Internal Hemorrhoidal Prolapse

What is Internal Hemorrhoidal Prolapse?

Prolapse or painless bleeding of the anal tissue is often associated with internal haemorrhoids. Prolapse is when the hemorrhoidal tissue inside the lower rectum and around the anus, protrude into the anal canal or appear on the outside of the anus, and is felt during wiping or having a bowel movement. Internal hemorrhoidal prolapse is deep inside the rectum, and one cannot see or feel them. Internal hemorrhoidal do not hurt because of the few pain-sensing nerves in that part.


Some common symptoms of internal hemorrhoidal prolapse are:

  • Bleeding.
  • Discomfort, itching or pain around the anus.
  • Moist, pink bumps around the corner of the anus.


Some common causes of internal hemorrhoidal prolapse are:

  • Family history.
  • Pressure on the lower rectum.
  • Overweight, obesity, or pregnancy.
  • Standing or sitting for an extended period.
  • Constipation or diarrhoea.
  • Spinal cord injury.


Some common risks of the disease are:

  • Bleeding during defecation.
  • Infection around the anus.
  • Pain.


Following steps can help to prevent hemorrhoids from occurring:

  • Keeping the stool soft by eating high-fiber food.
  • Drink plenty of fluids.
  • Avoid straining hard in toilets.
  • Do not control the flow of stool.
  • Do plenty of exercises.
  • Avoid sitting or standing for long periods.

How is it diagnosed?

A hemorrhoid is one of the most common causes of rectal bleeding. They are rarely dangerous and usually pass away in a couple of weeks. But one should see the doctor to make sure it is not serious....

How is it treated?

Treatment options for internal hemorrhoidal prolapse depend on the severity of the problem. Often dietary and lifestyle changes can help relieve the symptoms. More severe or repeated cases may require medication and even surgical intervention. Si..

  • Lifestyle changes

    The following measures help in curing the disease:

    • Increase in intake of fiber in the diet through fruits and vegetables or fiber supplements.
    • Consuming plenty of fluids (preferably water).
    • Regular exercising.

When do I contact the doctor?

The symptoms of internal hemorrhoids are same as of colon polyps, colitis, colorectal cancer, diverticulitis, and crohn’s disease. One should immediately see a doctor when there is rectal bleeding.

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