Hemroids Pictures

Hemroids are enlarged and/or inflammed veins in the anorectal area. They may be internal hemroids when they are located inside the anus or external hemroids when they are located outside the anus. Also, internal hemroids may become prolapsed through the anus to appear externally forming prolapsed internal hemroids.

Hemroids are a very common problem and in many cases they cause no symptoms. In general, hemroids don’t cause symptoms unless 1) they are large in size, 2) they rupture, 3) they become prolapsed, or 4) they become thrombosed.

Thrombosed hemroids are one of the complications of hemroids in which the blood inside the hemroidal veins become thrombosed i.e. clotted.

Thrombosis can affect both internal and external hemroids. When external hemroids become thrombosed, they enlarge in size and usually turn blue in color because clotting leads deprivation of hemroidal tissues of blood and hence Oxygen leading to tissue ischemia and increased deoxygenated blood which is blue in color.

Also, thrombosed hemroids become severely painful and sometimes they become hard in consistency and sometimes soft.

Why do hemroids become thrombosed?

There are 2 mechanisms for thrombosis inside the hemroidal veins; the main mechanism is reduced blood flow inside the veins leading to stagnation of blood with resulting thrombosis, the second mechanism is when veins rupture and bleed causing the body to start the coagulate blood to seal the area.

If neglected, thrombosed hemroids may progress to gangrene in which the symptoms become even more worse.

Thrombosed hemroids are treated initially by conservative medical and behavioral measures which may lead to absorption of the blood clot and healing of hemroids. However, if the hemroids rapidly grow in size or become progressively more painful, they may require some more invasive operative or non-operative procedures.