What are Internal Hemorrhoids?

Internal hemorrhoids are swollen veins located inside the rectum. Unlike external hemorrhoids, they are not visible and usually cause minimal discomfort in the early stages. However, if internal hemorrhoids worsen, they can lead to significant irritation, bleeding, and even prolapse—where the hemorrhoid extends outside the anus.

Internal hemorrhoids are classified into four grades based on severity:

1. Grade I: Swelling without prolapse.
2. Grade II: Prolapse that retracts on its own.
3. Grade III: Prolapse that requires manual adjustment.
4. Grade IV: Permanently prolapsed and often painful.

Understanding the nature and severity of internal hemorrhoids is the first step toward effective management and relief.

What Are the Symptoms of Internal Hemorrhoids?

Internal hemorrhoids may go unnoticed initially, but common symptoms include:

• Rectal bleeding: Bright red blood after bowel movements.
• Prolapse: Bulging of the hemorrhoid through the anus during straining.
• Mucus discharge: A sign of irritation in the rectal lining.
• Itching or irritation: Caused by inflammation or discharge.
• Pain or discomfort: Typically associated with prolapsed or thrombosed internal hemorrhoids.

If you experience any of these internal hemorrhoid symptoms, consult our team for evaluation and treatment.

Causes of Internal Hemorrhoids

Internal hemorrhoids develop when pressure increases in the veins of the lower rectum. Common causes include:

• Straining during bowel movements.
• Chronic constipation or diarrhea.
• Prolonged sitting, especially on the toilet.
• Pregnancy and childbirth, due to increased pressure on the rectal veins.
• Obesity or lack of physical activity.
• A low-fiber diet, which can lead to harder stools and more strain.

By understanding the underlying causes, you can take proactive steps to reduce your risk and manage symptoms effectively.

How to Diagnose Internal Hemorrhoids

Diagnosing internal hemorrhoids involves a combination of symptom review and medical examination. Standard diagnostic methods include:

• Physical examination: A healthcare provider may perform a rectal exam to identify swelling or irritation.
• Anoscopy: A small, illuminated scope is used to view the inside of the rectum and detect hemorrhoids.
• Colonoscopy: Recommended for individuals with rectal bleeding, especially if other risk factors for gastrointestinal conditions are present.

Early diagnosis allows for timely treatment and helps prevent complications.

Treatment Options for Internal Hemorrhoids

Without proper treatment, hemorrhoids can be long-lasting.

At Texas Hemorrhoid Institute, our experienced team offers a range of effective treatments, from lifestyle changes to advanced medical procedures, to relieve hemorrhoid discomfort sooner.

Here’s how to treat internal hemorrhoids:

Lifestyle Adjustments

• Dietary changes: Increase fiber intake with fruits, vegetables, and whole grains.
• Hydration: Drink plenty of water to prevent constipation.
• Healthy habits: Avoid prolonged sitting and straining during bowel movements.
• Exercise: Regular physical activity can improve circulation and reduce pressure on rectal veins.

Medical and Surgical Treatments

• Banding: A minimally invasive procedure where a small band is placed around the base of the hemorrhoid, cutting off its blood supply until it shrinks and falls off.
• Hemorrhoidectomy: Surgical removal of severe or persistent hemorrhoids that haven’t responded to other treatments.
• Hemorrhoid Artery Embolization (HAE): A non-surgical option that cuts off blood flow to hemorrhoids, causing them to shrink. This is ideal for chronic internal hemorrhoid cases or when other treatments fail.

Our specialists work with you to develop a personalized treatment plan that fits your needs, whether through simple lifestyle adjustments or advanced medical interventions.

Preventing Internal Hemorrhoids

Taking proactive steps can help reduce the likelihood of developing or worsening internal hemorrhoids.

Tips for Long-Term Hemorrhoid Prevention

• Avoid prolonged sitting or straining during bowel movements.
• Use the restroom promptly when you feel the urge to prevent stool hardening.
• Maintain a healthy weight to minimize pressure on rectal veins.

Dietary and Lifestyle Adjustments

• Incorporate high-fiber foods to promote regular and easy bowel movements.
• Drink 8-10 glasses of water daily to keep stools soft.
• Engage in regular physical activity to improve overall circulation and prevent constipation.

Simple changes to your daily routine can make a significant difference in your overall rectal health.

Contact Texas Hemorrhoid Institute for Internal Hemorrhoid Treatment

If you or someone you love is struggling with the symptoms of internal hemorrhoids, Texas Hemorrhoid Institute is here to help. Our team offers advanced, compassionate care to relieve discomfort and improve your quality of life.

Request an appointment today and take the first step toward lasting relief and improved comfort.