Last Updated September This article was created by familydoctor. If you have a hemorrhoid, you may feel a tender lump on the edge of your anus. You may feel itchy in that area. Or you may feel pain. Pain is most likely to occur after a bowel movement or strenuous activity, like lifting something heavy.
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Clinical pictures: Perianal problems
A 45 years female presented with a complain of something coming out through her anus since one year, which comes on straining and reduces only after manual intervention. She had also, a history of constipation with occasional blood and mucus discharge in the stool. On examination, she was found to have full thickness rectal prolapse, which comes out on straining and reduces only after pushing it manually. With a diagnosis of complete rectal prolapse grade III, she underwent abdominal suture rectopexy and now she is doing well after six months of follow-up. One of the very close differential diagnosis of complete rectal prolapse is prolapsed internal hemorrhoid.
External hemorrhoids cause severe throbbing pain of sudden onset. Internal lesions are associated with bleeding, protrusion, fecal soiling, and pruritus. External hemorrhoids a single lesion is shown here are found below the dentate line the division between squamous epithelium distally and transitional columnar epithelium proximally and so are covered by skin.