Hemorrhoids history and symptoms

Symptoms of hemorrhoids include pain with defecation, hematochezia, and anal discharge.

• Assess risk factors such as dietary habits and bowel movements

• External hemorrhoids are painful as the skin below the punctate line is sensitive to pain.^[1]
• Blood clots may form in external hemorrhoids.
• Thrombosed external hemorrhoids cause bleeding, painful swelling, or a hard lump around the anus.
• When the blood clot dissolves, extra skin is left behind. This skin can become irritated or itch, and may even leave behind a skin tag.
• Excessive straining, rubbing, or cleaning around the anus may make symptoms, such as itching and irritation, worse.

• The most common symptom of internal hemorrhoids is bright red blood on stool, on toilet paper, or in the toilet bowl after a bowel movement.
• Internal hemorrhoids that are not prolapsed are usually not painful.
• Prolapsed hemorrhoids often cause pain, discomfort, and anal itching.^[1]

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