In some people, the hemorrhoidal vessels located around the rectum (anus) and the last part of the large intestine (rectum) are excessively enlarged and overflowing from the rectum (anus). For example, in individuals suffering from constipation, the stool hardens and the defecation function becomes harder. The individual needs excessive strain and has difficulty to discharge this hard stool. Meanwhile, the layers and veins covering the breech (anus) canal are damaged. This causes enlargement and swelling of the vessels. This enlargement and swelling of the vessels is called hemorrhoidal disease or, in short, hemorrhoids. In this case, the vessels cannot perform their normal functions and sometimes cause serious complaints.
Hemorrhoid disease may occur in both vascular networks. Therefore, the signs and symptoms of hemorrhoid disease occurring in these two vascular networks are different. Whichever vascular group (hemorrhoidal vascular group) is sick differs according to the signs and symptoms.
Hemorrhoid Nipples Going Out of Breech
Internal Hemorrhoids (Internal Hemorrhoidal Disease)
It develops from hemorrhoidal vessels located inside the anus (anus). Painless bleeding is the most important symptom. Sometimes internal hemorrhoids go out of the anus (anus) during defecation, and the patient complains of a swelling (breast) on his hand. In addition, internal hemorrhoids that come out during defecation and do not enter can cause pain. Sometimes these outside breasts become inflamed and can cause serious problems.
External Hemorrhoids (External Hemorrhoidal Disease)
External hemorrhoids, which are covered with a thin skin, are normally not felt. If a blood clot (thrombosis) forms inside these hemorrhoidal vessels, it will be quite painful. The patient tells that a hard and painful swelling (nipples) has come to his hand at the edge of his anus. This painful swelling (breast) filled with clot (thrombosed hemorrhoids) causes bleeding when it is ruptured.
Hemorrhoidal disease can sometimes affect both internal and external hemorrhoidal diseases, that is, both groups of vessels. In this case, signs and symptoms of both appear.
Internal and External Hemorrhoids
Generally, more than half of individuals over the age of 30 in the community have complaints about hemorrhoids at any time in their lives.













