Signs and Symptoms

Some people actually suffer with hemorrhoids and never know it unless a doctor’s exam reveals their presence.  Almost always the ‘silent’ types of hemorrhoids are internal, and may present no discomfort to the individual.  But for the majority, the signs and symptoms are overt, and often progress in severity over time.  For many people the first symptoms may be revealed as a tinge or pinching in the anal area.  Sometimes the first sign can be blood or ‘spotting’ in the undergarments or blood in the stools.  Anyone who notices blood from the anal area is advised to see a doctor to be sure of a diagnosis.  Bleeding can relate to other health problems, and one needs to be sure of a firm diagnosis of hemorrhoids and not something more serious.   Sometimes hemorrhoids manifest themselves by partially blocking the anus, and interfering with evacuating the bowels.  Occasionally, feces with an odd shape are the first clue that something is not right.  Again, a doctor’s exam would be advised.

Other symptoms that may accompany hemorrhoids besides bleeding can be:

• Itching
• Extreme pain
• Seepage of pinkish fluid
• Feelings of incomplete evacuation after a bowel movement

Stomach or digestive upset, diarrhea, constipation, hard feces, and cramping may accompany Hemorrhoids as well. Sitting, standing, walking, exercise or lying down can become extremely uncomfortable.   Bowel movements in advanced cases can be excruciating leading to sweating, feelings of faintness or nausea, and sometimes muscle spasms can appear in the small of the back after using the toilet.  It can take hours for the pain to subside after passing stools.  Severe blood loss can add to the symptoms of nausea and feelings of being faint.