Internal hemorrhoids: the main symptom is blood in the stool, larger internal hemorrhoids accompanied by prolapse, due to the duration of the disease is different, can be divided into the following phases.
Early stage: hemorrhoid nucleus is small, soft, hemorrhoid surface bright red, often due to stool rub through the hemorrhoid nucleus and bleeding, the blood, or a line such as an arrow, or drip, no pain, not prolapse, characterized by blood.
In the middle stage: hemorrhoids larger bulging, soft, hemorrhoid surface bright red or greenish-purple, hemorrhoids prolapse out of the anus during the stool, self-retraction after the stool, bleeding after the stool more or less.
Post-phase: hemorrhoids are bigger, harder, with grayish-white surface (i.e., fibrous hemorrhoids), hemorrhoids prolapse out of anus during bowel movement, even when walking, coughing, sneezing, or standing, and can't be retrieved on their own, and can be retrieved only after being pushed back by hand or lying down, or after being warmed up, and there is not much blood in bowel movement, or bleeding is no longer occurring.
Comorbidities: those in the middle and late stages may have anal swelling and itching. If the hemorrhoidal nucleus acute thrombotic incarceration, can cause swelling, pain, erosion, necrosis, or even pus, secondary anal leakage and other evidence. Long-term blood in the stool can cause anemia.
External hemorrhoids: occur in the anal canal below the dentate line, is the hemorrhoids outside the venous plexus expanding varicose or repeated inflammation and become, its surface is covered by the skin, is not easy to bleed, its shape and size is irregular.
The main symptoms of external hemorrhoids are swelling, pain, and foreign body sensation. According to its development process, it can be divided into superfluous external hemorrhoids, venous external hemorrhoids and thrombosed external hemorrhoids.
Excessive skin external hemorrhoids: the anal edge of the superfluous skin flap, gradually increased, soft texture, generally painless, no bleeding, only feel the anus has a foreign body sensation, and occasionally dyeing and swelling and congestion, only feel the pain, and once the swelling disappeared, the superfluous skin still exists.
Venous tension external hemorrhoids: mostly due to repeated prolapse of internal hemorrhoids in the middle and late stages, or due to increased abdominal pressure during pregnancy, and so on, resulting in superficial venous and subcutaneous lymphatic reflux obstruction, resulting in the enlargement of hemorrhoidal venous plexus below the dentate line of the anal canal and varicose and become. Its clinical manifestations: local oval or long-shaped swelling, soft to the touch, usually inconspicuous, in defecation or squatting to increase abdominal pressure, the volume of the swelling increased in dark purple, press the hard, after stool or after massage the volume of the swelling can be reduced to become soft. Generally there is only a feeling of swelling without pain, such as after defecation, the swelling does not shrink, causing edema of the surrounding tissues when there is pain. Patients with venous out of tension external hemorrhoids, mostly accompanied by internal hemorrhoids.
Thrombosed external hemorrhoids: because of constipation and in defecation, too much force, or after strenuous exercise, to the hemorrhoidal vein rupture, blood fast coagulation and the formation of thrombus. Its clinical manifestations: the anus suddenly severe pain, and the emergence of a swelling, this swelling is very sensitive, a little touch is caused by pain, so defecation, sit down, walk, and even coughing and other actions can aggravate the pain.
Mixed hemorrhoids: it is the internal and external hemorrhoids venous plexus varicose, communicate with each other anastomosis, the sphincter muscle between the groove disappeared, so that the internal hemorrhoids and external hemorrhoids part of the formation of a whole for the mixed hemorrhoids. The actual fact is that it is a very good idea to have a good deal more than just a few of these kinds of a lot more than just a few of them.
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