Hemorroids

HEMORRIODS

•Hemorrhoids are swollen, enlarged veins that form inside and outside the
anus and rectum. They can be painful, uncomfortable and cause rectal
bleeding. Hemorrhoids are also called piles.
DEFINITION

ANATOMY

There are two types of hemorroids ; internal and external hemorroids
�Internal hemorroids : internal of hemorroids are usually painful
but these bleed when they are irritated such as during passage of the
hard stools. They can be classified into four grade.
�External hemorroids : external of hemorroids presents as
swelling outside the anus. It creates irritation and itching. Those can
be painful sometimes and usually do not bleed.

I. First degree : Don’t protrude outside the anal canal
II. Second degree : Protrude during bowel movement and retract spontaneously
III. Third degree : Prolape and don’t retract spontaneously
IV. Fourth degree : Prolapse and can’t be manually push back in.
INTERNAL HEMORROIDS