Hemorrhoids are generally classified according to severity into four grades: from grade one, which is the mildest, where there is only an increase in internal haemorrhoidal congestion, to grade four, which presents an unreducible prolapse with severe inflammation and bleeding. External: they are visible, develop outside the anal orifice, come out under effort without returning spontaneously or are persistently externalised.They can come out during defecation but return spontaneously Internal: located in the anal canal, they are painless and not visible.There are clinically 2 types of haemorrhoids: Internal haemorrhoids and external haemorrhoids
It should be pointed out that haemorrhoidal disease is not a disease of the veins alone, as was thought for a long time, but is also due to degeneration of the connective tissues, which for hereditary or acquired reasons cause the venous cushions to lose support, leading to leakage, i.e. This leakage is called prolapse and the annoying symptoms, bleeding and pain begin. Hemorrhoid disease occurs when these veins become hypertrophied, i.e. So it is inaccurate to say ‘I suffer from haemorrhoids'”. Hemorrhoids in the proper sense are not a disease: they are venous pads that we all have straddling the anal orifice and that contribute to the maintenance of its continence. Haemorrhoids, about 10% of the adult population in developed countries have suffered from them at least once in their lives Pain, swelling, a sense of heaviness, itching and in some cases bleeding, this is what haemorrhoids look likeĪ very frequent pathology at all ages, in both men and women, and which can become an annoying and embarrassing nuisance.Īll the more so because until recently surgical treatment was scary.
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