Hemorrhoids history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]
Overview
Symptoms of hemorrhoids include pain with defecation, hematochezia, and anal discharge.
History and Symptoms
External hemorrhoids
- External hemorrhoids are painful as the skin below the punctate line is sensitive to pain.[1]
- Blood clots may form in external hemorrhoids.
- Thrombosed external hemorrhoids cause bleeding, painful swelling, or a hard lump around the anus.
- When the blood clot dissolves, extra skin is left behind. This skin can become irritated or itch.
- Excessive straining, rubbing, or cleaning around the anus may make symptoms, such as itching and irritation, worse.
Internal hemorrhoids
- The most common symptom of internal hemorrhoids is bright red blood on stool, on toilet paper, or in the toilet bowl after a bowel movement.
- Internal hemorrhoids that are not prolapsed are usually not painful.
- Prolapsed hemorrhoids often cause pain, discomfort, and anal itching.[1]