what does hemorrhoids look like


If you have hemorrhoids, we definitely recommend that you read the article below. In the following, we will answer many of your questions about hemorrhoids.

Would you ask what hemorrhoids look like and what they look like?

To learn more about the symptoms of hemorrhoids, this common problem between men and women and to know its characteristics, read on.


Internal hemorrhoids that are above the line

External hemorrhoids located below the dentate gyrus

What does grade 1 hemorrhoids look like?

What does grade 2 hemorrhoids look like?

What does grade 3 hemorrhoids look like?

Statistics and epidemiology

Causes and risk factors for hemorrhoids


How will doctors diagnose hemorrhoids?

Treatment of hemorrhoids

Hemorrhoid surgery




This is how doctors define hemorrhoids:

Protruding and swollen or varicose veins of the venous cushions located in the anus. The name of these bloody cushions !! is called hemorrhoids and is naturally located in the anal canal and can to some extent prevent spontaneous excretion of feces.

But if these veins become bloody and swollen, they will show clinical signs.


In the following we will tell you, what hemorrhoids look like and what their symptoms are.

In the human anal canal, there is a line that is not actually a line but a border between two different types of tissue. Above this line is the mucosal tissue of the colon and below the line is occupied by skin-like tissue. This line is called dentition by doctors.

But what is the significance of this line and what is the connection between the dentate line in the anus and hemorrhoids? Hemorrhoid cushion !! are located both above and below this line. Based on this location, hemorrhoids are divided into two main groups.


Internal hemorrhoids that are above the line.

These bloody piles are located on the right side and inside the intestine and are not visible, you may rarely feel their presence and they will rarely cause discomfort.

When the stool passes through the right end of the bowel, these swollen, bloody piles are in the stool passage and may be damaged and bleed.

Bleeding is clear blood that is often on the stool and is sometimes mixed with the stool. The pain in the internal hemorrhoids is low.


External hemorrhoids located below the line:

These hemorrhoids are actually located in the skin-like tissue, so they have pain and pressure receptors. When external hemorrhoids are stimulated, itching and discomfort occur at the site of bleeding.

The characteristics of these two groups can be slightly different.

Another type of hemorrhoid is classified according to its degree

Here's what hemorrhoids in each category look like and will look like.



What does grade 1 hemorrhoids look like?

In this case, the bloody piles or hemorrhoidal veins are dilated, varicose, and tortuous, but the swollen mass is not displaced and the only sign is bleeding when stimulated, such as when defecating.


What does grade 2 hemorrhoids look like?

Bloody piles or veins are dilated and twisted, varicose veins.

At this stage, the protruding hemorrhoid will return to its place automatically after defecation.


What does grade 3 hemorrhoids look like?

At this stage, the protruding and swollen mass or masses of hemorrhoids that have come out of the anus by expulsion or force will not go away on their own, and the patient who feels a foreign body in the anal opening should touch these lumps. Return to the anus.


Statistics and epidemiology

Women are more likely than men to have hemorrhoids.

Pregnancy is associated with increased intra-abdominal pressure due to uterine growth and hormonal changes. Changes in hormones during pregnancy cause the walls of the veins to dilate and tend to dilate With increasing intra-abdominal pressure and uterine pressure on the veins that collect blood from the legs and pelvis and carry it to the heart, more blood collects inside the dilated hemorrhoid veins. Therefore, the prevalence of hemorrhoids in pregnant women will be high.


Causes and risk factors for hemorrhoids

  • Obesity is associated with increased abdominal fat mass and increased intra-abdominal pressure
  • Favorable genetics
  • Lifting heavy objects and lifting weights that will increase the pressure inside the abdomen
  • Liver failure and liver cirrhosis
  • Chronic diarrhea
  • Chronic constipation
  • Anal fissure (because of pain, a person with anal fissure avoids regular bowel movements, and therefore this cycle causes constipation, and in defecation, both hemorrhoids will bleed and Fisher will have pain and bleeding).
  • Anal intercourse

Older people are more at risk for hemorrhoids, which may be due to the prevalence of constipation in the elderly.

Strain and chronic constipation are considered to be the most common causes of hemorrhoids. In other words, any factor that raises the pressure inside the abdomen and disrupts the return of venous blood from the pelvis and legs to the heart will fill the venous cushions around the anal canal with blood and dilate and swell.

Five percent of the population is said to have symptomatic hemorrhoids.



Now that you are familiar with the apparent manifestations of hemorrhoids in its various degrees, it is better to know what the symptoms of hemorrhoids are, in other words, to see what manifestations of hemorrhoids appear. These symptoms are:


  • Severe itching around the anus
  • Irritability around the anus
  • Blood on the toilet paper or on the toilet bowl or on the stool after defecation.
  • The most common symptom of hemorrhoids is painless bleeding during bowel movements and defecation. This bleeding will be clear blood with a small amount on the stool, stained with the stool, or on the toilet bowl or on the toilet paper.
  • Fecal leakage


In cases where external hemorrhoids cause symptoms:

  • Feeling of pressure in the anus
  • Feeling uncomfortable
  • Swelling in the anus
  • Feeling sharp pain when sitting
  • Sometimes there is discomfort and pressure and pain when defecating or when cleaning and drying the anal area.
  • Sometimes the patient feels a lump near the anus or feels that the bowel movement is incomplete.
  • Sometimes a lump that one feels near the anus may become tender or painful


So by now you know what hemorrhoids look like and what they will look like.


How will doctors diagnose hemorrhoids?

After hearing your history, the doctor will examine your anus with a device called an endoscope, but in cases where there is no blood clot inside the hemorrhoid and the hemorrhoid is not very painful.

Examination shows prominent, swollen, and tortuous veins around the anal canal. Sometimes it is necessary for the doctor to put on gloves and examine the inside of the anus with his finger so that he can feel the swelling of the anal wall under the hand.

For further investigation to evaluate the causes of rectal bleeding, it is sometimes necessary to observe parts of the end of the large intestine, which is done with instruments that will be thin tubes equipped with light and a camera.

Sigmoidoscopy and colonoscopy will be used to view the entire colon.


Treatment of hemorrhoids

Use the following methods in mild cases and tolerable symptoms:

  • Eat high fiber to avoid constipation, include vegetables, grains, pears, raspberries and و in your diet
  • Take a hot bath or sit in of warm water (put your buttocks and anus in warm water twice a day for ten to fifteen minutes each time)
  • Anal hygiene should be observed
  • Toilet paper should be soft.
  • Sometimes use a cold compress to reduce pain, swelling and inflammation of the anus



Prepare topical ointments as prescribed by your doctor

Ointments containing nitroglycerin or diltiazem can cause headaches and even cause falls when rising from the toilet bowl.

Use painkillers under the supervision of a doctor. Medications containing codeine themselves cause constipation and worsen the cycle.

Include olive and sesame oil in your daily diet

With these treatments, hemorrhoids will improve in a week. If the symptoms do not improve or worsen, be sure to see a doctor.


Your doctor will use creams, topical ointments, and anti-hemorrhoid pads to help relieve mild hemorrhoids, along with nutritional advice and encouragement of physical activity.

Such as compounds containing lidocaine, hydrocortisone and…


Hemorrhoid surgery

In severe cases, hemorrhoid surgery will be necessary.

Here are some examples of hemorrhoid surgery techniques:


  • Hemorrhoidectomy or surgery to remove hemorrhoids:

Large internal or external hemorrhoids or hemorrhoids with severe symptoms are treated with this option.


  • Sclerotherapy:

Injection of sclerosing material into swollen vein cushions that wrinkle them


  • Close the base of the swollen vein with a plastic band:

As blood flow stops in this area, the bulge shrinks

  • Coagulation:

It is done with infrared radiation, which is equivalent to burning hemorrhoids



The best treatment for hemorrhoids is to avoid getting it.

  • Drink eight glasses of water daily
  • Exercise and be physically active
  • Eat more fiber, vegetables and whole grains
  • Instead of white and industrial breads, eat whole grain breads
  • Do not force too much
  • Avoid gaining weight
  • Do not sit for long periods of time



The complications of hemorrhoids are not many, but it is still better to be familiar with them:


  • Anemia or Iron deficiency anemia:

Due to chronic bleeding from the anus


  • Strangulation hemorrhoids:

In this case, hemorrhoids are damaged and will be very painful.

Remember that blood in the stool must be checked by a doctor

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