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==History and Symptoms== | ==History and Symptoms== | ||
===External hemorrhoids=== | ===External hemorrhoids=== | ||
*External hemorrhoids are painful as the skin below the punctate line is pain sensitive. | *External hemorrhoids are painful as the skin below the punctate line is pain sensitive.<ref name="pmid28567655">{{cite journal |vauthors=Guttenplan M |title=The Evaluation and Office Management of Hemorrhoids for the Gastroenterologist |journal=Curr Gastroenterol Rep |volume=19 |issue=7 |pages=30 |year=2017 |pmid=28567655 |doi=10.1007/s11894-017-0574-9 |url=}}</ref> | ||
*Blood clots may form in external hemorrhoids. | *Blood clots may form in external hemorrhoids. | ||
*Thrombosed external hemorrhoids cause bleeding, painful swelling, or a hard lump around the anus. | *Thrombosed external hemorrhoids cause bleeding, painful swelling, or a hard lump around the anus. | ||
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*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. | *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. | *Internal hemorrhoids that are not prolapsed are usually not painful. | ||
*Prolapsed hemorrhoids often cause pain, discomfort, and anal itching. | *Prolapsed hemorrhoids often cause pain, discomfort, and anal itching.<ref name="pmid28567655">{{cite journal |vauthors=Guttenplan M |title=The Evaluation and Office Management of Hemorrhoids for the Gastroenterologist |journal=Curr Gastroenterol Rep |volume=19 |issue=7 |pages=30 |year=2017 |pmid=28567655 |doi=10.1007/s11894-017-0574-9 |url=}}</ref> | ||
==References== | ==References== | ||
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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, haematochezia, and anal discharge.
History and Symptoms
External hemorrhoids
- External hemorrhoids are painful as the skin below the punctate line is pain sensitive.[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]