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Hemroids are dilated veins located beneath the lining of the anal canal. Internal hemorrhoids are located in the upper anal canal. External hemroids are located in the lower anal canal.

Internal hemroids become symptomatic when constipation causes disruption of the supporting tissues and resultant prolapse of the dilated anal veins. The most common symptom of internal hemorrhoids is painless rectal bleeding, which is usually bright red and ranges from a few drops to a spattering stream at the end of defecation. If internal hemorrhoids remain prolapsed, a dull aching may occur. Blood and mucus stains may appear on underwear, and itching in the perianal region is common in hemorrhoids, hemroids, hemorhoids, hemorroids

Management of internal hemroids

Grade 1 and uncomplicated grade 2 hemroids are treated with avoidance of nonsteroidal anti-inflammatory drugs and

Symptomatic grade 2 and grade 3 hemroids. Treatment consists of hemorrhoid banding with an anoscope Major

Grade 4 hemorrhoids require surgical hemorrhoidectomy.

External Hemroids

External hemroids occur most often in young and middle-aged adults, becoming symptomatic only when they become thrombosed.

External hemroids are characterized by rapid onset of constant burning or throbbing pain, accompanying a new rectal lump. Bluish