Hemorrhoids Photos - What Hemorrhoids Really Looks Like?

Andy Paras
30 Jan, 2026

Hemorrhoids are a very common and often uncomfortable condition that affects millions of people worldwide. Most adults experience hemorrhoid symptoms at least once in their lifetime. Hemorrhoids are natural anatomical structures made up of blood vessels located in the anal canal. They usually cause no problems, but they can become painful or bothersome when they swell, bleed, or prolapse.

what hemorrhoids look like
Hemorrhoids Photos - What Hemorrhoids Really Looks Like?

In this article, we explain what hemorrhoids look like using medical descriptions and diagrams, how they develop, their possible complications, and the treatment options available to manage them safely and effectively.

⚠️ Medical note: This article is for educational purposes only and does not replace professional medical advice.

What Do Hemorrhoids Look Like? (Medical Explanation & Diagrams) 

What Are Hemorrhoids?

Hemorrhoids are present in everyone from birth. They are not abnormal veins, but vascular cushions composed of arteries, veins, and connective tissue.

Typically, there are three to four hemorrhoidal cushions, grouped together and attached to the inner wall of the anus. Their role is to help maintain continence by sealing the anal canal.

When these cushions become enlarged or inflamed, hemorrhoidal disease develops.

Types of Hemorrhoids

Hemorrhoids are classified into two main types:

Internal Hemorrhoids

  • Located inside the anal canal

  • Usually painless

  • Appear as small, soft, purplish cushions

  • Not visible to the naked eye

  • Diagnosed using a medical instrument called an anoscope

Figure 1: Diagram of Internal Hemorrhoids in the Anal Canal

External Hemorrhoids

  • Located just outside the anus

  • Covered with sensitive skin

  • May become painful, swollen, or itchy

  • Often noticeable only when complications occur

Figure 2: Diagram of External Hemorrhoids

How Doctors Examine Hemorrhoids

Internal hemorrhoids cannot be detected by touch alone. During a medical consultation, a doctor may use an anoscope, a small, non-invasive instrument inserted gently into the anus to visualize the internal area.

This examination is quick and usually causes minimal discomfort.

Common Complications of Hemorrhoids

External Hemorrhoidal Thrombosis

This occurs when a blood clot forms inside an external hemorrhoid.

Symptoms may include:

  • Sudden swelling near the anus

  • Pain or discomfort

  • A firm, tender lump

In most cases, the condition resolves naturally within 2 to 3 weeks. In certain situations, a doctor may perform a minor procedure under local anesthesia to relieve pain.

Internal Hemorrhoidal Thrombosis

Less common than external thrombosis, this condition may cause:

  • A feeling of pressure or tightness

  • Burning sensations inside the anal canal

Diagnosis usually requires a medical examination.

Bleeding from Hemorrhoids

Bleeding is one of the most frequent symptoms of hemorrhoids.

  • Typically painless

  • Appears as bright red blood during bowel movements

  • May be visible on toilet paper or in the toilet bowl

Frequent or heavy bleeding can sometimes lead to anemia and requires medical evaluation.

Hemorrhoidal Prolapse

Hemorrhoidal prolapse occurs when internal hemorrhoids protrude outside the anus.

  • May occur during bowel movements or physical effort

  • Can retract naturally or require manual repositioning

  • May cause discomfort, itching, mucus discharge, or bleeding

Prolapse is more common in adults with chronic constipation.

Important Reminder

Symptoms such as pain, bleeding, burning, or prolapse are not always caused by hemorrhoids. Other digestive or anorectal conditions can produce similar signs.

👉 Always consult a healthcare professional if symptoms persist or worsen.

For a comprehensive guide on what causes constipation and how to manage it, see Everything You Need to Know About Constipation.

Factors That Can Trigger or Worsen Hemorrhoids

Several factors are associated with hemorrhoidal flare-ups, including:

  • Chronic constipation or diarrhea

  • Straining during bowel movements

  • Heavy lifting or physical strain

  • Prolonged sitting

  • Stress

  • Spicy foods

  • Pregnancy and childbirth

  • Hormonal changes

  • Family history

Treatment Options for Hemorrhoids

Treatment depends on the severity and type of hemorrhoids.

1. Medications

Used mainly to relieve symptoms during flare-ups:

  • Pain relievers and anti-inflammatory drugs

  • Stool softeners or fiber supplements

  • Topical creams and suppositories

  • Venotonic medications to improve blood circulation

These treatments are usually short-term (1–2 weeks).

2. Instrumental (Office-Based) Treatments

These procedures aim to reduce symptoms by reinforcing hemorrhoidal support tissue:

  • Elastic band ligation

  • Sclerotherapy

  • Infrared or photocoagulation therapy

They are generally well tolerated, with a low complication rate.

3. Surgical Treatments

Reserved for severe or persistent cases:

  • Hemorrhoidectomy (complete removal)

  • Hemorrhoidopexy (Longo procedure) – repositioning hemorrhoids

  • Hemorrhoidal Artery Ligation (HAL-RAR)

  • Radiofrequency ablation

Minimally invasive techniques usually offer faster recovery and less pain.

Choosing the Right Treatment

  • Medications: Best for short-term symptom relief

  • Instrumental treatments: Effective for chronic bleeding or prolapse

  • Surgery: For advanced cases or when other treatments fail

A healthcare provider can help determine the most appropriate option.

Conclusion

Hemorrhoids are common and treatable. While symptoms can be uncomfortable, modern medical treatments offer effective relief for most people.

If you experience persistent pain, bleeding, or prolapse, consulting a qualified healthcare professional is essential. With proper care, most patients can significantly improve their quality of life.

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Medical Sources and References

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