Principal complaints of hemorrhoids include bleeding on defecation and prolapse of tissue. Second symptoms may be associated with hemorrhoids but often arise from other causes which are unrelated. Contrary to popular belief, the ache is not a primary symptom and usually occurs as a result of complications of hemorrhoids.
You cannot see or feel internal hemorrhoids as they lie inside the rectum about a fingers length from view. Because they are not covered with skin, they do not hurt, even when inflamed and swollen. Bleeding is the only symptom you get when the internal hemorrhoids have become engorged; however, these hemorrhoids can stretch downward and can prolapse through the anus, causing increased bleeding and the feeling of a large lump coming through the anus.
Definition of prolapsed hemorrhoid
Internal hemorrhoids usually offer up bleeding as their only symptoms. The bleeding is usually bright red and will be around the stool and in the toilet bowl. If an internal hemorrhoid is big enough, it could prolapse out of the anus after stooling and might need to be manually reduced back into the rectum. If internal hemorrhoid prolapses through the rectum and cannot be reduced, it can cause pain.
Prolapse is another common symptom of hemorrhoids. It occurs in larger hemorrhoids. Hemorrhoidal prolapse usually occurs at the time of defecation. It is usually painless and reduces spontaneously after defecation. It is such an important feature that the classification of hemorrhoids depends on upon the degrees of prolapsed hemorrhoid.
- First-degree hemorrhoids do not prolapse.
- Second-degree hemorrhoids prolapse during defecation but reduce spontaneously.
- Third-degree hemorrhoids prolapse and have to be reduced manually.
- Fourth-degree hemorrhoids are trapped outside the anal canal and cannot be reduced by manual pressure.
Alternative but less common causes of prolapse include mucosal prolapse, full-thickness rectal prolapse; anterior wall prolapsed hemorrhoid and fibroepithelial and adenomatous polyps. These occur independently of defecation and must be excluded before treatment is offered.
Prolapsed hemorrhoids can hurt but, fortunately, they recede into the rectum on their
own so that no medical attention is needed. You or your doctor can also push them into place without difficulty.
Prolapsed hemorrhoid treatment
Prolapse with no symptom does not need treatment. However, if patients are troubled with symptoms such as combined bleeding or manual reduction on defecation of hemorrhoids, it needs to be treated. Second-degree hemorrhoids are also recommended to treat with RBL or a sclerosing agent injection. If the third level is not so severe, RBL or sclerosing agent injection can also be applied, but the severe third-degree or fourth-degree hemorrhoids must be dealt with surgery.
For incarcerated and strangulated hemorrhoids, there are two methods of treatment: an emergency surgery and a scheduled surgery after conservative treatment. If the patient’s condition permits, it is advisable to perform a surgery of urgency even if the mucosa is weak, friable, and easy to bleed.
Hemorrhoidectomy is needed on the following conditions, regardless of prolapse:
- Hemorrhoid with large skin tag
- Hemorrhoids with combined anal disease such as fissure or anal fistula
- Large thrombosed hemorrhoid
- When rubber band ligation or sclerotherapy has already failed
If the internal hemorrhoids slip out of the anal canal and are on the outside of the body, a PPH is performed, which stands for Procedure for Prolapse and Hemorrhoids. This is, fortunately, a minimally invasive procedure which can be used for prolapsed internal hemorrhoids or natural hemorrhoids.
In the procedure, a surgical stapler is used to cut off the blood supply to the hemorrhoids that eventually shrivel up and die. It takes the hemorrhoids and moves them to be higher within the anus. This is the part of the anus that has fewer pain nerve endings, so they don’t tend to hurt very much.
The advantages of the PPH procedure include:
- Faster recovery time
- Decreased pain
- Less itching and bleeding
- Fewer complications
If you are pain from any of the above symptoms, you can rest assured that I am going to help you reverse and eventually eliminate these symptoms and afflictions from your life by following a safe and straightforward step-by-step holistic system. To find out more, Click Here!
Recommended Reading: How to treat internal hemorrhoids