A member asked:

Why do i have external hemorrhoids/skin tags but no internal hemorrhoids? i thought the external ones came from inside. thank you.

4 doctors weighed in across 2 answers
Dr. Tracy Berg answered

Specializes in General Surgery

External hemorrhoids: In some cases internal and external hemorrhoids are related, but not in every case. Usually need a scope or surgical exam to determine the status of internal hemorrhoids. This is actually good news for you.

Answered 10/20/2014

5.4k views

Thank
Dr. Paul Batty answered

Specializes in General Surgery

External hemorrhoids: Usually the hemorrhoidal cushions or vein complexes originate internally. The shear forces secondary to either straining with constipation or frequent bowel movements associated with diarrhea can lead to prolapse of the anal lining ( mucosa) and associated hemorrhoids. If they clot or thrombose, they can be quite painful. When the acute inflammation resides you may be left with redundant skin.

Answered 7/10/2013

5.4k views

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