How can I tell if I have an internal or external hemorrhoid?
This is quite embarrassing, even though it’s only online..
For a while now, I’ve been experiencing constipation, though it is inconsistent. Some days it’s there, some days it’s not. I’ve started taking fiber, and that has made a difference in my stool, and so I don’t have to force the movement. Anyways..
I always thought hemorrhoids were puss-like blisters that formed around the anus. I never really knew what they were. For quite some time, after a strained bowel movement I had noticed a small lump on my sphincter. We all know what a sphincter looks like, so bare with me as I try to explain how it looked..
It was part of the sphincter. You know how it is a ring, with the hole in the center, and creases or lines or cracks (what ever you want to call it) caused by the tightening of it? Sort of like this -> * I wish it was bigger, but you know what I mean. Put a little circle around the star and it looks like a sphincter.. Anyways. One of the sections of skin, or muscle or what ever you call it, was swollen. So inbetween two lines, that ’section’, was swollen. It wouldn’t hurt, but it would stick out from my anus considerably after a strained movement. I never really thought much of it, as it would go back in. I never experienced any pain or discomfort. It didn’t block my feces or anything like that, and never become irritated.
Anyways, today during my break at work, I was sitting on the toilet and as soon as I flexed my sphincter, I felt something that shouldn’t be there. I felt around, and the little lump that came from time to time had swollen up to about the size of a small grape – about 2 cm wide. I couldn’t do much at work, but for the rest of my shift, all I could focus on was the pain it was now causing me. It’s not a severe pain. It’s not enough to make me cry or scream, and it’s not a sharp pain. It’s like a pressure pain. Like when you cut off circculation to your finger for a long time and then squeeze your finger, forcing all the blood into your finger tip. That kind of pressure. Anyways when I got home, I bent over and looked in the mirror and it is a little sphere on the right side of my sphincter. ( +O) <– sort of like that, except the ball interferes with the sphincter hole. It is now swollen, and slightly light purple (before it became like this, the little swollen part that would come from time to time was not dis-coloured). Sorry to disturb you with details, but when I pass wind, I have to let it ease out. And when it does, it is sort of blocked, and makes a funny noise (like a peter griffin fart, haha). When I make a movement like I’m forcing out a bowel movement, the pain does not change. But, when I contract my sphincter, like I’m holding in a bowel movement, I experience more defined pain, as the lump is squeezed. I’ve been doing some research online, and cannot tell if it is internal or external. I have reason to believe that it IS external, since its on the outside and its causing me pain, but I am also not sure if it is just an internal hemorrhoid protruding from my anus! It is not bleeding, it is not violent looking, and though it is quite firm and shockingly not squishy, it is not extremely large or prominent. I have put on some hemorrhoid ointment, and am sleeping nude. I will be trying a few homemade remedies that I have come upon through yahoo answers, but I want to go and see my doctor asap. I have to wait until Tuesday though, since monday is a holiday (I live in Canada). Until then, I want to determine what kind it is. Can anyone help me? Jeeze, I’m only 18 and I have a hemorrhoid! Can you tell me the symptoms/ways to distinguish between internal and external? MAN this is ruining my night! PLEAsE HELP!
Filed under: Hemorrhoid Symptoms
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i think its an external pile..though sometimes the pile itself doesnot bleed..and not necessary that at an early stage you find al the typical features of an external pile..i did have the same problem and my doctor said its an external pile. An internal pile cant be seen easily .. U need a proctoscopic examination for that..Also an internal haemorrhoid doesnot cause pain except sometimes only during passing the stools,as the nerves in that region cannot sense the pain ..U cal them visceral nerves..As u said ur pain doesnot change with stool passage, i assume it to be an external pile…
There really is no way of knowing whether it is an external one or an internal one protruding out without a doctor looking at it and letting you know..sorry. It really doesn’t make a difference since the treatment is the same.
As per the answer before it doesn’t matter whether it’s external or internal as the treatments are the same, but the treatments do matter and obviously aren’t the same. Some will only mask the problem and only help the pain, or shrink the swelling but they don’t get to the root of the problem to help you cure them.
As you mentioned, you’re looking to use natural remedies so I’d like to make a suggestion. I came across a website that offers natural remedies that have helped many people (testimonies) and they offer a free guide. So go to http://www.cureforpiles.com and see if that helps.
Good Luck
Internal hemorrhoids will not be visible by just looking down there. You will however be able to see externa hemorrhoids.
For moredetailed information about both, check the pages linked to below.
Good luck,
Heather-Jane