Internal hemorrhoids

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Hemorrhoids are a common condition. Hemorrhoids are normal structures of the body guiding the blood and that are localized at the anus. The term hemorrhoid is used in cases where the structure is responsible for symptoms. Hemorrhoids appear due to the dilation of the veins in the anus. Hemorrhoids can be external, located below the anal sphincter muscle, or internal, located above the sphincter. External hemorrhoids are generally visible to the naked eye.


Internal hemorrhoids will cause:
  • pain in the inner lining of the anus. The pain becomes paroxysmal during crises
  • bleeding that is more or less severe at time of stools, often found on toilet paper,
  • presence of palpable and disturbing internal masses.


Pain, discomfort and bleeding will lead a patient to seek medical attention. To see the internal hemorrhoids, it is necessary to observe the inside of the anus via an anoscopy. This test is sometimes supplemented by a colonoscopy if there is any risk factor for colorectal cancer.


Treatment is based on:
  • the regulation of intestinal transit;
  • a treatment consisting of several methods: rubber band ligation, where an elastic is placed at the base of the hemorrhoid, infrared photocoagulationusing light rays, cryotherapy using coldness, or injections of sclerosing agents;
  • In some cases, surgery is necessary with the removal of hemorrhoids by hemorrhoidectomy.


Fighting against constipation with the help of fiber enrichment or laxatives prevents the occurrence of hemorrhoids. It is also advised to avoid extensive efforts while having a bowel movement.