4 Types Of Hemorrhoids & How They Are Treated

By: GI Alliance


  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 Hemorrhoids

Internal 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 Hemorrhoids

External 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 Hemorrhoids

Prolapsed 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

Signs & Symptoms of Thrombosed Hemorrhoids

Thrombosed hemorrhoids are internal or external hemorrhoids in which a blood clot (thrombosis) has developed.  Symptoms that accompany a thrombosed hemorrhoid are often more severe than normal and can include intense itching, burning, pain, redness, and swelling.  The area around the hemorrhoid may also take on a bluish color.  Quick treatment of thrombosed hemorrhoids is necessary to prevent loss of blood supply and damage to the surrounding tissue.

Hemorrhoid Treatment in Baton Rouge

If you are suffering from any form of hemorrhoid, seek the medical attention of a gastroenterologist.  These specialists can offer treatment recommendations to help you find relief and perform the necessary procedures should your hemorrhoids become severe or unresponsive to other methods.  In Baton Rouge, our team of gastroenterologists is fully prepared to treat all manner of digestive diseases, including hemorrhoids.  Simply click below to request an appointment.