Hemorrhoids can develop from increased pressure in the lower rectum due to:
Internal Hemorrhoids: First- to Fourth-Degree
A first-degree internal hemorrhoid bulges into the anal canal during bowel movements.
A second-degree internal hemorrhoid bulges from the anus during bowel movements, then goes back inside by itself.
A third-degree hemorrhoid bulges from the anus during bowel movements and must be pushed back in with a finger. A fourth-degree hemorrhoid protrudes from the anus all the time
How do you know if you have a hemorrhoid or fissure?
An anal fissure is a small tear in the thin, moist tissue that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement.With internal hemorrhoids, the only symptom may be rectal bleeding. Bright red blood may appear as streaks on toilet paper or stool, or bright red blood that drips into the toilet following bowel movements. Other symptoms include a lump that can be felt around the anus with or without associated pain (usually from external hemorrhoids), or itching or mucus discharge after bowel movements. Hemorrhoids generally last several days and often recur. Anal fissures often cause pain during and after a bowel movement, sometimes followed by throbbing pain for several hours. They are also often associated with itching and blood on toilet tissue, in the bowl, or on the surface of the stool.
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