Internal hemorrhoids

Invisible but painful

Internal hemorrhoids (piles)

Internal hemorrhoids develop inside the passageway of the anus above the dentate line. Internal hemorrhoids are usually painless since the visceral nerves that are above the dentate line do not sense pain, only pressure.

Sometimes internal piles cause vague discomfort and minimal bleeding if a hard stool rubs against them during a bowel movement.

Internal hems may protrude (prolapsed) outside the anus, where they appear as small, grape-like masses and can cause severe pain.


Internal hemorrhoid symptoms are more severe than external piles symptoms.

Painless bleeding and protrusion during bowel movements are the most common symptom. You may find bright red streaks of blood on the toilet paper or bright red blood in the toilet bowl after having a normal bowel movement. Blood may also be visible on the surface of the stool.

Other symptoms of internal hems may include:

  • Itching - is a frequent complaint, because internal hemorrhoids often seep mucus, which can cause itching.
  • Skin irritation - large hemorrhoid that bulge from the anus may secrete mucus, causing mild irritation.
  • Discomfort - you may still feel the urge to pass the stool right after having a bowel movement. This uncomfortable feeling is caused by the bulging of the hemorrhoid in the end portion of the large intestine (rectal canal). In general, the larger the hemorrhoid, the greater the discomfort.
  • Pain - most internal hemorrhoids are not painful. However, large hemorrhoids that bulge from the anus may become painful if they swell and are squeezed by the muscles that control the anus. Severe pain may be a sign that the blood supply to the hemorrhoid is being cut off (strangulated hemorrhoid). Emergency treatment is needed.

Internal Hemorrhoids Treatment

Rue Care Oil is a very successful for treatment of internal hemorrhoids. Most sufferers feel immediate relief from hemorrhoid pain. Length of the treatment and cure of internal hemorrhoids depends on the size of hemorrhoids.

The other thing that's useful for me is this notion of the absolute versus the relative: if we walk our and it's a beaitiful morning, it's only a beautiful morning because we don't have a broken leg or hemorrhoids or something. - George Saunders