Is anal pain the cause of hemorrhoids?

Is anal pain caused by hemorrhoids? Many friends will have this question, because in life many friends have hemorrhoids, but many friends are not very familiar with the symptoms of this disease. Therefore, in daily life, when anal pain occurs, we think it may be hemorrhoids. However, whether the specific cause causes hemorrhoids requires us to analyze based on the specific situation, so let’s analyze whether anal pain is a symptom of hemorrhoids!

Hemorrhoids are divided into internal hemorrhoids, external hemorrhoids and mixed hemorrhoids according to the location of occurrence. There is a jagged visible line at the junction of the anal canal skin and the rectal mucosa called the anal dentate line. Hemorrhoids above the dentate line are internal hemorrhoids. They are caused by pathological changes or displacement of the supporting structure of the anal cushions, venous plexus and arteriovenous anastomoses, and are covered with the rectal mucosa. Due to the contraction of the internal sphincter, the anal cushions are divided into three parts by the Y-shaped groove: the left side, right front side, and right back side. Therefore, internal hemorrhoids are commonly found on the left side, right front side and right back side.

Clinical manifestations

1. The main manifestation is blood in the stool, which may be painless, intermittent, fresh blood after defecation, blood dripping during defecation or blood on toilet paper, and aggravated by constipation, drinking or eating irritating foods.

2. Simple internal hemorrhoids are painless but only cause a feeling of heaviness and distension. They may bleed and develop into prolapse. Pain only occurs when combined with thrombosis, incarceration, and infection.

3. Internal hemorrhoids are divided into 4 degrees. ① Grade I bleeding during defecation, the bleeding stops on its own after defecation, and the hemorrhoids do not protrude from the anus; ② Grade II often bleeding in the stool; the hemorrhoids protrude from the anus during defecation, and return to the anus automatically after defecation; ③ Grade III hemorrhoids require manual assistance to return to the anus after prolapse; Grade IV hemorrhoids remain outside the anus for a long time and cannot be returned to the anus; among them, internal hemorrhoids above Grade II often form mixed hemorrhoids, which are manifested by the simultaneous presence of symptoms of internal and external hemorrhoids, and may cause pain, discomfort, and itching. The itching is often due to the outflow of sticky secretions when the hemorrhoids protrude. The last three degrees often become mixed hemorrhoids.

4. External hemorrhoids usually have no special symptoms, but swelling and pain may occur when thrombosis and inflammation occur.

examine

1. Anal inspection

All except Grade I internal hemorrhoids can be seen, and the degree of prolapse can be observed in a squatting position.

2. Digital rectal examination

It has little significance for internal hemorrhoids, but it can help to understand whether there are other lesions in the rectum.

3. Anoscope

The situation inside the rectum and anal canal can be understood under direct vision.

To sum up, it is not difficult to see that anal pain may also be a condition of hemorrhoids. Hemorrhoids are divided into many types and the clinical symptoms are not particularly the same. Therefore, if we suffer from hemorrhoids in our lives, we may experience symptoms of anal pain. So we need to analyze based on the specific situation. In order to protect our health, we must seek timely treatment if we suffer from such symptoms.