Why is hemorrhoids painful


Why is hemorrhoids painful

Hemorrhoids are dilated veins that form in the anus or rectum, much like varicose veins. There are two types of hemorrhoids: external hemorrhoids that appear under the skin at the opening of the anus and internal hemorrhoids that form in the anus or lower part of the rectum.

Most often the symptoms are not acute or in any case, do not fall under the urgency. It is rather:

– Burns, itching or discomfort in the anal area.

– bleeding (visible only on the toilet paper for example) and pain when going to the saddle.


– mucus seeping through the anus.

– feeling that the inside of the anus is swollen, or even out of the anus of hemorrhoids in the form of sensitive protuberances.

Why can external hemorrhoids be painful?

Hemorrhoids are a particularly disturbing condition. They are the result of a disease and require appropriate treatment to overcome it. When suffering from this disease, it is important to know that it appears by pushing and that these crises are easily identifiable and can be stopped. If we do not treat haemorrhoidal crises, we can treat them to make their presence bearable, reduce their frequency and the inconvenience that results. Moreover, during a crisis, external hemorrhoids can be particularly painful … Now let’s see why and how to relieve them.

External hemorrhoids, what to recognize them?

The symptoms of external hemorrhoids vary according to the severity of these. They can also increase or decrease depending on the progress of the disease. Some of the most common symptoms that will help you recognize them include:

  • Of itching in the anal area. Hemorrhoids are manifested by a desire to scratch continuously. In most cases, itching may occur at night.
  • When you sit down, you feel anal pains.
  • When you go to stool, you may perceive something that bothers you, as an unusual mass, in the orifice of the anus.
  • Sometimes it is possible to find blood in the stool (or even on the underwear).

But, hemorrhoids do not appear alone. They are caused by something … And this something is often coagulation and a build-up of blood in the veins of the anus. This phenomenon can be caused by severe or chronic constipation or diarrhea.

In pregnant women, this risk increases because of the pressure exerted by their uteruses on the veins of the anal region. It is for this reason that statistics have shown that pregnant women account for more than 40% of the total number of patients with external hemorrhoids.

People over 50 are also at risk. With a decrease in muscle tone and decreased tone in the veins, the blood tends to stagnate. Therefore, hemorrhoidal diseases are more likely to occur … Besides, risk factors come into play. Such as obesity or being overweight, anal sex or carrying heavy objects.

Pain, a characteristic of external hemorrhoids

External hemorrhoids can be particularly painful. Which is not the case at all when you have internal hemorrhoids. these are, in some cases, completely painless.

It is the external side that produces this feeling of pain. These are wounds, so to speak, open and in contact with the environment. In the same way that an injury is painful, hemorrhoids can be identically painful …

In everyday life, these worries can be particularly uncomfortable and produce equally uncomfortable situations. Of course, as for any type of hemorrhoid, the moment of defecation can be felt as painful …

The pains can manifest themselves in different ways …

First of all, there is a pain when sitting down. Because of their location, the sitting position can be particularly uncomfortable. Without proper care, this feeling will not leave you. It can be reduced if you use a soft or less rigid seat. For example, placing a cushion on your chair, but that will not solve the problem at the base.

Then the pain may be related to defecation. Indeed, hemorrhoids, whether internal or external are placed on the path of stool. When you go to the bathroom, passing feces can cause significant pain. This can result in bleeding as well. This mini bleeding, visible to the naked eye, will be one of the indicators of the presence of hemorrhoids on your posterior …

Finally, itching is not a pain as such. But their presence and the frequency of repetitions will put you in a situation of significant discomfort.

When hemorrhoids become an emergency

Sometimes hemorrhoids become an emergency, mostly because of the pain. It can happen in 15% of the hemorrhoids that they thrombose and do very badly. This represents less than half of the causes of anal pain. One should not speak of thrombosis, the term is unsuitable because it is rather the rupture of a superficial vein of the hemorrhoidal plexuses which leads to the constitution of a hematoma under tension. We should therefore rather speak of a “hemorrhoidal hematoma”.

Some triggers are classically described: meals that are too rich or too spicy, episodes of the genital life, taking medication, thrusting efforts. Their symptomatology differs according to their location on the external or internal hemorrhoidal plexuses. External hemorrhoidal thrombosis is manifested by the sudden onset of pain and tumefaction of the anal margin.

Internal thrombosis can remain inside the rectal canal (we speak of non-externalized intraductal thrombosis) or externalize. In both cases, the urgency is related to the pain either inside (which can make suspect a fissure or an abscess), or outside with a real “hemorrhoidal strangulation”, with the veins that can no longer be spontaneously reintegrated into the anal canal due to concomitant sphincter hypertonicity. There is sometimes also blood (rectorragie).

Hemorrhoids treatments

You can go to procto emergencies or otherwise to emergencies. The treatment of external hemorrhoidal thrombosis is excision after local anesthesia: a scalpel shot to release the hematoma under tension.

For internal hemorrhoids, a “surgical” gesture is possible but more complicated to access (under anoscopy). Necessary in case of failure of medical treatment.

How to treat external hemorrhoids?

External hemorrhoids are easily identifiable. Much more than internal hemorrhoids. The main reason: they are visible. Certainly difficult to see, but visible! Diagnosis is easy to ask when it comes to external hemorrhoids.

As its name suggests, hemorrhoids will take the form of one or more protuberances depending on the severity and the progress of the crisis. These protuberances occur because the underlying veins are suffering. Excessive pressure is exerted on them and dilated to the point that they turn into hemorrhoids.

Know that external hemorrhoids can have different sizes. This ranges from a  few millimeters to 3 centimeters for the largest. Moreover, it is not uncommon to see several protuberances. We then speak of projections …

Their shape and color may also vary. Most often, they will have a round or slightly oval shape. But it is not excluded that they are flattened and flexible …

The color is mainly related to the progress of the crisis.

At an early stage, external hemorrhoids are often brown or even neutral in color. Over time, they swell with blood and turn red, purple or even dark blue (blood color).

However, it is possible to treat them. And, the sooner, the better. Because the pains will be less intense and their disappearance faster. It is for this reason that it is important to treat hemorrhoids!

Hemorrhoids can be treated in different ways. To reduce the swelling and inflammation of hemorrhoids, you can use suppositories, creams or anti-hemorrhoidal pills that you can find anywhere in physical pharmacies or online. If you visit your doctor, this one will surely give you some medicine that will help calm the symptoms of hemorrhoids.