Heamorrhoids (flowing bloods) :

50% over the age of 50 suffer with anal problems Young people also affected Incidence more in males

Anal cushions are thickenings present at

1. Right Anterior



2. Right Posterior and

3. Left Lateral.

When these enlarge and protrude – they produce symptomatic hemorrhoids.

Internal heamorrhoids :
These are formed by the plexus of superior heamorrhoidal veins – above dentate line. They are called primary heamorrhoids when they are located in the - 3,7,11 o clock positions and Secondary when located
between these positions

External heamorrhoids:
External heamorrhoids are formed by the Inferior heamorrhoidal veins are found below dentate line and are painful when thrombosed.