Internal hemorrhoids occur when there is increased pressure on the many small veins surrounding the lower rectum and anus. The condition is incredibly common. In fact, more than half of the population suffers it from time to time. Because they are located within the anus, internal piles can sometimes go unnoticed for long periods of time. As a matter of fact, some people may never be sure that they are suffering from the condition if most of its more common signs are absent. With that said, let’s take a look at the symptoms, causes and treatments of internal piles briefly.
Symptoms of Internal Hemorrhoids
The Symptoms include burning or itching sensation in the anus and bleeding and rectal pain during or after bowel movements.
The presence of a minute quantity of bright red blood is a sure symptom of this condition. Usually, one notices the blood on toilet paper after wiping the anus before a bowel movement. Blood may also appear on one’s stool because the bleeding takes place internally. In addition, small amounts of blood may leak from the anus even when there is no bowel movement taking place.
Pain in the anal canal
In most cases, this condition is not painful as it exhibits other symptoms. However, if the piles are large and begin to protrude through the anus, they can be very painful especially when squeezed during bowel movements by the sphincter muscles. When this pain become difficult to bear, it may be that the blood supply to the pile is severely restricted meaning the pile is literally being strangled. In such a situation, it is always advisable to seek emergency treatment.
Itching or burning sensation in the anus
Since the hemorrhoids are internally located, they sometimes normally leak mucus as the body attempts to heal them. The leaking mucus is therefore what causes the burning and itching sensation and not the ruptures in the walls of the veins. Should this mucus continue leaking through the anus, it may cause irritation in the inside of the anus as well as the outside.
What Causes Internal Piles?
As mentioned, internal piles are caused by increased pressure within the internal hemorrhoidal veins. There are so many conditions which can increase the pressure within veins which include:
- Anal intercourse
- Eating a diet low in fiber and high in fat
- Aging-muscles in the area tend to lose strength over time and become more susceptible to pressure
- Straining to pass stool due to chronic constipation
- Cirrhosis of the liver
- Rushing to finish a bowel movement thereby causing additional strain on the anus
Internal Piles Treatments
These treatments are only used for internal piles because they would be extremely painful if used for external piles. For severe cases, the physician will determine if your piles require one of these treatments:
- Injection of piles- This treatment requires the doctor to inject a liquid into the pile to stop the bleeding. The treatment also prevents the internal hemorrhoids from protruding outside.
- Barron ligatures- It involves a rubber band being put around the pile causing it to wither completely and fall off. The pile usually takes 5 to 10 days to wither and fall off.
- Thermal coagulation- This treatment uses a light or heat source to cause a small burn on the surface of the pile to shrink it down to normal size and stop it from bleeding.
On the other hand, if your internal hemorrhoids are not severe you can try herbal remedies for excellent results or even over the counter medications. Herbal remedies include psyllium, aloe vera gel, dandelion tincture and butcher’s broom. These act either as primary or even secondary medicines to help treat internal piles.
Over-the-counter medications, on the other hand, include topical anesthetics, topical corticosteroid, medicated wipes, colace, anusol and surfak. These medicines provide relief from the annoying symptoms associated with internal piles such as inflamed skin, itching, pain, and discomfort.
This type of hemorrhoid may be fatal in some cases if you don’t take preventative measures by yourself or address the doctor. The sooner the condition is diagnosed, the better. Because if treated at an early stage there is a chance it will heal completely and won’t grow to be external. However, please note that this condition is generally not a cause of major concern.