The early symptoms of internal hemorrhoids are

Written by Chen Tian Jing
Colorectal Surgery
Updated on May 15, 2025
00:00
00:00

If early symptoms of internal hemorrhoids appear, the main manifestations are local mucosal protrusion or sub-mucosal congestion and edema. Patients may experience varying degrees of anal pain and might even experience minor bleeding during bowel movements due to irritation from hard, dry stools. The bleeding is usually bright red. After taking oral and topical medications, early-stage internal hemorrhoids can be cured and relieved. However, to prevent recurrent attacks of internal hemorrhoids or worsening of the condition, it is advised that patients maintain good bowel movements to avoid overly dry stools, keep bowel movement time under ten minutes, and avoid consuming spicy and irritating foods as much as possible.

Other Voices

doctor image
home-news-image
Written by Deng Heng
Colorectal Surgery
59sec home-news-image

Treatment of internal hemorrhoids

The treatment of internal hemorrhoids mainly divides into two aspects: non-surgical treatment and surgical treatment. As for non-surgical treatment, it consists of general treatment, which includes drinking more water, consuming more dietary fiber, ensuring smooth bowel movements, taking hot sitz baths, and maintaining cleanliness around the anus. The second aspect is medication treatment, which involves oral medications. The third involves local treatment around the anal area, such as inserting hemorrhoid suppositories and applying hemorrhoid ointments. The second aspect is surgical treatment, which generally includes two methods. The first is the ligation of internal hemorrhoids, known as internal hemorrhoid ligation; the second is injecting a sclerosing agent into the internal hemorrhoids to harden them. (Medication use should be conducted under the guidance of a professional doctor.)

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
54sec home-news-image

How many days will it take for internal hemorrhoids to heal after prolapse?

If a patient exhibits prolapsed internal hemorrhoids, it is first recommended that a professional proctologist reposition the prolapsed hemorrhoids. If prolapse continues to recur after repositioning, the likelihood of spontaneous recovery is low, and the patient will likely need further surgical treatment. Prolapse is a common clinical symptom of hemorrhoids. If it is a simple prolapse that can retract spontaneously, symptoms can be relieved within 3 to 5 days after medication treatment. However, if the prolapse requires manual repositioning by the patient, or if it recurs repeatedly, surgical removal is necessary. Recovery from the surgery typically takes about 2 to 3 weeks.

doctor image
home-news-image
Written by Deng Heng
Colorectal Surgery
49sec home-news-image

"Internal hemorrhoids prolapse" means internal hemorrhoids have slipped downwards, typically so they protrude outside the anus.

Prolapse of internal hemorrhoids refers to the condition where the hemorrhoidal mass of internal hemorrhoids protrudes outside the anus. This condition occurs only in internal hemorrhoids of grade II or higher. Grade II internal hemorrhoids can spontaneously retract back inside the anus after defecation without the need for manual reduction. Grade III internal hemorrhoids, however, do not retract spontaneously and should be manually reduced after cleaning and a period of bed rest. If the hemorrhoids remain prolapsed for a long time without timely reduction, it can lead to painful swelling around the anus. If a patient is unable to manually reduce the prolapsed hemorrhoids themselves, it can lead to incarcerated hemorrhoids, and medical assistance should be sought promptly.

doctor image
home-news-image
Written by Deng Heng
Colorectal Surgery
45sec home-news-image

Why is internal hemorrhoid bleeding painless?

Bleeding from internal hemorrhoids, also known as rectal bleeding, is the most common primary clinical manifestation in patients with internal hemorrhoids. Internal hemorrhoids refer to the venous clusters that grow above the dentate line, and their onset occurs above this line. The area above the dentate line is mainly controlled by the autonomic nervous system, making it insensitive to pain and irritation. Therefore, many patients with bleeding internal hemorrhoids may not even realize it themselves, as it does not cause pain. In contrast, external and mixed hemorrhoids, which involve the area below the dentate line, are controlled by somatic nerves, making pain more readily felt.

doctor image
home-news-image
Written by Yu Xu Chao
Colorectal Surgery
1min 2sec home-news-image

Is minimally invasive surgery or traditional surgery better for internal hemorrhoids prolapse?

If the patient has only internal hemorrhoids prolapse without external hemorrhoids, it is better to opt for minimally invasive surgery, as it causes less damage and allows for faster postoperative recovery. Clinically, the TST surgical method is often recommended to avoid postoperative anal stenosis. However, if the internal hemorrhoids prolapse is accompanied by severe external hemorrhoids, it is advisable to opt for the traditional external peeling and internal ligation surgery, as this method can also effectively address external hemorrhoids, avoiding the need for a second surgery. Postoperatively, the use of anal cleansers, potassium permanganate solution, golden ointment, red oil ointment gauze, and hemorrhoid suppositories for dressing changes can promote recovery. Additionally, postoperative patients should avoid certain foods and maintain smooth bowel movements to prevent infections, swelling, and bleeding, which will aid in recovery.