Top
20
Doctor insights on: Which Are More Painful Internal Or External Hemorrhoids

Share
1

1
Which are more painful internal or external hemorrhoids?

Which are more painful internal or external hemorrhoids?

External hemorrhoids: External hemorrhoids, based on location and the kind of nerves affected, are more painful. This is by definition. ...Read more

See 3 more doctor answers
Dr. Eric Kaplan
1,205 doctors shared insights

Hemorrhoids (Definition)

Swollen and inflamed veins in the rectum and anus that ...Read more


3

3
Bright red blood in stool one time. Rectal exam showed no evidence of internal or external hemorrhoids. No pain. Drank 3 beers previous night. 30 yrs.

Bright red blood in stool one time. Rectal exam showed no evidence of internal or external hemorrhoids. No pain. Drank 3 beers previous night. 30 yrs.

Need further eval: 3 beers should have nothing to do with having rectal bleeding, but are at the upper limit of what is considered a safe drinking range for women (4 or fewer and average of 1 or less drink per day). If a rectal exam did not show any cause, it would be prudent to get a referral to a GI specialist to see if they felt that a proctoscopy or colonoscopy was indicated, depending on personal/family history. ...Read more

5

5
M58, I have external hemorrhoids, does it mean that there is high probability that I may have internal as well. thanks ?

M58, I have  external hemorrhoids, does it mean that there is high probability that I may have internal as well. thanks ?

Yes: However, it doesn't matter exactly where the hemorrhoids are unless they are causing problems. There are many creams and suppositories to use, and many types of procedures to perform if they are very bothersome. Procedures are usually best done by a colorectal surgical specialist, or general surgeon with substantial experience. ...Read more

6

6
I have grade 2 internal and external hemorrhoids - how often should I get a colonoscopy?

I have grade 2 internal and external hemorrhoids - how often should I get a colonoscopy?

No need: You should not have colonoscopy just for hemorrhoids. Some times bleeding in cancer of colon and rectum is attributed to hemorrhoids. Anoscopy and proctoscopy in doctor office is enough for it. ...Read more

7

7
I get inflamed external hemorrhoids randomly once or twice a year where the vein bulges and becomes hard and painful for 2 weeks. Why & what to do?

I get inflamed external hemorrhoids randomly once or twice a year where the vein bulges and becomes hard and painful for 2 weeks. Why & what to do?

Thrombose Hemorrhoid: You most likely develop Thrombosed Hemorrhoid which it means the blood clots from inside the Hemorrhoid, this condition is very painful and the Hemorrhoid looks bluish or purple. Sometimes they could resolve by itself but it can be excised by the surgeon, if you get this couple of times a yea it's time for you to see a surgeon for possible Hemorrhoid surgery, try to prevent constipation, sits bath ...Read more

See 3 more doctor answers
9

9
I have a chronic external hemorrhoids, but actually after itching it becomes painful.What treatment do you suggest?

I have a chronic external hemorrhoids, but actually after itching it becomes painful.What treatment do you suggest?

First make sure : They are hemorrhoids , not missing some thing else by visiting your doctor. If they are you may have thrombosed hemorrhoids, take sietz baths, stool softeners, high fibre diet and local care with any o c medications , will get better in few days. If keep recurring will need some type of surgical intervention. ...Read more

10

10
Why do I have external hemorrhoids/skin tags but no internal hemorrhoids? I thought the external ones came from inside. Thank you.

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

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. ...Read more

See 1 more doctor answer
11

11
Good evening, i have a large internal and external hemorrhoids and sking tags. (for 7 years...). Would it be possible for rubber band ligation?

Good evening, 
i have a large internal and external hemorrhoids and sking tags. (for 7 years...). Would it be possible for rubber band ligation?

Partly: Rubber band ligation is for treatment of internal hemorrhoids only. External hemorrhoids and skin tags are too sensitive for rubber banding to be tolerable. These need to be excised if necessary, but may be left alone if not painful. ...Read more

See 2 more doctor answers
12

12
I am a 17 year old girl. Had painful external hemorrhoids for 3 years. But now it has permentally stayed external, painless, for a year and 5 months?

I am a 17 year old girl. Had painful external hemorrhoids for 3 years.  But now it has permentally stayed external, painless, for a year and 5 months?

Maybe not hemorrhoid: Are you sure you have just hemorrhoids? Pain +/- pruritis (itching) from the rectum that recurs may also indicate anal fissures, proctitis (due to infection, inflammatory bowel disease, radiation therapy, stercoral ulcers, rectal prolapse, trauma, etc.), prctalgia fugax. Depending on your age, risk factors, current medication (aspirin, nsaid's), circumstances, you will want to get evaluated. ...Read more

13

13
Can rubber band ligation be used for both internal and external hemorrhoids?

Can rubber band ligation be used for both internal and external hemorrhoids?

No: Rubber band ligation is use for internal hemmorrhoid. If use for external hemmorhoid it cause lot of unneccessary pain for the patient in general. ...Read more

See 1 more doctor answer
14

14
This treatment is usually performed on internal hemorrhoids, but it can be effective on external hemorrhoids as well?

This treatment is usually performed on internal hemorrhoids, but it can be effective on external hemorrhoids as well?

No: Internal hemorrhoids do not have pain fibers like the skin does overlying the external ones. It will cause excruciating pain. It will like getting sharply pinched constantly around ur anus 24/7. Healing may also differ as it may cause spasm on internal sphincter that can add to prolong pain. ...Read more

See 1 more doctor answer
16

16
I had a colonoscopy last yr it was neg. I have internal/external hemorrhoids, today I have diarrhea and every time i wipe there's a lil blood worry?

I had a colonoscopy last yr it was neg. I have internal/external hemorrhoids, today I have diarrhea and every time i wipe there's a lil blood worry?

No: You are young to have had a colonoscopy, and with negative findings, the blood is likely due to the hemorrhoids. Unless you have a strong family history, you should have a course of dietary changes to increase fiber and water intake to soften stools. If this fails, you may need to see a general or colorectal surgeon to have the hemorrhoids removed or banded. ...Read more

See 1 more doctor answer
17

17
I know I have small internal and external hemorrhoids.Pain went away past few days defecating,but slight pink on stool and pain while wiping recently?

I know I have small internal and external hemorrhoids.Pain went away past few days defecating,but slight pink on stool and pain while wiping recently?

Hemorrhoids: can bleed or become thrombosed, which can cause pain. See your doctor to get them examined. If they need treatment, medicine can be prescribed, or you can be referred to a surgeon for removal. Hope this helps! ...Read more

19

19
I'm 38 weeks pregnant and i just got external hemorrhoids what can I do? It's uncomfortable its only been 1day and its painful? Will they go away?

I'm 38 weeks pregnant and i just got external hemorrhoids what can I do? It's uncomfortable its only been 1day and its painful? Will they go away?

Local care: It is common problem during pregnancy , wait till delivery, most of the time will improve after delivery, now get relief by local care , ointments sietz baths, avoid constipation and take plenty of fluids you will be fine.Speak to your OB and gyn doctor. ...Read more

See 1 more doctor answer

Anal Swelling (Definition)

accumulation of fluid at the opening at the end ...Read more