1. Divide internal and external hemorrhoids based on pain: Internal hemorrhoids are generally not painful, but there is a sinking sensation in the anus after defecation, and a burning sensation in the anus after eating chili; only external hemorrhoids can cause pain.

2. Distinguish from the nature of pain: External hemorrhoids are persistent pain. Generally, inflammatory external hemorrhoids are mild and thrombosed external hemorrhoids are more serious. The pain of anal fissure is regular. It only hurts when you defecate. The most painful time is after defecation. It usually lasts from 1 to 4 hours. At other times, it is the same as if you are not sick. Perianal abscesses are the most painful, persistent, and often accompanied by fever.

3. Distinguish from the location of the disease: Internal hemorrhoids occur in the anus and cannot be seen when they are mild. They can only be seen when they are severe enough and prolapse outside the anus. If they become incarcerated, thrombosis will form. , it will also hurt at this time. External hemorrhoids grow on the edge of the anus and are easy to see.

4. Distinguish from the bleeding situation: painless bleeding that is bright red is usually internal hemorrhoids; external hemorrhoids rarely bleed and are accompanied by the characteristics of external hemorrhoids; anal fissures are often accompanied by bleeding and regular pain. It is not difficult to distinguish. There is also a kind of painless bleeding, where stale blood is mixed with the stool. At this time, you should think of intestinal lesions above the rectum.

5. Distinguish from local symptoms: Observe the anus. Most of the tumors on the anal edge are external hemorrhoids. If accompanied by painless bleeding, they may be mixed hemorrhoids; anal fissures are sometimes seen on the anal edge. There is a mass, but you can see a crack when you gently open the anus; if there is a lump a little far away from the anal opening and it hurts when you press it, it may be a perianal abscess.

6. There are also other conditions, such as perianal eczema, where many red rashes appear around the anus and merge into sheets, with a circle of red and exudate; perianal condyloma, around the Small, prickly bumps on the anus, which can be a few or many, and are harder than hemorrhoids.

Notes

These methods can only make simple distinctions, and correct diagnosis requires timely medical treatment.