Painful haemorrhoids caused by different factors can present in different ways. For example.
painful haemorrhoids induced by infectious factors, most often accompanied by a pronounced itching sensation
painful haemorrhoids caused by venous thrombosis, which tend to present as a sharp stabbing pain
Painful haemorrhoids caused by an impaction tend to have a dull pain as the main manifestation.
In some patients, the disease progresses more rapidly and a feeling of distention and pain can also occur.