Internal Hemorrhoid Tissue
Hemorrhoids are the swollen vascular structures within the Anal Canal. The term Piles is commonly used for these inflamed vascular structures. In their normal Physiology they act as cushion made up of Arterial and Venous connections and connective tissues. Internal hemorrhoids are so named because they lie deep within the rectum. They can’t be seen or felt, unlike external hemorrhoids.
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Internal Hemorrhoid Tissue
SYMPTOMS FOR INTERNAL HEMORRHOIDS
Extreme straining due to the hard stool, as in chronic constipation, is the main reason for the development of internal hemorrhoids. The blood flow stops leading to the congestion of blood vessels.
The symptoms for Internal and External Hemorrhoids are different but often people have both. The symptoms relating to Internal Hemorrhoids are painless rectal bleeding and Prolapse (falling out) of Anal Tissue. Bleeding from the internal hemorrhoids normally covers the stool and the condition is called hematochezia. Prolapse is a Hemorrhoid tissue that can be felt coming out from inside of the Anus when wiping or during Bowel movements.
DEGREE OF PROLAPSE
Internal Hemorrhoids can be classified on basis of their degree of prolapse:
Grade one. No prolpase, just visible blood vessels.
Grade two. Prolapse that goes inside on its own.
Grade three. Prolapse that needs to be pushed inside by patient requiring manual retention.
Grade four. Prolapse that is painful and cannot be pushed back inside by the patient.
TREATMENT OF INTERNAL HEMORRHOIDS
Typical treatment is to take dietary fibers and steroids to prevent inflammation. Following are some procedures for the treatment of Internal Hemorrhoids.
- Rubber Band Ligation.
- Injection Sclerotherapy
- Infrared Photocoagulation
- Laser coagulation
- Hemorrhoidectomy
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