Imaging of External and Internal Hemorrhoids

Hemorrhoids are swollen, inflamed veins in the anus and rectum, which can cause pain, itching, and anal bleeding. Often, their symptoms are similar to other rectal diseases, which means that patients who have pain or bleeding with bowel movements may have doubts about what their real problem is. Would it be hemorrhoids? Anal fissure? Pilonidal cyst?

Therefore, knowing what hemorrhoid usually looks like is important to get an idea of the cause of its symptoms. This is a page with pictures of external hemorrhoids and internal hemorrhoids. This is a supplement to the text HEMORRHOIDS – Symptoms and Treatment, which deals with the causes, symptoms, diagnosis, and venapro treatment of hemorrhoids.

Hemorrhoids are classified as:

  • Internal hemorrhoids: when they occur in the rectum.
  • External hemorrhoids: when they occur in the anus or at the end of the anal canal.
  • External hemorrhoids are more easily identified and can be detected by a simple examination of the anal region. Internal hemorrhoids, on the other hand, are accessible only when they are large enough to come out through the anus.

Internal hemorrhoids are classified into four grades:

  • Grade I hemorrhoids: do not prolapse through the anus.
  • Grade II hemorrhoids: they prolapse through the anus during the evacuation, but do not return to their original position spontaneously.
  • Grade III hemorrhoids: they prolapse through the anus and their reduction is only achieved manually.
  • Grade IV hemorrhoids: they are prolapsed through the anus and their reduction is not possible.
  • Grade I internal hemorrhoids are not visible and grade II hemorrhoids usually go unnoticed by patients since no one can see the anus when they defecate. Since the rectum and the anal canal have little enervation, this type of hemorrhoid does not usually cause pain.

Nutrition: Exchanging Miracles for Sustainable Habits


After we start our physical activity program, our remaining account is always to improve nutrition and the way we eat. Eating healthy, including selecting quality products (, can make our adaptations to physical activity more efficient and can make a significant difference. And how difficult this is…

Let’s look for quality and fight myths

The difficulty is not only in the temptations that the food itself (if we can call it that) provokes us and makes us consume it. Also because, even if we have good intentions to eat healthily, it is very difficult to find food that we can classify as such when we eat out or even in the supermarkets and in the selection of products.

On the other hand, there are many myths about nutrition, and many times society is confused or simply does not know what “eating well” is. How many people would bet that eating 5 meals a day is the right thing to do? And like these, there are many more. How important I consider education in this area, and how little there is. Spain is still the only European country that does not have nutritionists in its public health system.

“Our country is on the podium (third place) of those with the highest obesity rate in the world, only behind the United States and Great Britain”

As for your meal plan…

If we said that a specific training plan should always be prescribed by a physical activity professional, an eating plan that pursues a specific goal should also always be prescribed by nutrition and dietetic professionals.

Miracle diets do not exist. And many times desperation or haste make us access to food models that put our health at stake. Each person is different and reacts in a different way to stimuli. This is also true of eating plans. What worked for your neighbor, who lost 40 pounds in one summer, may be able to hospitalize you. That’s how raw. It’s very hard for an ordinary person not to know that food (if you can call it food) is a nutritional disaster for the body.

“A first step would be to stop consuming all these junk products: soft drinks or sugary juices, industrial baked goods or fast food”

Remember that your way of eating must also be sustainable over time. If a person is “addicted” to cola and consumes 2 liters a day, removing that stimulus from their daily life can be traumatic. Therefore, in this section, let us also think that we have to add little by little and that a can a day is perhaps less bad than a two-liter bottle. Apply it with the other products that you know are forbidden, consume vegetables in all your meals and increase the consumption of proteins. That way you’ll be on the right track…