Hemorrhoids are vascular structures in the anal canal which help with stool control. They become pathological when swollen or inflamed. In their normal state, they act as a cushion composed of arteriovenous channels and connective tissue.
There are two main types of hemorrhoids, internal and external.
External hemorrhoids occur below the dentate or pectinate line, a line which divides the upper two thirds and lower third of the anal canal. They are covered on the inside by anoderm and on the outside by skin, both of which are sensitive to pain and temperature.
Internal hemorrhoids occur above the dentate line and are usually less painful, if mild. Based on the degree of prolapse, they are classified into four Grades:
- No prolapse, just prominent blood vessels
- Prolapse upon bearing down, but spontaneous reduction
- Prolapse upon bearing down requiring manual reduction
- Prolapse with inability to be manually reduced
We recommend avoiding straining while attempting to move your bowels. If you notice that you have to strain, this can be avoided by eating a high-fiber diet, drinking plenty of fluids, taking fiber suppliments and by getting sufficient exercise.
We have a number of treatments for hemorrhoids that we can discuss with you. But you should definitely schedule an appointment by calling (860) 826-3880, because what may seem to you to be a case of hemorrhoids may actually be fissures, fistulae, abscesses, colorectal cancer, rectal varices, or itching. The symptoms are similar and may be incorrectly thought of as hemorrhoids. Rectal bleeding may also occur owing to colorectal cancer, colitis including inflammatory bowel disease, diverticular disease, and angiodysplasia. Make an appointment and see us today, if you have what you think are hemorrhoids. We will properly diagnose them and get you well.