Internal hemorrhoids are swollen veins inside your rectum, located above the anal opening. They are usually painless and often go unnoticed until they grow larger or prolapse (slide outside the anus).
You may notice one or more of the following:
Internal hemorrhoids form when pressure builds up in the veins of the lower rectum. Common contributing factors include:
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Not usually. However, long-term or heavy bleeding can lead to anemia if left untreated.
Yes. Mucus leakage and irritation of the anal lining can cause itching and discomfort.
Grade I: No bulge visible or palpable
Grade II: Prolapses with straining but reduces on its own
Grade III: Prolapses with straining and must be manually pushed back in
Grade IV: Permanently prolapsed and often requires surgical treatment
Bleeding typically lasts a few days. If bleeding continues beyond a week or is heavy, you should see a specialist.
Mild cases often improve within 1-2 weeks with conservative measures. In-office procedures can speed up relief.
Increase dietary fiber and fluids, avoid straining, take warm sitz baths, and consider rubber band ligation or other office therapies.
Yes. Internal hemorrhoids are commonly identified during a colonoscopic examination.
Yes. Preparation H can provide short-term relief from itching and swelling.
Creams containing hydrocortisone or witch hazel are often effective at reducing inflammation and itching.
Yes. When used as directed, suppositories are a safe and effective way to treat internal hemorrhoid symptoms.
