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This article was published on June 12, 2013, and was last updated on May 1st, 2019 in Hemorrhoid Banding.
Physicians define a strangulated hemorrhoid as an internal mass that has prolapsed and become trapped by the anal muscles. When this occurs, the blood supply to the internal hemorrhoid is cut off and can cause complications, such as thrombosis (where blood clots form in the affected area). Internal hemorrhoids are graded from one to four depending on their severity. Patients may not even notice first-degree internal hemorrhoids, and second-degree hemorrhoids recede into the anal canal on their own. Third-degree hemorrhoids must be pushed back in manually, however, once the internal hemorrhoid reaches the fourth degree, it can no longer be manually pushed back into the anal canal. A prolapsed internal hemorrhoid is one that has slid down the anal canal and is protruding from the opening of the anus. When left untreated, the prolapsed pile can become caught in the sphincter muscle. This cuts off blood supply, causing a painful strangulated hemorrhoid that must be treated by a doctor.
Strangulated hemorrhoids typically result from the most advanced forms of internal hemorrhoids. In this case, the hemorrhoid is now what we call “thrombosed,” meaning the veins have become clotted due to a lack of blood flow. This is a very painful condition on its own and the discharge of pus may cause even more pain to the patient. At this point it is necessary to contact a doctor, as strangulated hemorrhoids can potentially lead to infection.
If treated by a physician early on, a quick recovery is possible; otherwise it may take a week or so to feel relief. If you have hemorrhoids and want to take care of them before reaching this point, the revolutionary banding technique developed by CRH O’Regan will safely and gently remove hemorrhoids for good.
If you are feeling pain or discomfort, don’t wait until it gets worse – find a gastroenterologist near you today.