Internal hemorrhoids develop above the pectinate (dentate) line. The pectinate line is about 1cm from the anus.
Internal hemorrhoids (piles) are classified into 4 grades. Their classification depends on the degree of prolapse of the piles.
Diagram of the Anal Canal
Prolapse is a medical term, which describes tissues that have dislodged from their normal anatomical position.
The most frequent occasions, in which, grade 2 internal haemorrhoids prolapse include stooping and bowel movements. The piles spontaneous retract after the occasion. For example, if the piles prolapsed because you stooped, they will immediately retract back into the rectum, when you stand up. If the piles prolapsed during a bowel movement, they’ll immediately retract when, you are through.
Grade 3 internal piles frequently prolapse. However, you can manually push them back into the rectum.
Grade 4 internal haemorrhoids are permanently prolapsed. You can manually push them back into the rectum, but they’ll immediately fall back out.
Grade 3 & 4 internal hemorrhoids are visible externally. You can see them by maneuvering a mirror about your rear. You run the risk of mistaking Grade 3 & 4 internal piles for external piles because they are both visible externally.
Therefore, you’ll need the know-how to answer the outstanding question:
How can You Distinguish Internal Hemorrhoids from External Hemorrhoids?
Internal hemorrhoids are painless.
If you are in pain, you are probably dealing with external piles. There are two rare exceptions to this rule. Internal piles are painful, if they are thrombosed or necrotic.
Thrombosis is the blockage of circulation due to the clotting of cells in blood vessels.
Necrosis describes the death of blood cells.
Internal Hemorrhoids are Painless
For example, bright red blood might be indicative of an anal fissure. Anal tears and fissures are relatively common. So, how can you tell that, you are dealing with internal haemorrhoids, not anal fissures?
Anal fissures hurt. If you are dealing with an anal fissure, you will feel pain during your bowel movements. Bright red blood plus pain probably indicates an anal fissure.
The presence of bright red blood without pain probably indicates internal piles.
Incidentally, the causes of piles and anal fissures are very similar. Stretching the anal sphincter beyond its elastic limit may result in an anal fissure. Anal sex is one activity which might cause an over-stretching of the anal sphincter. Constipation is the most frequent condition responsible for over-stretching the anal sphincter.
Consult Your Doctor
You have a more serious condition, if your stool is smeared with darkish blood. You could be dealing with a bowel disease or anal cancer. Consult your doctor immediately.
Again, internal piles are not painful. However, grade 3 & 4 internal piles might itch and hurt. Pain and itchiness are common for prolapsed internal piles.
You see, grade 1 & 2 internal piles neither itch nor hurt because they are inside the rectum and the rectum is not really skin. The rectum has neither pores nor sebaceous glands.
On the other hand, the area immediately outside the anus is skin and it is abundantly served by nerve ending and pain receptors. When piles prolapse (in Grade 3 & 4), they rub against this sensitive region, causing pain and irritation.
Your piles could aggravate to the point where surgery becomes the only treatment option. And surgery comes with a host of medical complications. Hence, you should seek treatment ASAP.
Causes of Internal Hemorrhoids
Internal hemorrhoids are caused by high intra-abdominal pressures. Several occasions could give rise to high intra-abdominal pressures.
Causes of Internal Hemorrhoids
Do you overstrain during bowel movements? If you do, you might just be responsible for your condition. Imagine the tremendous pressure all that pushing exerts on your lower bowels!
Some guys hold their breaths and push like they are about to give birth to twins. Do not be surprised, if babies don’t pop out. You are more likely to birth small peanut-shaped outgrowth in your rectal region.
Constipation and diarrhea are among the leading causes of piles.
Low fiber diet. A low fiber diet reduces the efficiency of your metabolism. Without sufficient fiber in your diet, a disproportionately high amount of fluids gets absorbed as your food moves through your intestines. By the time the digestive by-product arrives at your rectum, it is very dry and stony. It passes only with difficulty and often under enormous strain.
Picture an obese person. Imagine the pressure of those accumulated layers of abdominal fat pressing upon the lower abdomen. If the weight of an elephant is constantly pushing against your lower bowels, haemorrhoids are not far away.
Lack of regular exercise is an often cited cause of piles. Regular exercise improves the circulation of blood and renders your metabolism more efficient.
Regular Exercise Prevent Hemorrhoids
Abdominal muscles are not exclusively prized for their aesthetic value. A flat tummy helps keep your vital organs in their normal anatomical position. This reduces your susceptibility to contracting hemorrhoid by improving your metabolism. Now you have an additional reason to tone your abs, till those chocolate bars manifest in all their glory.
Pregnant women undergo two important changes: one is physiological and the other is anatomical.
The physiological change is an increase in the production of oestrogen (estrogen). The hormone, oestrogen causes the walls of veins to relax. At this relaxed state, veins become more vulnerable to swelling and inflammation upon the slightest abnormal pressure.
The anatomical change is the increasing weight, which the developing fetus exerts on the lower abdomen.
The next time you see weight lifters at work, pay close attention to the phases of lifting. You’ll notice that, they have to hold their breath and contract their muscles to breaking point.
As you saw in the video, it is not some far-fetched theory. Weight lifting brings incredible pressure to bear upon the lower abdomen.
Professional weight lifters frequently suffer from hemorrhoids.
Remedy for Internal Hemorrhoids
It is quite possible for your piles to go away by simply altering your diet. An increase in your fiber intake alone can bring relief from hemorrhoid.
Pregnant women often recover from piles after delivery.
Not everyone is fortunate to get relief without medication. It is highly unadvisable to assume that your condition will improve without medication.
Venapro is the most effective home care remedy for hemorrhoids.
You can order the 100% organic venapro formula over the internet without prescription.
Venapro is highly recommended by doctors because it treats both the causes and symptoms of haemorrhoids.
Most people think that, venapro is some kind of topical cream or ointment. Venapro is neither. Venapro is completely oral.
Topical creams present obvious disadvantages. The cream might fail to penetrate your skin for one. In addition, there is the pertinent aggravation of being forced to wash your hands, each time you apply the cream on your anal region.
The advanced venapro formula is delivered in two bottles. One bottle contains tablets and the other contains an aerosol to be sprayed twice under the tongue, three times daily.
Order venapro right away and it will be swiftly shipped out. In about 48hours, you will be saying goodbye to hemorrhoids.