Approximately, 75% of all adults in the U.S. will experience hemorrhoids at some point in their lives. Internal hemorrhoids, which lie inside the rectum, usually have no symptoms and most people are not aware of them because they're not generally painful. However, they may cause painless rectal bleeding if symptoms do appear.
You may not notice that you have internal hemorrhoids unless you notice streaks of blood on in the stool or blood on toilet paper. Straining when passing a stool may cause bleeding. Straining can also push an internal hemorrhoid so that it protrudes through the anus; this is called a protruding or prolapsed hemorrhoid.
By contrast, external hemorrhoids lie under the skin around the anus. They can become very itchy and may bleed. Sometimes, the blood may accumulate and form a thrombus (clot), which can be painful and the area may swell and become inflamed. External hemorrhoids are more likely to be painful.
Spectrum Health’s Gastroenterology and Gastrointestinal Surgery programs are ranked nationally as one of the top 50 programs by U.S. News & World Report.
Our team of board-certified gastroenterologists specializes in the diagnosis, treatment and prevention of disorders of the digestive tract, liver and pancreas. Our advanced technologies and treatment options include minimally invasive outpatient endoscopic procedures as an alternative to complex invasive surgeries.