6 doctors weighed in:
Which are more painful internal or external hemorrhoids?
6 doctors weighed in

Dr. Jeffrey Crespin
Internal Medicine - Gastroenterology
1 doctor agrees
In brief: 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.

In brief: 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.
Dr. Jeffrey Crespin
Dr. Jeffrey Crespin
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Dr. Roger Kilbourn
Family Medicine
1 doctor agrees
In brief: External hemorrhoids
External hemorrhoids, based on location and the kind of nerves affected, are more painful.
This is by definition.

In brief: External hemorrhoids
External hemorrhoids, based on location and the kind of nerves affected, are more painful.
This is by definition.
Dr. Roger Kilbourn
Dr. Roger Kilbourn
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Dr. Shervin Eshaghian
Internal Medicine
In brief: External
External.

In brief: External
External.
Dr. Shervin Eshaghian
Dr. Shervin Eshaghian
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Dr. David Gutman
Internal Medicine
In brief: It depends
Chronic external hemorrhoid tags generally do not cause any pain at all, unless a blood clot has formed inside, in which case the pain can sometimes be severe, but usually resolves after 1-2 weeks.
Internal hemorrhoids frequently cause mild to moderate discomfort which can often persist until treated. There are other causes of anal pain as well.

In brief: It depends
Chronic external hemorrhoid tags generally do not cause any pain at all, unless a blood clot has formed inside, in which case the pain can sometimes be severe, but usually resolves after 1-2 weeks.
Internal hemorrhoids frequently cause mild to moderate discomfort which can often persist until treated. There are other causes of anal pain as well.
Dr. David Gutman
Dr. David Gutman
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