Internal Hemorrhoids
As their name suggests, internal hemorrhoids are located inside the rectum just inside the anus. They’re not visible at all and more often than not, are not particularly painful. This is because the nerve endings inside the rectum aren’t particularly sensitive. An indication that you have internal hemorrhoids is a sensation that you don’t feel relieved and empty after passing a bowel motion as opposed to the usual lighter feeling you have afterwards.
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If your hemorrhoids has been caused by straining or constipation, you may find that further straining can aggravate the delicate tissue of the hemorrhoid and this is when you may find evidence of blood on the tissue paper after wiping. The blood is usually bright red however if you experience any dark, maroon coloured blood this would indicate that it’s originated from further up the bowel and you should consult a medical professional to get it checked out.
The problem with internal hemorrhoids is that they have a tendency to prolapse and push out of the anus. These feel like hard, pink bumps rather like grapes in appearance. It is possible to carefully push them back into the rectum but this can be a very painful exercise indeed.
For the medical professional to diagnose if you have internal hemorrhoids they will have to do an internal examination which involves inserting a speculum up into the anus so they can see inside the rectum.
Popular conventional treatments that are used for internal hemorrhoids include banding which involves wrapping a rubber band around the hemorrhoid thus cutting off the circulation and ’starving’ it so that it to shrink and disappear. Other ways include Sclerotherapy, infrared Photocoagulation, laser and liquid nitrogen. All these treatments are used in various degrees to shrink internal hemorrhoids.

