Internal Hemorrhoid 

Grading of Int-Hemorrhoids. -Pictures (from grade 1-grade 4)

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Grade II Hemorrhoid


Everyone has veins (low pressure blood vessels that return blood to the heart) around the anal opening. When these veins become abnormally enlarged or dilated, they are called "hemorrhoids".(see left fig.)

Internal hemorrhoids occur above the dentate line and are, therefore, usually painless. They can cause bleeding or they may push out of (prolapse) the anal opening when they become quite large. (see left fig.) :Prolaps (come out of the anal opening).


How to observe your own protruded hemorrhoids?

By using a mirror and a flash-light, you can easily observe the real feature of protruded hemorryoids by your self.( as shown in the left figure.)



Cause and Incidence of Internal Hemorrhoids.

Hemorrhoids are caused by increased pressure in the veins of the anus. The most common cause is straining at bowel movements. Constipation, prolonged sitting, and anal infection are contributing factors. Internal hemorrhoids occur near the beginning of the anal canal. They are very common, especially during pregnancy and after childbirth. The incidence is 2 out of 1000 people.


1) bleeding at defecation. 2)rectal bleeding after bowel movements. 3)bright red blood in the stool. 4)tenesmus. 5)pain during bowel movements. 6)anal itching.

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