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Prolapsed Internal Hemorrhoid

If your internal hemorrhoid progresses, you may feel a soft lump appearing on occasion at the anal opening.  If the tissue is soft, moist, and about what you'd expect an interior mucus membrane to feel like, you have a prolapsed hemorrhoid. If it just peeks out and retracts on its own during a bowel movement, it's at stage two. At stage three, it comes out with a bowel movement and only retracts when you poke it back with a finger, and at stage four it doesn't retract at all. If you have a prolapsed hemorrhoid, you need to get to a doctor before an anal sphincter muscle spasm turns it into a strangulated hemorrhoid.



External Hemorrhoids
External hemorrhoids are enlarged blood vessels visible around the anal canal and appear as lumps, bumps or mass of tissue near the anus.  They form outside the anus or near the anal rim.  They itch and burn and are very sensitive to touch. This area has nerve endings making external hemorrhoids very painful.  When they are inflamed they appear bright red otherwise they are normally brownish.  If they appear dark red or purple (black and blue) then the hemorrhoid may have thrombosed (blood clot) and it should be looked at by a doctor.

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A hemorrhoid (also known as piles) is a mass of dilated veins in the tissue at the margin of the anus or inside the rectum. Symptoms include excruciating pain, bleeding, leakage, and extreme itching.  The veins in this area of the body have unique properties since they expand and contract, naturally. 

When a vein expands, but does not contract, it is called a hemorrhoid.  The vein essentially gets stuck in the expanded state and pulls out of the surrounding soft tissue.  This often occurs after a bowel movement due to the straining, but it can occur during any kind of straining, including lifting and sports activity.  Pregnancy puts tremendous pressure in this region during pregnancy and childbirth.  Some people are also genetically predisposed to weaker veins in this area of the body and this often results in hemorrhoids.  The National Institute of Health states 50% of the population will have hemorrhoids by age 50.  Even though so many people have or will have hemorrhoids, this condition is rarely discussed.  Hemorrhoids caused Napoleon to sit side-saddle, sent President Jimmy Carter to the operating room, and benched baseball star George Brett during the 1980 World Series . 

Once you get hemorrhoids, you're likely to always have them -- this is because swelling weakens the vein walls and thus makes them prone to future swelling. There are three types of hemorrhoids that occur: internal hemorrhoids, external hemorrhoids and prolapsed internal hemorrhoids.



​Internal Hemorrhoid
Many people have internal hemorrhoids and don't even know it.  These are internal veins of the mucus lining in the rectum that become enlarged and stay inside the body.  The veins sit loosely in the rectum.  If you have occasional blood in the stool this may indicate an internal hemorrhoid. Sometime the hemorrhoid gets large enough to block a bowel movement therefore an incomplete bowl movement may also indicate an internal hemorrhoid. 

When internal hemorrhoids are irritated they may produce mucus to soothe the irritation. When that mucus gets on exterior skin, it dries and itches.  Internal hemorrhoids may heal with time, but may require a doctors visit if symptoms persist.
 

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