to the point that the protrude from the anus. These may be accompanied by classic hemorrhoid symptoms or have no symptoms at all. All internal hemorrhoids are classified on a scale of Grade 1 – 4:
- Grade 1 – No prolapse
- Grade 2 – Prolapse under pressure such as straining during a bowel movement but return on their own
- Grade 3 – Prolapse that can be pushed back in by the patient
- Grade 4 – Prolapse that is too painful to be pushed back in