It is usually spoken of hemorrhoids when the veins of the hemorrhoidal plexus dilate, turning into varicosities, which later become covered with modified squamous epithelium. These dilations can bulge or thrombus, causing pain, or they can ulcerate, causing bleeding. The thrombosis can resolve spontaneously, leaving sequelae such as itching, “heaviness” or “burning”. Next we are going to explain to you which are the different types of hemorrhoids.
Internal hemorrhoids
Are hemorrhoids derive from the internal hemorrhoidal plexus, located above the dentate line, they are covered by rectal mucosa (with a low number of sensory nerve fibers). They drain into the Porta system. They are subclassified into 4 degrees, depending on the degree of prolapse:
- Grade I: they never descend below the dentate line.
- Grade II: they prolapse through the anal canal during defecation effort and are spontaneously reduced.
- Grade III: they prolapse during exertion and are manually reduced.
- Grade IV: the prolapse is maintained continuously, or it reproduces rapidly after reduction.
Image: almorranas.com
External hemorrhoids
These hemorrhoids They derive from the external hemorrhoidal plexus, covered with perianal skin, very rich in sensory fibers. They drain into the cava system. Here we leave you information on how to cure hemorrhoids, whatever the type.
Grades of hemorrhoids
- Grade III hemorrhoids: 3rd degree hemorrhoids with hemorrhoidal thrombosis of a plexus
- Grade IV hemorrhoids: Prolapsed hemorrhoids of the three plexuses showing the upper left border of the pectineal line
- Grade V hemorrhoids: Prolapsed hemorrhoids of the three plexuses
You can read more in this other article about how hemorrhoids are classified to answer any questions.
Thrombosed hemorrhoids
This complication usually occurs more frequently in hemorrhoids grade III-IV. The action will depend on when the symptoms begin:
- Onset of symptoms
- Onset of symptoms> 72 hours: conservative treatment: analgesia (oral) + Rest (+ Ice).
- Other authors consider that the best treatment is conservative, regardless of the time of symptoms (Bleday R, 2010)
This article is merely informative, at oneHOWTO we do not have the power to prescribe any medical treatment or make any type of diagnosis. We invite you to see a doctor in the case of presenting any type of condition or discomfort.