1, from pain to internal hemorrhoids and external hemorrhoids: internal hemorrhoids are generally painless, that is, the anus has a feeling of falling after defecation, and the anus has a burning sensation after eating Chili; Only external hemorrhoids can feel pain.

2. Differentiate from the nature of pain: external hemorrhoids are persistent pain, generally inflammatory external hemorrhoids are lighter, and thrombotic external hemorrhoids are heavier. The pain of anal fissure is regular, only when defecating, the most painful time is when defecating is finished, which usually lasts 1 to 4 hours, and the other time is the same as no disease. Perianal abscess is the most painful and lasts the longest, often accompanied by fever.

3, from the location of the disease to distinguish: internal hemorrhoids occur in the anus, when it is light, it can't be seen. Only when it is serious enough, it can be seen outside the anus. If it forms a thrombus, it will hurt at this time. External hemorrhoids grow on the edge of anus and are easy to see.

4, from the bleeding situation: painless bleeding is bright red, generally internal hemorrhoids; Hemorrhage of external hemorrhoids is rare, accompanied by the characteristics of external hemorrhoids; Anal fissure is often accompanied by bleeding and regular pain, which is not difficult to distinguish. There is also painless bleeding, blood is not fresh, and stool is mixed together. At this time, you should think of intestinal lesions above the rectum.

5, from the local symptoms to distinguish: observation of anus, anal margin tumors are mostly external hemorrhoids, if accompanied by painless bleeding, it may be mixed hemorrhoids; Anal fissure can sometimes see a tumor at the anal margin, but gently open the anus to see the fissure; If there is a pain when a bag is slightly pressed away from the anus, it may be a perianal abscess.

6, there are other situations, such as perianal eczema, there are many small red rashes around the anus, all red and exudation; Perianal condyloma, a small prickly tumor around the anus, can be several or many, which is harder than hemorrhoids.

Matters needing attention

These methods can only be simply distinguished, and the correct diagnosis requires timely medical treatment.