How to Determine if I Have Developed Hemorrhoids?

You can determine if you have hemorrhoids based on specific symptoms. Internal hemorrhoids, depending on their severity, may manifest as rectal bleeding, protrusion of lumps, itching, pain, etc. Different types of external hemorrhoids may have different clinical manifestations, with common symptoms including rectal fullness or a foreign body sensation, anal itching, and subcutaneous protrusions around the anus after straining during bowel movements.

The main clinical manifestations of internal hemorrhoids are bleeding and protrusion. In the early stages, patients may have blood on their stool,滴血or blood on toilet paper during bowel movements without protrusion of hemorrhoids. As the condition progresses, bleeding during bowel movements may be accompanied by protrusion of hemorrhoids, and protrusion may also occur outside the anus during daily activities such as coughing or standing for a long time. In severe cases,喷射状bleeding may occur in later stages.

There are many types of external hemorrhoids, with common ones being thrombosed external hemorrhoids and connective tissue external hemorrhoids. Patients with thrombosed external hemorrhoids may experience severe anal pain and local swelling. The initial subcutaneous lump around the anus is hard and tender to touch. Over a few days, the blood clot gradually absorbs and softens, reducing the pain. Connective tissue external hemorrhoids often have no obvious symptoms, occasionally causing fullness, itching, or a foreign body sensation. Additionally, some patients have mixed hemorrhoids, where internal and external hemorrhoids are located in different areas without fusing together. Similar to internal and external hemorrhoids, they exhibit symptoms of both.

Based on the above clinical symptoms, patients can make a preliminary judgment. If in doubt, it is recommended to seek medical attention promptly for examination, and anoscopy can be used to confirm the diagnosis of hemorrhoids. Patients with hemorrhoids should pay attention to their diet and cleanliness daily, avoid standing or sitting for extended periods, and can relieve pain through sitz baths with warm water. For severe symptoms, surgical treatment such as Milligan-Morgan hemorrhoidectomy or stapled hemorrhoidopexy can be considered under a doctor's assessment.