Internal Hemorrhoids
Internal hemorrhoids usually are not painful, but may bleed. Sometimes, an internal hemorrhoid may stretch until it bulges outside the anus. This is called a prolapsed hemorrhoid. A prolapsed hemorrhoid may shrink back inside the rectum on its own over time, or it may be gently pushed back inside. If the prolapsed hemorrhoid cannot be pushed back inside, several hemorrhoid treatment options are available, including hemorrhoid surgery.
External Hemorrhoids
External hemorrhoids involve the veins around the anus. They can be itchy or painful and can sometimes crack and bleed. If a blood clot forms, one may feel a tender lump on the edge of the anus, and see bright red blood on toilet paper or in the toilet after a bowel movement.
Classification
1stDegree – No rectal prolapse
Hemorrhoids can affect men and women alike; however, an individual may be more likely to get hemorrhoids as they age or if their parents had them. Pregnant women often get hemorrhoids because of the strain from carrying the baby and from giving birth. For most women, such hemorrhoids are a temporary problem. Obesity, straining during bowel movements, sitting too long on the toilet, or standing or lifting too much can make hemorrhoids worse. Constipation is often the main cause of hemorrhoids.
If an individual is struggling with anorectal issues, it is important to visit a physician to correctly identify the problem. The physical evaluation should include observation, palpation, and anoscopic examination

Overview

In-Depth Description on PPH

Risks and Complications

Frequently Asked Questions

Available
Resources