Breaking Down Hemorrhoids: Internal and External Forms Explained
                     Understanding 
Hemorrhoids: Internal vs. 
External
In Dubai, many individuals with hemorrhoids are unaware of the 
differences between internal and external types. Understanding 
these distinctions is crucial for proper diagnosis and effective 
treatment.
Why Hemorrhoids Matter in Dubai
Hemorrhoids are common in Dubai due to dietary habits, prolonged sitting, and lack of exercise. The hot weather 
can worsen symptoms if hydration is insufficient.
Early consultation with a piles doctor in Dubai is essential for timely relief and to prevent complications. Knowing 
the exact nature of the condition ensures the most suitable treatment method is used.
What Are Hemorrhoids?
Definition & Types Internal Hemorrhoids
Hemorrhoids are swollen blood vessels in the lower Develop inside the rectum, typically painless but 
rectum or anus, categorized as internal or external. may bleed.
External Hemorrhoids Anatomy Refresher
Form under the skin near the anus, usually painful, The dentate line separates the rectum from the 
especially if a clot forms. anus; internal hemorrhoids are above, external 
below.
Key Differences: Internal vs. External
Internal Hemorrhoids External Hemorrhoids
• Often unnoticed until symptoms appear. • More noticeable and painful.
• Bleed during bowel movements. • Cause swelling or a lump near the anus.
• Rarely painful unless prolapsed. • Intense pain if a blood clot forms (thrombosed).
• May cause discomfort or itching if prolapsed. • Symptoms include itching, irritation, and pain during 
sitting or bowel movements.
Grading (I-IV) determines severity.
Diagnosis: How Doctors Differentiate
01 02 03
Physical Examination Anoscopy or Proctoscopy Additional Investigations
Visual inspection for external Specialized tools to view internal Colonoscopy may be recommended 
hemorrhoids; digital rectal exam for hemorrhoids clearly and confirm to check for other causes of rectal 
internal ones. severity. bleeding, especially for those over 50 
or with a family history of colorectal 
disease.
Treatment Options for Hemorrhoids
Conservative & At-Home Office-Based
Fiber, water, sitz baths, OTC creams, Rubber band ligation, sclerotherapy, 
ice packs. infrared coagulation.
Surgical Procedures Minimally Invasive
Hemorrhoidectomy, stapled Doppler-guided ligation, laser 
hemorrhoidopexy for severe cases. treatment for both types.
Choosing the Right Treatment in Dubai
Dubai offers advanced hemorrhoid care. Treatment depends on symptoms, severity, and lifestyle. Visiting a 
specialist ensures tailored care.
Persistent bleeding, severe Red flags include anemia, Early intervention prevents 
pain, or a non-improving lump changes in bowel habits, or complications and ensures 
signals the need for family history of colorectal faster recovery.
professional care. disease.
Conclusion & Next Steps
Understanding hemorrhoid types helps in choosing the right treatment. Internal hemorrhoids show bleeding and 
prolapse; external ones cause pain and swelling.
Dubai offers diverse treatments, from lifestyle changes to advanced surgery. For accurate diagnosis and care, book 
an appointment with a hemorrhoids specialist like Dr. Daniel Serralta.
Dr. Daniel Serralta
Address Phone no. Website
C/o - Saudi German Hospital, +971 568 05 4323 Dr. Daniel Serralta
Hessa Street 331 West Al Barsha 
3, Exit - 36 Sheikh Zayed Rd - 
opposite of American School - 
Dubai