Hemorrhoids can be categorized as external or internal which form within the anal canal and anal opening. If in their normal state, they do not trigger any symptoms. In some cases, issues might arise from the internal hemorrhoids.

The external hemorrhoids can trigger symptoms once a blood clot abruptly forms in one of the veins at the anal opening. This clot causes a firm external lump that results to anal pain and even bleeding between bowel movements.

What are the causes?

  • Aging
  • Straining during bowel movement, strenuous activity or heavy lifting
  • Diet low in fiber
  • Pregnancy and vaginal delivery
  • Prolonged sitting on the toilet
  • Watery or hard bowel movements

Signs of internal hemorrhoids


Anal pain especially during or after bowel movements.

The indications of this type of hemorrhoid typically include:

  • Rectal bleeding that is generally bright red during and occasionally between bowel movements
  • Anal itchiness or burning
  • Anal pain especially during or after bowel movements
  • Anal area is difficult to clean
  • Drainage
  • Bulging of the hemorrhoids during bowel movements


If an individual has internal hemorrhoids, there are various treatment options available. Take note that not all cases require a procedure or surgery.

For mild or occasional symptoms, the following treatment options can help such as:

  • Increase the intake of fiber in the diet or start a fiber supplement to keep the soft stool and regular.
  • Follow good toilet habits by avoiding straining or sitting on the toilet for extended periods of time. If the individual is constipated, a laxative or stool softener can be used if suggested by the doctor.
  • Take a Sitz bath or warm tub to lessen the pain from bowel movements.

If the symptoms are severe or chronic, other options are available. The ideal procedure is based on the size of the internal hemorrhoids and seriousness of the symptoms.