Internal hemorrhoids with blood in the stool, these four symptoms are the most common

Internal hemorrhoids are a type of hemorrhoids, and one of the most common clinical manifestations is blood in the stool. Generally speaking, internal hemorrhoids and blood in the stool usually manifest themselves in the following four symptoms.

1. Blood in stool:

Bleeding during or after defecation is bright red in color. Sometimes there is a small amount of blood on the surface of the stool, or the toilet paper is stained red. Sometimes it is dripping or spurting blood. Because feces abrades the mucosa, or because of excessive force during defecation, the pressure in the blood vessels increases, causing varicose veins to rupture, resulting in spurt-like bleeding during defecation.

2. Escape:

As the size of hemorrhoids increases, they are squeezed by feces during defecation, causing them to gradually separate from the muscle layer and prolapse out of the anus. Sometimes 1-2 hemorrhoids prolapse at the same time, and sometimes all hemorrhoids and rectal mucosa prolapse together. Initially, it only comes out during defecation and can return to its original position after defecation. For those with more severe symptoms, the prolapse must be pushed back by hand or rest in bed before it can be restored. If the symptoms are severe, in addition to prolapse during defecation, it may also occur with any exertion, walking, coughing, sneezing, squatting, etc.

3. Pain:

Simple internal hemorrhoids are generally painless, and sometimes only cause a feeling of heaviness in the anus or difficulty in defecation. If the hemorrhoids are inflamed and swollen, there may be thrombosis or incarceration inside, which will cause pain; if they are prolapsed and not repositioned in time, the pain will worsen; if incarceration occurs, there is ulceration and necrosis, causing inflammation and edema of the anal margin, the pain will be severe and the patient will be restless.

4. Mucus discharge:

Long-term irritation of the rectal mucosa by hemorrhoids causes increased secretions; in the late stage of internal hemorrhoids, secretions often flow out of the anus due to relaxation of the anal sphincter. In mild cases, it will flow out during bowel movements, and in severe cases, it will flow out naturally even when not having a bowel movement, contaminating the underwear and causing great inconvenience to the patient. When internal hemorrhoids prolapse, the discharge is greater.