What Do Hemorrhoids Look Like: Types and More

contribution on PinterestMenshalena/Getty Images Hemorrhoids, besides called piles, happen when clusters of veins in your rectum or anus get swollen ( or dilated ). When these veins swell, lineage pools inside and causes the veins to expand outward into the membranes around your rectal and anal tissue. This can become uncomfortable or atrocious.

There are four types of hemorrhoids :

  • internal
  • external
  • prolapsed
  • thrombosed

Most hemorrhoids aren ’ triiodothyronine a serious medical condition. In fact, you may not even notice them. Less than 5 percentage of people who get hemorrhoids have symptoms, and even fewer necessitate treatment. Hemorrhoids are coarse. About 1 in 20 Americans are affected by them, according to the National Institutes of Health. silent, you should see a healthcare professional right away if your hemorrhoids are causing you pain or disrupting your convention activities and intestine movements. You should besides talk with your doctor if they haven ’ triiodothyronine gone away after a week of treatment at home, or if you ’ ra experiencing bleeding from your rectum.

What do hemorrhoids look like?

Hemorrhoids aren ’ t always visible. But when they expand, they can look like loss or blasphemous bumps or lumps. here are descriptions of the appearance of the four main types of hemorrhoids :

  • Internal. These can’t always be seen because they’re too deep in your anus to be visible. They are protrusions of the wall of your anal canal or rectum. Less-serious internal hemorrhoids are bumps inside, and more serious ones can form a long protrusion.
  • Prolapsed. When an internal hemorrhoid swells and elongates to the point where it protrudes out of your anus. Less serious prolapsed hemorrhoids come out of the anus during straining but spontaneously retract when you relax, whereas more serious prolapsed hemorrhoids remain protruding from the anus.
  • External. Appear as one or more bumps on and around the anus. You or a doctor can see these from the outside.
  • Thrombosed. These are external or internal hemorrhoids in which the blood that’s pooled inside has clotted, which can be painful in external hemorrhoids.

You might have barely one hemorrhoid or more than one at a clock time .

Pictures of the different types of hemorrhoids

share on PinterestInternal hemorrhoids are found in the rectum. They’re usually not serious and tend to go away on their own. BruceBlaus/Wikimedia share on PinterestProlapsed hemorrhoids occur when an internal hemorrhoid swells and sticks out of the anus. External hemorrhoids occur on the outside of the body, on or around the anus. WikipedianProlific/Wikimedia parcel on PinterestThrombosed hemorrhoids are those that contain a blood clot within the hemorrhoid tissue. BruceBlaus/Wikimedia

Internal hemorrhoids

Internal hemorrhoids are found inside your rectum. They ’ re normally not serious and tend to go aside on their own. sometimes, internal hemorrhoids can swell and stick out of your anus. This is known as a prolapse hemorrhoid. There aren ’ t any nerves that detect trouble in your rectum, so you may not constantly notice home hemorrhoids. But they can cause symptoms if they grow larger, including :

  • pain or discomfort
  • itching
  • burning
  • noticeable lumps or swelling near your anus

Feces traveling through your rectum can besides irritate an internal hemorrhoid. This can cause bleeding that you may notice on your toilet tissue. See your doctor if an inner hemorrhoid causes you a batch of pain or discomfort, or if you experience bleeding from your rectum. Find out more about treatments below. If you ’ re having a fortune of annoyance during intestine movements, this may be due to an abscess or fissure in the anus or rectum quite than a hemorrhoid.

Prolapsed hemorrhoid

A prolapse hemorrhoid occurs when internal hemorrhoids swell and stick out of your anus. A doctor of the church may assign a grade to a prolapsed hemorrhoid based on how far it protrudes :

  • Grade I: Not prolapsed at all.
  • Grade II: Prolapsed, but will retract by themselves. These may only prolapse when you put pressure on your anal or rectal area, like by straining when you have a bowel movement, and then return to their normal position afterward.
  • Grade III: Prolapsed, and you have to push it back in yourself. These may need to be treated so that they don’t become too painful or infected.
  • Grade IV: Prolapsed, and you can’t push it back in without a lot of pain. These will usually need to be treated to prevent pain, discomfort, or further complications.

Prolapsed hemorrhoids look like swollen red lumps or bumps coming out of your anus. You may be able to see them if you use a mirror to examine this area. Prolapsed hemorrhoids may have no other symptom than the bulge, or they may cause pain or discomfort, itch, or burning. In some cases, you may need surgical treatment to remove or correct a prolapse hemorrhoid so that they don ’ triiodothyronine cause you any annoyance or complications .

External hemorrhoids

external hemorrhoids occur on or around your anus. They ’ ra not always visible but sometimes class lumps on the anal coat. external hemorrhoids aren ’ thymine normally a serious aesculapian issue. But see a healthcare professional if they cause pain or discomfort that affects your daily biography. The symptoms of external hemorrhoids are basically the same as those of internal ones. But since they ’ re located on the outside of your rectal area, you may feel more pain or discomfort when you sit down, do physical activities, or have a intestine movement. They ’ rhenium besides easier to see when they swell, and the blue discolor of the elaborate veins is visible beneath the anal skin surface. See your doctor if an external hemorrhoid causes you pain or discomfort.

Thrombosed hemorrhoid

A thrombose hemorrhoid contains a blood clog ( thrombosis ) within the hemorrhoid tissue. They may appear as lumps or swelling around your anus. Thrombosed hemorrhoids are basically a complication of a hemorrhoid, in which a blood curdle forms. Blood clots can happen in both inner and external hemorrhoids, and the symptoms may include :

  • intense pain and itchiness
  • swelling and redness
  • bluish color around area of hemorrhoid

See your doctor of the church a soon as potential if you notice increasing pain, itch, or inflammation around your rectal and anal area. Thrombosed hemorrhoids need to be treated cursorily to prevent complications from a miss of blood provision to your anal or rectal tissue.

What causes hemorrhoids?

Anything that puts imperativeness or tune on your anus or rectum can cause the veins to dilate. Some common causes and risk factors include :

  • having excess weight
  • frequently straining during bowel movements
  • having diarrhea or constipation
  • not having regular bowel movements
  • sitting for a long time
  • being pregnant or giving birth
  • not getting enough fiber in your diet
  • using too many laxatives
  • getting older, as tissues lose strength and elasticity as you age

Internal hemorrhoids can become prolapse hemorrhoids if you continue to do any of the things that may have caused your hemorrhoid in the first stead. external hemorrhoids are more probable to become thrombose, although no specific risk factor is known to cause this .

When should I see a doctor?

See a healthcare professional if you start to notice pain and discomfort around your anus, specially when you sit or have a intestine campaign. seek hand brake aesculapian attention if your symptoms worsen on the spur of the moment, specially if they ’ rhenium interfering with your casual activities. here are symptoms to watch out for :

  • feeling extremely itchy around your anus
  • burning around your anus
  • noticeable lumps or swelling near your anus
  • bluish discoloration of your skin near areas of swelling

How are they diagnosed?

Your doctor may perform one or more tests to examine the anal or rectal area for hemorrhoids :

  • Looking at the anus or rectum. A doctor will likely be able to diagnose an external or prolapsed internal hemorrhoid through a visual examination.
  • Doing a digital rectal exam. The doctor will insert a finger covered with a lubricated glove into the anus or rectum to feel for signs of hemorrhoids with the fingers.
  • Using an imaging scope. This will help them look at the inside of your rectum to examine for internal hemorrhoids. They’ll usually insert a thin tube with the light on the end into your rectum. Tools used for this diagnosis may include an anoscope or sigmoidoscope.

What can be mistaken for hemorrhoids?

Hemorrhoids have the same or like symptoms to some early conditions. For that reason, see a healthcare professional if your symptoms continue for longer than a week. Some conditions besides cause rectal bleed like hemorrhoids sometimes do. These include :

  • colorectal cancer
  • ulcers
  • gastrointestinal infections
  • inflammatory bowel disease (IBD), like ulcerative colitis and Crohn’s disease

But blood from your digestive tract much appears black in your stool unless the bleed occurs near your rectum and anus. If you ’ re seeing brilliantly crimson lineage on the toilet newspaper after you wipe, it ’ s most likely due to a hemorrhoid or anal crevice. anal fissures and anorectal abscesses are the most likely cause of acute pain while you have a intestine movement, but you might mistake them for a hemorrhoid. anal warts are a type of genital wart and can look and feel like a demote on the anus. It ’ s possible for them to itch and bleed, equitable like external hemorrhoids. Because many conditions can be mistaken for hemorrhoids, it ’ second significant to see a healthcare professional for a diagnosis.

How are they treated?

discussion for hemorrhoids depends on the type, degree of prolapse, and badness of your symptoms. here are some home remedies to try if your symptoms aren ’ thymine besides austere :

  • Use an over-the-counter hemorrhoid remedy. Hemorrhoid creams or witch hazel solution may help relieve swelling and pain.
  • Take pain medications. These include ibuprofen (Advil, Motrin) or acetaminophen (Tylenol), to reduce pain.
  • Use a cold compress. An ice pack wrapped in a thin towel can help relive pain and swelling when you apply it to the area.
  • Sit in warm water. Do this for about 10 to 15 minutes. You can either fill a bathtub with warm water or use a sitz bath. Some people also use Epsom salts.

In some cases, your hemorrhoids may need to be removed to prevent pain and long-run complications. Some procedures for removal include :

  • rubber band ligation
  • sclerotherapy
  • infrared coagulation
  • hemorrhoidectomy
  • hemorrhoidopexy

What are possible complications of hemorrhoids?

Complications of hemorrhoids are rare. If they do happen, they may include :

  • Strangulation. Arteries feeding fresh blood to the hemorrhoid can become blocked, preventing blood supply from reaching the hemorrhoid. This can cause extremely intense and unbearable pain.
  • Anemia. If hemorrhoids bleed too much, this can cause fatigue, shortness of breath, headaches, and dizziness due to loss of blood.
  • Prolapse. Prolapsed hemorrhoids can cause pain or discomfort when you sit or pass a bowel movement.
  • Blood clots. Thrombosis is more likely to be a complication of an external hemorrhoid. Blood clots can cause pain and itching that can become severe.
  • Infection. Bacteria can get into hemorrhoids that are bleeding and infect the tissue. Untreated infections can sometimes cause serious complications, like tissue death, abscesses, and fever.


Hemorrhoids can be uncomfortable or evening atrocious, but most of the time, you won ’ triiodothyronine experience any obtrusive symptoms, and complications are very rare. Internal or external hemorrhoids that don ’ thyroxine prolapse or thrombose are more likely to heal without causing any symptoms or complications. Prolapsed and thrombosed hemorrhoids are much more likely to cause discomfort or increase your risk of complications. seek hand brake medical attention if your hemorrhoids lawsuit trouble and discomfort or if you notice any symptoms like bleeding or prolapse. Hemorrhoids that are treated promptly have a better opportunity of healing without causing any further complications .

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