How can you tell the difference between prolapsed hemorrhoids and external hemorrhoids?

Dr. Karuna ChawlaHomeopath23yrs exp

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Internal hemorrhoids. These lie inside the rectum. You usually can't see or feel these hemorrhoids, and they rarely cause discomfort. But straining or irritation when passing stool can damage a hemorrhoid's surface and cause it to bleed. Occasionally, straining can push an internal hemorrhoid through the anal opening. This is known as a protruding or prolapsed hemorrhoid and can cause pain and irritation. External hemorrhoids. These are under the skin around your anus. When irritated, external hemorrhoids can itch or bleed.  

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Internal haemorrhoids bleed more but are painless. External haemorrhoids are extremely painful especially if they are thrombosed. So there you go.  

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