Internal Hemorrhoids That Just Don’t Go Away

Man suffering from external hemorrhoids, anal pain on gray background

An Internal Hemorrhoid is a hemorrhoidal cushion located inside the anal canal. Internal hemorrhoids are still considered hemorrhoids, but most people refer to them as “hidden hemorrhoids” because they are not externally visible. An estimated 50% of all people have had or currently have hemorrhoids.

There are two main types: Internal hemorrhoid and external hemorrhoid. The former can be referred to as hidden hemorrhoids, while the latter is more commonly known as prolapsed or protruding hemorrhoids. Many people who suffer from aggravated internal hemorrhoids do not realize their symptoms cause discomfort and pain until it is too late.

Internal hemorrhoids are typically not painful, but they may sometimes cause itching or discomfort, which most patients describe as feeling like “pressure.”

This symptom tends to subside over time and with proper treatment. If they continue to bother you for an extended period despite receiving appropriate care, they may be referred to as chronic hemorrhoids.

As evident in the name itself, chronic hemorrhoids tend to last longer than common hemorrhoids before finally subsiding independently. Although there is no cure for chronic hemorrhoids, you can find relief by taking steps toward obtaining permanent freedom.

If your symptoms do not go away even after you’ve been hemorrhoid-free for a few months, then they may be considered permanent hemorrhoids. Permanent hemorrhoids do not go away independently, and they require special care to treat. In some cases, it is even recommended that you seek out other types of treatments besides those that are explicitly designed for hemorrhoids, such as other non-invasive or minimally invasive surgical options.

Suppose symptoms do not go away after a treatment has been administered. In that case, the cause of symptoms may be attributed to poor health choices made by the patient regarding diet and lifestyle habits. By receiving appropriate hemorrhoid treatment and following the listed below, you will have a much better chance at hemorrhoid symptom relief.  


1. Eat a diet high in fiber but low in dairy products or refined sugars. This will help prevent hemorrhoids from occurring or reduce symptoms.

2. If you suffer from chronic hemorrhoids that do not respond to proper treatment, opt for less invasive treatments before choosing surgery as your final he treatment option. However, keep in mind that surgery may prove necessary depending on the severity of your case and whether or not home remedies could provide relief for your symptomatic hemorrhoids.

3. Don’t be embarrassed to speak with your doctor about your hemorrhoids and any symptoms that you may be experiencing. Your doctor should always provide you with entirely confidential and unbiased treatment options and can also refer you to a specialist if necessary.

4. If the thought of receiving an injection does not sound appealing to you, then opt for a natural cream or suppository instead. The ingredients include witch hazel, aloe vera, vitamin E, and other natural ingredients that will help relieve symptoms without harmful side effects or injections.

5. Be sure to avoid straining while you are hemorrhoid-free or after they have subsided on their own. Straining during bowel movements will only aggravate them more, so try to ensure that your stools are soft before experiencing symptoms.

6. Take preventative measures before receiving treatments to reduce the likelihood of hemorrhoid recurrence. This includes avoiding constipation, straining at bowel movements, and maintaining a high fiber diet.


Internal hemorrhoids are piles located in and around the anus and lower rectum. The most common symptom of internal hemorrhoids is bleeding during or after passing stool or in between bowel movements. Other symptoms range from pain, itching, and irritation to burning and discomfort. 

Although discussing hemorrhoids with a professional may be uncomfortable, they should never be ignored. With treatment and lifestyle improvements, they don’t have to interfere with your life. Don’t ignore symptoms such as pain, bleeding, and discomfort. If they aren’t treated, they can lead to severe complications such as abscesses or anal fistulas.

Ask your doctor about HemWell, an FDA-approved, pain-free treatment that’s permanent. If your provider doesn’t offer HemWell, we can assist you in finding one that does. Please visit our website to learn more about this life-changing treatment. Learn more about hemorrhoids.