External Or Prolapsed Hemorrhoids

Hemorrhoids are swollen and enlarged anal veins.  They seem to be caused by sitting on the toilet too long, straining during bowel movements, and the strain of excess weight.  

There are internal hemorrhoids and external hemorrhoids, or prolapsed hemorrhoids.  Internal hemorrhoids occur high up in the rectum and typcially, the only symptoms you may notice is red blood in the stool or in the toilet.  It is when hemorrhoids become prolapsed that they become problematic.

Some prolapsed hemorrhois will bulge out during a bowel movement and willl spontaneously go back into the rectum.  Some hemorrhoids prolapsed with a bowel movement and can be pushed back into the rectum.  A prolapsed hemorrhoid that cannot be pushed back into the rectum requires surgery.  Such severe hemorrhoids may also prolapse with coughing or sneezing.  They could also have chronic muscus type discharge.