5. How does the hemorrhoidal illness express itself?

Depending on size and indications, the hemorrhoidal illness can be separated into four stages.

Stage 1
The hemorrhoid is neither visible nor can be felt by examination. The main symptom is the light red blood in the stool. Pain does not exists. Occasionally, it will itch and will feel like the existence of a foreign object in the final intestine.



Stage 1

 

Stage 2
The hemorrhoidal tissue can be pushed out during defecation while pushing. However, they slide back inside immediately after. In addition to visible bleeding, itching, burning sensation, leaking as well as pain is present with the defecation.


Stage 2

Stage 3
The hemorrhoidal tissue does not retract by itself but can manually be pushed back in. The bleeding becomes less since the mucous membrane tissue which surrounds the hemorrhoids begin to thicken and harden and is therefore less sensitive in to injuries. Pain, itching and leaking increase which can lead to eczemas at the surrounding anal skin. Occlusion in the hemorrhoidal veins can occur, which leads to very painful thrombosis.

    
Stage 3

Stage 4
This stage is called fixed anal prolaps. The hemorrhoids are now constantly outside and cannot manually be pushed back in any more. The anal mucosa is pushed inside out and leaks constantly. This causes irritation of the skin and can lead to unpleasant eczemas and infections. Bleedings are rare but involuntary defecations may occur. In time, ulcers may form, choked tissue or necrosis may occur due to pinched blood vessels which are extremely painful.

    
Stage 4

 


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Anal diseases - still a topic with taboo   |   Anatomy of the final intestine   |   What are Hemorrhoids actually?   |   How does the illness of the hemorrhoids developed?
 
How Hemorrhoids are treated?   |   How is the treatment in the Proktoklinik?   |    Anal fissure   |   Anal fistula / Anal abscess   |   Anal thrombosis   |   Illness of the Linea Dentata   |   Skin folds (Mariscs)   |   Condyloms
 

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