People usually suffer from two different types of haemorrhoids – internal and external, which can cause bleeding and pain under severe circumstances.
Bleeding external haemorrhoids develop in the region outside the rectal canal but under the skin. These haemorrhoids can get flared up which leads to itching or bleeding. One of the reasons of irritation is wiping with a rough toilet paper, hence always opt for soft toilet paper. At times, a clot can happen inside these haemorrhoids as blood might get collected inside them- this is known as thrombosed external haemorrhoid. They can burst at times, and you can witness a lot of blood upon its rupture. If the bleeding persists over a considerable period of time, or is excessive, then do seek medical help and see a doctor. At times, it becomes essential to surgically remove the blood clot and this is usually done with the help of anaesthesia and a scalpel.
Internal Haemorrhoids are those that develop inside the rectal canal and people usually do not realise that they suffer from it until the haemorrhoid begins to bleed due to the flaring up that could be caused due to straining during bowel movement or due to constipation. At times, these internal haemorrhoids actually fall right through and can be seen hanging outside the anal opening. Such kinds of haemorrhoids are also known as protruding or prolapsed haemorrhoids.
The best way to keep yourself from the pain and flaring up would be to use softer toilet paper that is not rough, as it will not irritate the haemorrhoids. It is best to use soft towelettes to clean the area after having a bowel movement. Try using the moist wipes as it keeps the area more hygienic and clean as compared to the usual toilet paper. Keeping the region clean is important if you are suffering from external haemorrhoids.
Another thing to take care of when you have haemorrhoids is to ensure that your intake of fiber and water are adequate as it ensures that your stools are softer. Due to a built-up pressure from passing hard stool or straining too hard can also cause your rectal and anal veins to swell up. Hence, if you have internal haemorrhoid, then passing a softer stool will not cause it to bleed and neither will it aggravate the situation.
Haemorrhoids are essentially very painful, but, the bleeding associated with haemorrhoids is not that painful. However, do not diagnose yourself with haemorrhoid if you spot rectal bleeding, as it could be due to another condition. Always consult your doctor in such cases.