The symptoms of internal hemorrhoids are not obvious at the beginning, and they are only discovered during physical examination. However, as the hemorrhoids gradually increase, the symptoms will gradually worsen. Common symptoms of internal hemorrhoids are as follows:
1. Hematochezia: Painless, intermittent bright red blood after the stool is its characteristic. It is also a common early symptom of internal hemorrhoids or mixed hemorrhoids. Sometimes a small amount of blood is attached to the surface of the stool, sometimes it is dripping or ejection. Due to the feces rubbing the mucous membrane, or due to excessive force during defecation, the intravascular pressure increases, so that the blood vessels of the varicose veins rupture, and there is jet-like bleeding during the stool. Such as long-term repeated bleeding, or repeated heavy bleeding, can also cause anemia.
2. Prolapse of hemorrhoids: often a late symptom. Hemorrhoids usually have blood in the stool first and then prolapse. As the hemorrhoids increase in size, they are squeezed by the stool during defecation, causing them to gradually separate from the muscle layer and prolapse outside the anus. Sometimes 1 to 2 hemorrhoids are prolapsed at the same time, and sometimes all hemorrhoids with rectal mucosa are prolapsed together. At first, it only comes out during defecation, and can repay by itself after defecation. If the symptoms are severe, you need to push back with your hands or rest in bed after prolapse before resetting. Those with more severe symptoms, except for prolapse during defecation, may prolapse through exertion, walking, coughing, sneezing, squatting, etc.
3. Pain: Simple internal hemorrhoids, generally no pain, sometimes only feeling swelling in the anus or difficulty in defecation. If there is inflammation and swelling, thrombosis or incarceration in the hemorrhoids will cause pain; if the prolapse is not reset in time, the pain will increase; if incarceration occurs, there will be ulceration and necrosis, causing inflammation and swelling of the anal margin, the pain will be severe. disturbed.
4. Mucus outflow: The rectal mucosa is stimulated by hemorrhoids for a long time, causing increased secretions; late internal hemorrhoids, because of the relaxation of the anal sphincter, secretions often flow out from the anus. It flows out when the light is defecate, and when the heavy is not defecate, it flows out naturally. When the internal hemorrhoids prolapse, the secretion will be more.
5. Itching: Due to the stimulation of secretions or prolapsed hemorrhoids, the area around the anus is moist and unclean, eczema and itching occur. Itching is sometimes prolonged due to repeated effects of internal hemorrhoids prolapse.
6. Internal hemorrhoid attacks: The symptoms of internal hemorrhoids are usually mild and painless. If there is constipation or diarrhea, it will be aggravated, which is called an internal hemorrhoid attack. When internal hemorrhoids attack, the hemorrhoids suddenly swell, protrude, burn, pain, and feel pulsating and foreign body packing. Due to the squeezing of dry and hard stools, hemorrhoids are prone to infection, ulceration and bleeding, and the attack usually lasts 3 to 5 days. If treated properly, the swelling will gradually disappear and the blood clot will be absorbed. The hemorrhoids can become soft and shrink. However, due to infection, suppuration, ulceration, or obstruction of blood circulation, hemorrhoids can become necrotic, making the condition worse.