The thing about grade 1 internal hemorrhoids is that they can sneak up on you so to speak, and when you aren’t even suspecting that there is anything wrong, you start to see the tell tale signs that they are present in your anal canal.
The biggest and often the scariest clue that there is something wrong is when you start to see traces of blood on the paper when you wipe after a bowel movement. You probably didn’t even feel any pain or discomfort during the process.
Then all of a sudden there it is. At first, the worst possible scenario pops into your mind. “What if I have colon cancer?” “What if I have rectal cancer or stomach cancer?” It’s natural to wonder why it’s happening and where the blood is coming from.
Of course those are always possible reasons, but the chances are slim that you have one of those conditions. Most likely the reason you are seeing blood is because when grade 1 internal hemorrhoids begin to form, one of the symptoms is that they bleed. We are conditioned to think of scary things at the sight of blood.
The inside of the rectum is
lined with soft cushiony tissue that secretes a slimy mucous to help the stool
pass through the anal canal. These cushiony structures are filled with tiny
There are many reasons why they can begin to loose their shape and droop away from their proper position along the wall of the anal canal including pressure from constipation, injury, or just plain time and age.
These little guys are referred to as hemorrhoids. Every one has them but not everyone suffers from the inflammation that happens when they begin to droop.
As they droop toward the center of the canal, they can be pulled on or pushed by the stool as it passes. The resulting abrasion to the already delicate tissue causes the blood that you see. Seldom is there profuse bleeding, but when blood is present it is usually a bright red in color.
The bleeding can be intermittent as well and seldom is there any pain involved.
Doctors describe the severity of a drooping internal hemorrhoid by applying the following grades.
Grade 1: Swollen but not painful. Stays inside the anal canal.
Grade 2: Can be pushed outside the canal by stool but retract on their own.
Grade 3: Must be pushed back into the canal by the patient.
Grade 4: Remain outside the canal and cannot be pushed back in.
When a hemorrhoid is still at the grade 1 stage it means that it hasn’t sagged out of place a whole lot yet. That is good news. The most effective way to stop the progression of hemorrhoids to the next grades is to ensure that the pressure and straining during bowel movement is eliminated.
A person can benefit greatly by eating a diet higher in fiber (25-30 grams per day) and drinking plenty of water. Getting some exercise and avoiding heavy lifting will also help.
Someone who is pregnant may experience hemorrhoids just from the increased pressure on the bowel that happens during pregnancy.
The aging process can also cause the support structures in the anal canal to weaken over time.