title: [Internal and external haemorrhoids].
abstract: In this article, we present 3 cases of patients with different types of haemorrhoidal disease. The first patient is a 27-year-old woman who had been experiencing incidental rectal blood loss without pain during defecation for 3 months. The second patient is a 76-year-old woman who had been bothered by varying degrees of pain from a swelling nearby the anus for 1 year. The third case involves a 31-year-old man who had had continuous severe pain in the anal area for 3 consecutive days. The first patient appeared to have internal hemorrhoids, whereas different forms of external hemorrhoids affected the patients in the other 2 cases. Internal haemorrhoids develop from the intraluminal corpus cavernosum recti; external haemorrhoids from the perianal marginal veins. Patients with internal haemorrhoids present with symptoms that include blood loss and prolaps feeling during defecation. In patients with external haemorrhoids pain is the prominent symptom. Internal haemorrhoids are treated either conservatively or surgically, depending upon their severity. Considering external haemorrhoidal disease surgical treatment provides the most rapid and persistent relief of symptoms.
authors.affiliation: St. Antonius Ziekenhuis, afd. Heelkunde, Nieuwegein.
authors.forename: J P
authors.initials: JP
authors.lastname: Schuurman
authors.forename: P M N Y H
authors.initials: PM
authors.lastname: Go
mesh_terms: D000328:Adult; D001004:Anus Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006484:Hemorrhoids / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008026:Ligation; D008297:Male; D010146:Pain / Q000209:etiology; D016896:Treatment Outcome