What is Hemorrhoids (Hemorrhoids)?

Things called hemorrhoids (hemorrhoids) are a normal part of our anatomy. Usually we are not aware of them, but sometimes we can develop a number of problems due to our internal hemorrhoids. You can find more information below.

What is hemorrhoids?

In a sense, everyone has what we know as hemorrhoids or piles , the pillow-like clusters of veins just below the mucous membranes that line the lowest part of the rectum and anus. What most of us call hemorrhoids develops when these veins swell and enlarge, like varicose veins in the legs. Because the blood vessels involved must constantly fight gravity to return blood to the heart, some scientists see hemorrhoids as the price we pay for having to stand upright.

There are two types of hemorrhoids: internal hemorrhoids, which occur in the lower rectum, and external hemorrhoids, which develop under the skin around the anus.

External hemorrhoids are the most irritating because the overlying skin becomes irritated and eroded. If a blood clot forms inside an external hemorrhoid, the pain can be sudden and severe. You may feel or see a lump around the anus. The clot usually dissolves over time, but by then it can irritate the area where it is located.

Internal hemorrhoids are usually painless, even when they produce bleeding. For example, you may see bright red blood dripping on toilet paper or inside the toilet bowl. Internal hemorrhoids can also prolapse of the anus or extend beyond, causing several potential problems. When a hemorrhoid protrudes, it can collect small amounts of mucus and small fecal particles that can cause itching and irritation. Constantly wiping to relieve itching can make the problem worse.

What causes hemorrhoids?

Traditionally, hemorrhoids are associated with chronic constipation , straining during bowel movements, and sitting on the toilet for long periods of time – all of which impede blood flow to and from the area, causing the veins to clump and widen. This also explains why hemorrhoids are common during pregnancy when the enlarged uterus presses on the veins.

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More recent studies show that sitting or standing constantly also causes hemorrhoids problems. Either way, standing still seems to be factors that trigger your risk of hemorrhoids.

Constipation contributes to these problems because straining during a bowel movement increases pressure in the anal canal and pushes the hemorrhoids into the sphincter muscle.

Finally, the connective tissues that support and hold the hemorrhoids in place can weaken with age, causing the hemorrhoids to swell and sag.

What are the symptoms of hemorrhoids?

Symptoms of hemorrhoids vary depending on the type of hemorrhoid.

Symptoms of internal hemorrhoids

Internal hemorrhoids are located in the rectum. You can’t usually see or feel them, and they rarely cause discomfort. But they can cause irritation or pain when passing stool. Symptoms are usually as follows:

  • Painless bleeding during bowel movements. You may see small amounts of bright red blood on your toilet paper or in the toilet.
  • It can sometimes be seen hanging out in the area of ​​the anal opening causing pain and irritation.

Symptoms of external hemorrhoids

These are located under the skin around your anus. Signs and symptoms may include:

  • Itching or irritation in your anal area
  • pain or discomfort
  • swelling of your anus
  • Kanama

When should you see a doctor?

If you have bleeding during bowel movements or if you have hemorrhoids that do not go away on their own, you should talk to your doctor.

Do not think that every rectal bleeding is due to hemorrhoids (piles) problems, especially if you have changes in your bowel habits, if your stools are changing in color or consistency, it may not be due to hemorrhoids. Rectal bleeding can occur with other diseases such as colorectal cancer and anal cancer.

How are hemorrhoids diagnosed?

Hemorrhoids can usually be diagnosed with a simple medical history and physical examination. External hemorrhoids are often prominent, especially if a blood clot has formed. Your doctor may perform a digital rectal exam to check for blood in the stool.

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He can also examine the anal canal by illumination with an anoscope, a short plastic tube inserted into the rectum. If there is evidence of rectal bleeding or microscopic blood in the stool, a flexible sigmoidoscopy or colonoscopy may be performed to rule out other causes of bleeding, such as colorectal polyps or cancer, especially in people over the age of 45.

How are hemorrhoids treated?

Some hemorrhoids cannot be managed with home treatments as symptoms persist or internal hemorrhoids prolapse. Fortunately, a number of minimally invasive hemorrhoid treatments are available that are less painful than traditional hemorrhoid removal (hemorrhoidectomy) and allow for faster healing. These procedures are usually done in a surgeon’s office or hospital as an outpatient.

rubber band ligation

The tape causes the hemorrhoid to shrink and the surrounding tissue to scar as it heals, holding the hemorrhoid in place. It takes two to four procedures six to eight weeks apart to completely eliminate the hemorrhoid. Rare complications include mild pain, bleeding, and infection.

Other office procedures include laser or infrared coagulation, sclerotherapy, and cryosurgery. They all work on the same principle as rubber band ligation, but are not as effective at preventing as tape. Side effects and recurrence vary by procedure, so you should ask your doctor any questions you have in mind.


Surgery may be required if you have large protruding hemorrhoids, persistent symptomatic external hemorrhoids, or internal hemorrhoids despite rubber band ligation. In traditional hemorrhoidectomy, a narrow incision is made around both the external and internal hemorrhoids (hemorrhoids) tissue and the offending blood vessels are removed.

This procedure cures 95% of cases and has a low complication rate – it also has a well-deserved reputation for being painful. The procedure requires general anesthesia, but patients can go home the same day. Patients can usually return to work after 7-10 days. Despite the disadvantages, many people are happy to find a definitive solution to their hemorrhoids.


This procedure treats bleeding or prolapsed internal hemorrhoids. The surgeon uses a stapling device to hold the hemorrhoids in their normal position. Like traditional hemorrhoid removal, stapling treatment is done as day surgery under general anesthesia.

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What is good for hemorrhoids?

Relief for most hemorrhoid symptoms can be achieved with home remedies. To prevent hemorrhoid flare-ups, you can try the following:

Get more fiber

Adding fiber-containing foods to your diet will be good for your hemorrhoids. Along with enough fluid, fiber softens stools and makes them easier to pass, reducing the pressure on hemorrhoids (hemorrhoids). High-fiber foods include broccoli, beans, wheat and oat bran, whole grain foods, and fresh fruit. Fiber supplements help reduce hemorrhoidal bleeding, inflammation, and growth.

They can also reduce irritation from small pieces of stool getting stuck around blood vessels. Some people may find that fiber supplements cause bloating or gas. Start slowly and gradually increase your intake to 25-30 grams of fiber per day. Also, increase your fluid intake.


Moderate aerobic exercise, such as brisk walking for 20-30 minutes a day, can help stimulate bowel function.

Don’t delay your toilet

When you feel the urge to defecate, go to the toilet immediately; Do not wait until a more convenient time. Stool may back up, leading to increased pressure and straining. Also, take time to sit on the toilet for a few minutes at a certain time each day, such as after a meal. This can help you establish a regular bowel habit.

Take a sitz bath

A warm water bath, including the affected area, can relieve itching, irritation and spasms of the sphincter muscle. Pharmacies have small plastic tubs that fit into the toilet bowl. You can sit in a regular tub with a few inches of warm water.

Most experts recommend a 20-minute sitz bath two or three times a day after each bowel movement. Be sure to dry the anal area slowly afterwards; Do not rub or wipe hard. You can also use a hair dryer to dry the area.

Seek topical relief

Over-the-counter hemorrhoid creams containing a local anesthetic can temporarily relieve pain. Witch hazel oil is sedative and has no harmful effects. A small ice pack placed on the anal area for a few minutes can also help reduce pain and swelling. Finally, sitting on a cushion rather than a hard surface helps reduce swelling of existing hemorrhoids and prevents new ones from forming.

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