Symptoms of hemorrhoids are very diverse and often not very clear. Symptoms characteristic of hemorrhoids can also indicate other, often serious diseases, and therefore, if they occur, it is necessary to be examined by a doctor in a timely manner. However, many people have hemorrhoids without any symptoms at all. This is especially noted with hemorrhoids of the 1st degree.

Symptoms of first degree hemorrhoids - first degree hemorrhoids are mostly asymptomatic, and patients usually do not notice a slight swelling of the choroid plexus. In rare cases, mild itching or a slight burning sensation may be felt. Traces of scarlet blood can sometimes be found in the feces. In most cases, hemorrhoids do not protrude from the anus, as they do not swell very much and are not located at the very edge of the anus. Depending on the causes, it may be enough to change your diet and exercise more often to quickly get rid of internal hemorrhoids.

Symptoms of hemorrhoids of the second degree - in this stage, the itching in the anus increases, and in this case they speak of anal itching. This itching is often accompanied by pain and is considered by most patients to be one of the worst and most distressing symptoms of hemorrhoids. After straining, you can feel the first knots, which can sometimes protrude during defecation, but after that they are pulled back on their own. Bleeding during emptying increases. More red blood may be found in the stool or on toilet paper. It may also happen that blood continues to drip into the toilet even after a bowel movement. For the first time, there is a feeling of constipation. It is caused by the vascular plexuses that are intensively swelling at this stage. At this degree, conservative treatment and the use of ointments and home remedies can help to cope with itching and pain, which also helps to get rid of hemorrhoids.

Symptoms of hemorrhoids of the third degree - in addition to the symptoms of the first and second degrees, mucous discharge may be detected in the stool, which are caused by strongly swollen vascular plexuses. Closing of the anus is no longer fully controlled, and spontaneous coughing or sneezing can lead to involuntary excretion of feces. In medical terminology, this condition is also called incontinence.

Hemorrhoids during or after a bowel movement may protrude from the anus and at the same time they are no longer retracted on their own. They have to be adjusted manually. The feeling of incomplete emptying increases, which creates a “vicious cycle” for many patients, as they go to the toilet very often, and the vascular plexuses swell even more due to straining. In everyday life, people with hemorrhoids often experience pain and annoying itching in the pelvic area.

Symptoms of hemorrhoids of the fourth degree - along with the symptoms characteristic of hemorrhoids of the previous stages, it may happen that the hemorrhoids protrude from the anus not only during bowel movements, but also at other times. In general, you can return them back to the anus only against the background of severe pain.

The feeling of incomplete emptying becomes so strong that there is a feeling of a foreign body in the rectum. Due to the severe swelling of the choroid plexus, bacteria can accumulate here, and ulcers and eczema can form. In the fourth stage of the disease, mental illnesses such as depression or psychological discomfort may also appear. In most cases, hemorrhoids can be removed by surgery or outpatient surgery, such as sclerotherapy.

Always remember that similar symptoms can indicate other intestinal diseases. If not scarlet, but dark blood is observed in the stool, this means that it has been in the digestive tract for a long time and has been exposed to gastric juice. In this case, you should immediately consult a doctor and undergo an examination.

Doctor of Medical Sciences
Head of the Clinic for General, Visceral and Minimally Invasive Surgery
Professor, MD, PhD
Head of the Clinic for General, Visceral, Thoracic and Endocrine Surgery
Professor, MD, PhD
Head of the Clinic for General and Visceral Surgery
Professor, MD, PhD
Head of the Clinic of Gastroenterology and Internal Diseases