Skip to main content

Understanding the Differences between Internal & External Hemorrhoids and the Best Treatment Options

Hemorrhoids are the most common cause of rectal bleeding. In fact, three out of four adults will experience hemorrhoids at some point in their lives. They are largely harmless; however, they can still be uncomfortable and embarrassing. Before you and your doctor can begin treatment, it's important to differentiate between internal and external hemorrhoids, which develop inside and outside the rectum, respectively. 

Colon and Rectal Surgeons of Greater Hartford has multiple locations throughout South Windsor, Bloomfield, and Plainville, Connecticut. Each one is staffed with doctors and surgeons who can diagnose and explain the differences between internal and external hemorrhoids and help you decide on a treatment plan that works for you. 

What are internal hemorrhoids? 

Internal hemorrhoids are piles that occur inside the rectum. Typically, you cannot see or feel them, and they don't hurt due to the lack of pain sensors in the rectum. However, if an internal hemorrhoid prolapses, or falls out of the anus, it can lead to serious pain. 

Internal hemorrhoids can cause discomfort, though, when you go to the bathroom, and they periodically bulge out of the rectum. They can also bleed, leading to blood on your toilet paper and stool. They are diagnosed with a simple rectal exam. 

What are external hemorrhoids? 

Unlike internal hemorrhoids, external hemorrhoids can usually be seen without examining the rectal canal.  They can be diagnosed with a visual exam, and you can examine them yourself using a mirror. They occur under the skin of the anus and can become painful if they thrombose, or form blood clots. 

The anus has more pain-sensing nerves than the rectum, so these hemorrhoids might itch, sting, and swell. Bleeding can occur here, as well, so you might find blood on toilet paper or your stool. 

What is the best treatment? 

Your treatment might change depending on how severe your hemorrhoids are. Hemorrhoids usually go away on their own, but you should seek medical treatment if they begin to bleed or interfere with your life. 

Treatments for hemorrhoids include: 

Many people avoid seeking treatment for hemorrhoids due to embarrassment and the stigma that comes with the condition. However, rectal bleeding should always be taken seriously, and a doctor can diagnose your hemorrhoids and give you the treatment you need. 

If you're suffering from hemorrhoids, you can get in touch with Colon and Rectal Surgeons of Greater Hartford by calling the location closest to you or by booking an appointment online

You Might Also Enjoy...

Is Surgery the Best Solution for Pilonidal Disease?

When sitting down is excruciating, you may pick up a mirror (or your phone) and head to the bathroom to find out why. You see a swollen, red area that’s tender to the touch. Your doctor says it’s pilonidal disease. Is surgery your best option?
Here's How to Prep for Rectocele Repair

Here's How to Prep for Rectocele Repair

You’re excited and relieved to finally be ready for your rectocele repair. Soon, the days of feeling like your rectum is always full and having pain during sexual intercourse will be behind you. So, how do you prepare for your repair?
What Causes a Rectal Prolapse?

What Causes a Rectal Prolapse?

You feel like you haven’t fully defecated, but nothing else is coming out. You reach under to “help” yourself evacuate and are horrified to find that it isn’t stool you touch: Your own rectum has dropped through your anus. How did that happen?
Understanding the Two Main Surgeries for Diverticulitis

Understanding the Two Main Surgeries for Diverticulitis

When your diverticulosis progresses to diverticulitis, you may be able to control the pain and inflammation with lifestyle adjustments. But if your disease continues to progress, you may need one of two surgeries to get relief. Which one is best for you?