Internal hemorrhoids can vary in texture and consistency. Generally, internal hemorrhoids are soft and spongy in texture, as they are composed of swollen veins located inside the rectum. However, if an internal hemorrhoid becomes thrombosed or clotted, it may become hard and painful to the touch.

Thrombosed internal hemorrhoids occur when a blood clot forms inside the hemorrhoid, causing swelling and pain. In this case, the hemorrhoid may feel hard to the touch and may appear blue or purple in color.

To determine the consistency of an internal hemorrhoid, a healthcare provider may perform a physical exam, which may include a digital rectal exam or an anoscopy, which involves inserting a small, lighted tube into the rectum to view the area.

In conclusion, internal hemorrhoids are typically soft and spongy in texture, but may become hard and painful if they become thrombosed. If you experience symptoms associated with internal hemorrhoids, it is recommended to seek medical attention for proper diagnosis and treatment.

External hemorrhoids can vary in texture and consistency depending on their size and stage. In general, external hemorrhoids are soft and spongy in texture, similar to internal hemorrhoids. However, if an external hemorrhoid becomes thrombosed or clotted, it may feel stiff and painful to the touch.

Thrombosed external hemorrhoids occur when a blood clot forms inside hemorrhoid, causing swelling and pain. In this case, hemorrhoids may feel hard to the touch and appear blue or purple.

To determine the consistency of external hemorrhoids, a healthcare provider may perform a physical exam, which may include a visual inspection or a digital rectal exam.

In conclusion, external hemorrhoids are typically soft and spongy in texture but may become hard and painful if they become thrombosed. If you experience symptoms associated with external hemorrhoids, it is recommended to seek medical attention for proper diagnosis and treatment.

Internal hemorrhoids often present with symptoms that can be uncomfortable or even painful. Some common symptoms of internal hemorrhoids include:

1. Bleeding: One of the most common symptoms of internal hemorrhoids is rectal bleeding, which may be visible as bright red blood on toilet paper or in the toilet bowl after a bowel movement.
2. Pain or discomfort: Internal hemorrhoids may cause pain or discomfort, particularly during bowel movements.
3. Itching or irritation: Some people with internal hemorrhoids may experience itching or irritation around the anus.
4. Prolapse: In more severe cases, internal hemorrhoids may prolapse or protrude outside of the anus, causing discomfort and making it difficult to clean the area.
5. Mucus discharge: Internal hemorrhoids may produce a clear, jelly-like discharge that can cause itching or irritation.

External hemorrhoids are a type of hemorrhoid that develop outside of the anus and can cause discomfort and pain. Some common symptoms of external hemorrhoids include:

1. Swelling: External hemorrhoids can cause swelling and a lump around the anus, which may be tender or painful to the touch.
2. Pain or discomfort: External hemorrhoids can be painful, especially during bowel movements or when sitting for long periods of time.
3. Itching or irritation: External hemorrhoids may cause itching or irritation around the anus.
4. Bleeding: In some cases, external hemorrhoids may bleed, particularly if they are irritated or if a blood clot forms inside hemorrhoid.
5. Difficulty cleaning: External hemorrhoids can make it difficult to clean the anal area, which can lead to hygiene issues and further irritation.

FAQs about the difference between internal and external hemorrhoids

Q: What are internal hemorrhoids?

A: Internal hemorrhoids are swollen blood vessels that develop inside the rectum. They are not visible from outside the body.

Q: What are external hemorrhoids?

A: External hemorrhoids are swollen blood vessels that develop under the skin around the anus. They can be seen and felt from outside the body.

Q: What are the main differences between internal and external hemorrhoids?

A: The main difference between internal and external hemorrhoids is their location. Internal hemorrhoids are inside the rectum, while external hemorrhoids are outside the anus. Internal hemorrhoids can cause bleeding, while external hemorrhoids can be painful and cause discomfort.

Q: How are internal and external hemorrhoids diagnosed?

A: Both internal and external hemorrhoids can be diagnosed by a doctor during a physical exam. In some cases, additional tests such as a colonoscopy or sigmoidoscopy may be needed to confirm the diagnosis.

Q: What are the treatment options for internal and external hemorrhoids?

A: Treatment options for internal and external hemorrhoids may include lifestyle changes such as increasing fiber intake and staying hydrated, topical creams or ointments, and in more severe cases, procedures such as hemorrhoidectomy or rubber band ligation.

Q: Can internal hemorrhoids turn into external hemorrhoids?

A: Internal hemorrhoids can prolapse or protrude outside of the anus, becoming external hemorrhoids. This can cause discomfort and pain.

Q: Can external hemorrhoids turn into internal hemorrhoids?

A: External hemorrhoids cannot turn into internal hemorrhoids, but they can cause damage to the surrounding tissue and contribute to the development of internal hemorrhoids.