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There are two types of
hemorrhoids- external and internal. It depends on their
situation
according the anus. The
external hemorrhoids
appear near the anus and have a
layer of tender skin above them.
External
hemroids and internal hemorhoids differ by their treatment, remedies and removal
procedures, their complication, their evolution and
pictures.
A blood
clot could develop in the external hemorrhoid, which will lead to
painful swelling in cases when ruptured. Then it will be
felt as rough, sensitive lump and will bleed. This type of
hemorrhoids, external hemorrhoids, is
more spread than internal hemorrhoids, and could serve as
example of most often experienced symptoms.
External
hemorrhoids are situated outside the body, near the anus area.
In summary, every swollen tissue or protruded mass at or near
the anus is an external hemorrhoid.
Exception
of this can be the presence of internal hemorrhoid, which has
grown larger and has protruded from inside out. In this case,
its origin is internal but it appears as external.

When the
blood pools in the enlarged vein, thus creating a clot, or
thrombus it is known as thrombosed external
hemorrhoids. It takes part outside the anus. This kind of
external hemorrhoids is extremely painful,
causing swelling and itching, but without any
bleeding.
Sometimes
the symptoms of external hemorrhoids can be a cause of
different things among which are acute thrombosis, recurring
thromboses, or problems with the individual’s
hygiene.
If the
offending vascular cluster is identified in the doctor's office
or other clinical place, then the sharp and recurrent
thromboses could be managed with the usage of local anesthetic.
It is taken with injection which excites the outer skin and the
area under the skin.
External
hemorrhoids can be rather painful sometimes. It happens when
sharpened thrombosis under the skin appears in the hemorrhoidal
vein. Some special events often lead to acute
thrombosis.
These can
include hard physical activity, straining with constipation,
diarrhea, or reduced fiber in the diet. The blood clot and the
surrounding edema could cause fast swelling of skin, highly
concentrated with nerve endings which results in painful
feeling.
The pain
intensity depends on the length of time, necessary to resolve
the thrombosis. Often this period is one to two weeks. During
this period, the extended anoderm stays as stretched skin,
often known as “skin tag”. Bleeding can be caused be the
destruction of the outer skin layer as a result of the external
thromboses.
External
hemorrhoids can lead to hygienic problems caused by the
stretched skin which remains after an acute thrombosis. When
such problems occur an attention should be paid to the perianal
skin area which folds should be tenderly cared
of.
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