Hemorrhoids Causes Symptoms Prevention Treatment

Hemorrhoids Causes Symptoms Prevention Treatment

Hemorrhoids, often called piles, are swollen and​ inflamed veins in​ and​ around the​ anus and​ lower rectum. They are much like varicose veins you might see on a​ person's legs.

Hemorrhoids are a​ very common health problem. Hemorrhoids cause serious problems in​ about 4% (over 10 million) of​ people in​ the​ United States. Prevalence of​ hemorrhoidal disease increases with age until the​ seventh decade and​ then diminishes slightly. Hemorrhoids also increase in​ pregnancy due to​ direct pressure on the​ rectal veins.

Causes of​ hemorrhoids

Hemorrhoids are caused by too much pressure in​ the​ rectum, forcing blood to​ stretch and​ swell the​ blood vessels. People whose parents had hemorrhoids may be more likely to​ get them.

Most common causes of​ hemorrhoids:
  • straining with bowel movements (from constipation or​ hard stools)

  • diarrhea

  • constant sitting

  • sitting on the​ toilet for​ a​ long time

  • childbirth

  • pressure of​ the​ fetus in​ pregnant women

  • heavy lifting

  • familial tendency

  • obesity


Symptoms of​ hemorrhoids include:
  • rectal bleeding

  • pain around the​ anus and​ rectum

  • irritation and​ itching

  • bulge or​ lump at​ the​ anus

Excessive straining, rubbing or​ cleaning the​ anus may worsen symptoms. in​ most cases, the​ symptoms of​ hemorrhoids will only last a​ few days. Not every one with hemorrhoids will experience symptoms.

Types of​ hemorrhoids

The type of​ hemorrhoid depends on where it​ occurs. There are two types of​ hemorrhoids: internal and​ external.

External hemorrhoids develop around the​ rim of​ the​ anus. External hemorrhoids cause most of​ the​ symptoms associated with hemorrhoids (pain, burning, and​ itching) because the​ skin around them is​ very sensitive. if​ an​ external hemorrhoid becomes strangulated (cut off from blood supply), a​ clot can form in​ it​ and​ become an​ excruciatingly painful thrombosed hemorrhoid. Thrombosis of​ an​ external hemorrhoid causes an​ anal lump that is​ very painful and​ often requires medical attention.

Internal hemorrhoids develop inside the​ passageway of​ the​ anus. Internal hemorrhoids are often present without causing any discomfort or​ even awareness of​ their presence. Internal hemorrhoids are usually painless, although they sometimes cause discomfort and​ bleeding if​ a​ hard stool rubs against them during a​ bowel movement. Internal hemorrhoids also may prolapse outside the​ anus, where they appear as​ small, grape-like masses. These can be painful. a​ prolapsed hemorrhoid will go back inside the​ rectum on its own, or​ you can gently press it​ back into the​ anus with your fingertips.

Internal hemorrhoids are classified by the​ degree of​ tissue prolapse into the​ anal canal:

  • First-degree - hemorrhoids that bleed but do not prolapse

  • Second-degree - hemorrhoids that prolapse with straining or​ defecating and​ retract on their own

  • Third-degree - hemorrhoids that prolapse and​ require manual reduction

  • Fourth-degree - hemorrhoids that chronically prolapse and, if​ reducible, fall out again

Mixed hemorrhoids are confluent internal and​ external hemorrhoids.


You often can prevent hemorrhoids by preventing constipation and​ straining to​ have bowel movements. Some of​ the​ following diet and​ lifestyle changes may help you to​ soften the​ stool, and​ avoid the​ straining that can lead to​ hemorrhoids:
  • Include more fiber in​ your diet - fresh fruits, leafy vegetables, and​ whole-grain breads and​ cereals are good sources of​ fiber.

  • Drink adequate amounts of​ fluids - 6 to​ 8 glasses of​ water daily.

  • Exercise regularly

  • Do not strain or​ sit on the​ toilet for​ long periods of​ time. Straining for​ more than 5 minutes can be harmful. Try not to​ stay on the​ toilet any longer than necessary.

  • Use a​ soothing wipe, such as​ baby wipes or​ witch hazel pads, to​ clean after each bowel movement and​ to​ ease the​ pain.

  • If your main job activity is​ seated, always stand or​ walk during your breaks. Make it​ a​ point to​ stand and​ walk at​ least 5 minutes every hour and​ try to​ shift frequently in​ your chair to​ avoid direct rectal pressure.

  • Avoid heavy lifting, which puts pressure on the​ anal opening.


A number of​ surgical methods may be used to​ remove or​ reduce the​ size of​ hemorrhoids:
  • Rubber band ligation - a​ rubber band is​ placed around the​ base of​ the​ hemorrhoid inside the​ rectum. the​ band cuts off circulation, and​ the​ hemorrhoid withers away within a​ few days.

  • Sclerotherapy is​ one of​ the​ oldest forms of​ treatment. a​ chemical solution is​ injected directly into the​ hemorrhoid or​ the​ area around it. This solution causes a​ local reaction that interferes with blood flow inside the​ hemorrhoid, making the​ hemorrhoid shrink.

  • Laser or​ electro-coagulation techniques - Both techniques use special devices to​ burn hemorrhoidal tissue.

  • Cryotherapy uses cold temperatures to​ obliterate the​ veins and​ cause inflammation and​ scarring. it​ is​ more time consuming, associated with more posttreatment pain, and​ is​ less effective than other treatments. Therefore, this procedure is​ not commonly used.

  • Hemorrhoidectomy - Occasionally, extensive or​ severe internal or​ external hemorrhoids may require removal by surgery known as​ hemorrhoidectomy. This is​ the​ best method for​ permanent removal of​ hemorrhoids. Hemorrhoidectomy is​ the​ treatment for​ severe third-degree and​ fourth-degree hemorrhoids.

Sclerotherapy, ligation, and​ heat coagulation are all good options for​ the​ treatment of​ hemorrhoids.

Neo Healar - herbal remedy for​ hemorrhoid

Neo Healar is​ a​ 100% herbal product that is​ composed on four natural occurring plants: Lupinus Albus, Vateria Indica, Mentha Piperita and​ Aloe Vera. Neo Healar is​ available in​ two forms: 30 g ointment and​ suppositories (in 10s).

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