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

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Which are more painful internal or external hemorrhoids?

Which are more painful internal or external hemorrhoids?

Hemorrhoids: External hemorrhoids can hurt but should not bleed. Internal hemorrhiods should not hurt, but can bleed. Some patients don't have hemorrhoids at all, but instead have a fissure or tear of the rectal lining that hurts. ...Read more

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Dr. Eric Kaplan
1,166 doctors shared insights

Hemorrhoids (Definition)

The veins in the rectum can swell and become puffy when a person has frequent pressure on them from pushing out a bm. This is constipation. The swollen veins can burn, itch, or sometimes become severely painful (from a clot building up inside). Veins in the rectum are called hemorrhoidal veins and the sick, stretched out vein ...Read more


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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

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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

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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

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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

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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

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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