What is Hemorroids?

Hemorrhoids are swollen and inflamed veins in the anus and lower rectum. They can be quite uncomfortable and may cause symptoms such as pain, itching, bleeding, and difficulty in passing stool. Hemorrhoids are a common condition, affecting people of all ages, genders, and backgrounds. They can be internal, located deep inside the rectum, or external, visible and felt around the anus.

There are several factors that contribute to the development of hemorrhoids. One of the most common causes is increased pressure on the veins in the rectum and anus. This can happen due to various reasons, such as straining during bowel movements, sitting or standing for prolonged periods, pregnancy, obesity, and a sedentary lifestyle.

The symptoms of hemorrhoids can vary from person to person, with some experiencing mild discomfort and others enduring severe pain. Common signs of hemorrhoids include bright red blood on the stool or toilet paper, itching or irritation around the anus, a lump or swelling near the anus, and pain or discomfort during bowel movements.

Diagnosing hemorrhoids usually involves a physical examination of the rectum and anus by a healthcare professional. In some cases, additional tests such as a digital rectal examination or anoscopy may be conducted to determine the exact location and severity of the hemorrhoids.

What causes Hemorroids?

To understand the main causes of hemorrhoids, it is important to first have a basic understanding of what hemorrhoids are. Hemorrhoids are swollen and inflamed blood vessels in the rectum and anus that can cause discomfort, pain, itching, and bleeding. They can be both internal, located inside the rectum, or external, located under the skin around the anus. While the precise cause of hemorrhoids is not always known, several factors can contribute to their development:

Straining during bowel movements: One of the most common causes of hemorrhoids is straining during bowel movements. When we strain to pass stool, increased pressure is exerted on the blood vessels in the rectal and anal area, leading to their enlargement and swelling. Factors that can contribute to straining include constipation, dehydration, a low-fiber diet, and long periods of sitting or standing.

Pregnancy: Hemorrhoids are quite common during pregnancy due to the increased pressure on the veins in the pelvic area. As the uterus expands, it puts pressure on the veins, making them more prone to swelling and inflammation. Hormonal changes during pregnancy can also contribute to the development of hemorrhoids.

Chronic diarrhea or constipation: Long-term issues with bowel movements, such as chronic diarrhea or constipation, can also contribute to the development of hemorrhoids. Diarrhea causes irritation and inflammation of the rectal area, while constipation can lead to straining and increased pressure on the blood vessels.

A sedentary lifestyle: Lack of physical activity and prolonged periods of sitting or standing can increase the risk of developing hemorrhoids. Physical activity helps to stimulate bowel movements and improve blood circulation, while prolonged sitting or standing can lead to blood pooling in the anal area and increased pressure on the veins.

Obesity: Being overweight or obese puts extra pressure on the veins in the rectal and anal area, making them more susceptible to swelling and inflammation.

Genetic predisposition: Some individuals may have a genetic predisposition to develop hemorrhoids. If you have a family history of hemorrhoids, you may be more likely to experience them yourself.

What precautions you should take for Hemorroids?

Hemorrhoids are a condition that can cause discomfort and irritation. To alleviate symptoms and prevent complications, there are important precautions you should take. Firstly, it is crucial to maintain good hygiene. After a bowel movement, gently clean the affected area with moist wipes or warm water. Avoid using harsh or scented soaps, as they can aggravate the condition. Pat the area dry gently with a soft towel or use a hairdryer on the lowest setting. Remember to avoid excessive wiping, as this can further irritate the hemorrhoids.

Another important precaution is to avoid straining during bowel movements, as this can worsen the condition. To prevent straining, increase your fiber intake by consuming fruits, vegetables, and whole grains. Fiber helps soften the stool, making it easier to pass. Additionally, drinking plenty of fluids, preferably water, can help prevent constipation and maintain regular bowel movements.

Regular exercise is also beneficial for preventing hemorrhoids. Engaging in physical activity, such as walking, swimming, or cycling, can help improve circulation and reduce the risk of developing hemorrhoids. However, it is essential to avoid heavy lifting or activities that put excessive strain on the rectal area, as this can exacerbate the condition.

When sitting for extended periods, such as at work or during travel, it is advised to take regular breaks and walk around to promote blood circulation. If sitting for long periods is unavoidable, using a cushion or donut-shaped pillow can help relieve pressure on the hemorrhoids.

What are the main symptoms of Hemorroids?

Hemorrhoids, also known as piles, are a common condition that can cause discomfort and pain. They occur when the blood vessels in the lower part of the rectum and anus become swollen and inflamed. The symptoms of hemorrhoids can vary from person to person, but there are some main symptoms to be aware of.

One of the most common symptoms of hemorrhoids is rectal bleeding. This can occur during bowel movements or even during everyday activities such as sitting or walking. The blood is usually bright red and may be noticed on toilet paper, in the toilet bowl, or on the surface of the stool. While rectal bleeding is a common symptom, it is important to remember that it can be a sign of other conditions as well, so it is important to consult with a healthcare professional for an accurate diagnosis.

Another symptom of hemorrhoids is itching and irritation around the anus. This can be caused by the swelling and inflammation of the blood vessels. The constant irritation can lead to scratching, which can further worsen the condition and cause discomfort. Itching can often be relieved by practicing good hygiene, such as gently cleaning the area with mild soap and water and patting it dry, as well as using over-the-counter creams or ointments.

Pain and discomfort in the anal area is another common symptom of hemorrhoids. The swollen blood vessels can create pressure and cause a feeling of fullness or heaviness in the rectum. This can be particularly uncomfortable during bowel movements, as well as when sitting or standing for long periods of time. In some cases, hemorrhoids can also cause a lump or swelling near the anus, which can be accompanied by pain or tenderness.

How Hemorroids is diagnosed?

Diagnosing hemorrhoids involves a careful evaluation of the patient’s symptoms and a physical examination. The process typically begins with a detailed discussion about the patient’s medical history and the nature of their symptoms. It is essential to ask questions about the duration and frequency of symptoms, any associated pain or discomfort, changes in bowel habits, and any other relevant information.

The physical examination is a crucial step in diagnosing hemorrhoids. The doctor will perform a visual inspection of the anus and may use a tool called an anoscope to get a closer look. Anoscopy allows for a better examination of the inner anal canal and the lower rectum, where hemorrhoids are most commonly located. During the examination, the doctor will look for the presence of swollen blood vessels or lumps that indicate hemorrhoids.

In some cases, additional tests may be necessary to confirm the diagnosis or rule out other conditions. These tests could include a digital rectal exam, where the doctor inserts a gloved finger into the rectum to feel for abnormalities, or an endoscopic procedure such as a sigmoidoscopy or colonoscopy to evaluate the entire gastrointestinal tract for any other potential issues if necessary.

What are some of the main medical treatments for Hemorroids?

One common treatment is the use of over-the-counter creams and ointments that contain ingredients such as hydrocortisone or witch hazel, which can help reduce itching and inflammation. Another option is the use of suppositories, which are inserted into the rectum to provide relief.

For more severe cases, procedures like rubber band ligation may be recommended. This involves placing a tight rubber band around the base of the hemorrhoid, cutting off its blood supply and causing it to shrink and fall off within a few days. In some cases, a healthcare professional may suggest a minimally invasive procedure called sclerotherapy, where a chemical solution is injected directly into the hemorrhoid to shrink it. Surgery is typically reserved for more extreme cases that don’t respond to other treatments. This may involve completely removing the hemorrhoid or using a stapling technique to block blood flow to it.

Which supplements work best with Hemorroids?

Here are a few supplements that have shown potential in helping manage hemorrhoids:

1. Fiber supplements: Including more fiber in your diet can help promote regular bowel movements and soften the stool, reducing strain during bowel movements. Fiber supplements such as psyllium husk or methylcellulose can be taken with water to increase your fiber intake.

2. Witch hazel: Witch hazel extract, when applied topically, can soothe hemorrhoids and reduce inflammation. Look for witch hazel wipes or creams, and follow the instructions for proper use.

3. Horse chestnut: Horse chestnut extract has been used traditionally for its anti-inflammatory properties. It may help alleviate swelling and discomfort associated with hemorrhoids. Always consult with a healthcare professional before trying this supplement, as it may interact with certain medications or conditions.

4. Butcher’s broom: Butcher's broom contains compounds that have shown potential to improve blood flow and reduce swelling. This supplement may be beneficial for individuals with hemorrhoids caused by poor circulation. However, it is important to consult with a healthcare professional, as it may interact with certain medications or conditions.

Frequently Asked Question on Hemorroids

What are hemorrhoids?

Hemorrhoids are swollen blood vessels located in the lower rectum or anus. They can be either internal, occurring inside the rectum, or external, developing under the skin around the anus. Hemorrhoids can cause discomfort, itching, and bleeding, and they are a common problem affecting both men and women.

What causes hemorrhoids?

Several factors can contribute to the development of hemorrhoids. These include straining during bowel movements, chronic constipation or diarrhea, obesity, a sedentary lifestyle, pregnancy, and aging. Hemorrhoids can also be caused by increased pressure in the rectum due to sitting or standing for long periods, heavy lifting, or chronic coughing.

What are the symptoms of hemorrhoids?

The symptoms of hemorrhoids can vary depending on their type and severity. Internal hemorrhoids may not cause any noticeable symptoms, or they can cause bleeding during bowel movements, a feeling of incomplete bowel movement, or a protrusion of the hemorrhoid through the anus (prolapse). External hemorrhoids can cause itching, pain, swelling, and the formation of a lump near the anus. In some cases, blood clots may develop within external hemorrhoids, leading to a condition called thrombosed hemorrhoid, which can cause severe pain.

How are hemorrhoids diagnosed?

To diagnose hemorrhoids, a medical professional will typically perform a physical examination, which may involve visually inspecting the anus and rectum. In some cases, a digital rectal examination may be performed to assess the internal rectal area. Additional tests, such as anoscopy or sigmoidoscopy, may be conducted to examine the rectum and lower colon for any abnormalities. These procedures allow the healthcare provider to determine the type and severity of hemorrhoids.

How can I prevent hemorrhoids?

There are several measures you can take to prevent hemorrhoids or reduce their recurrence. These include maintaining a high-fiber diet with plenty of fruits, vegetables, and whole grains, to ensure regular and soft bowel movements. Drinking an adequate amount of water, exercising regularly, and avoiding long periods of sitting or standing can also help prevent hemorrhoids. Additionally, avoiding straining during bowel movements and using the bathroom as soon as you feel the need can reduce the risk of developing hemorrhoids.

What are the treatment options for hemorrhoids?

Most hemorrhoids can be managed with conservative treatment methods and lifestyle changes. These include over-the-counter creams or ointments that provide relief from itching and discomfort, using warm sitz baths several times a day, and applying cold packs to reduce swelling. Increasing fiber intake or taking fiber supplements can help soften the stool and promote regular bowel movements. In some cases, a medical professional may recommend a prescription-strength cream or suppository to provide more effective relief. If conservative measures fail or if the hemorrhoids are severe, other treatment options such as rubber band ligation, sclerotherapy, or surgical removal may be considered.

Are there any complications associated with hemorrhoids?

In most cases, hemorrhoids are not serious and can be effectively managed with proper treatment and self-care measures. However, complications can arise in some situations. Straining during bowel movements can lead to the development of hemorrhoids or worsen existing ones. Persistent or excessive bleeding from hemorrhoids may result in anemia. Sometimes, blood clots may form within external hemorrhoids, leading to the formation of painful lumps. If left untreated, these blood clots can rupture and cause bleeding. It is important to seek medical attention if you experience severe or persistent symptoms or if there is rectal bleeding.

When should I consult a healthcare professional?

You should consult a healthcare professional if you experience persistent or severe symptoms of hemorrhoids, such as excessive bleeding, severe pain, or if your symptoms do not improve with self-care measures. It is especially important to seek medical attention if you notice rectal bleeding, as this may indicate other underlying conditions that require further evaluation. A healthcare professional can provide an accurate diagnosis, recommend appropriate treatment options, and address any concerns or questions you may have.

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Dt. Mary Ahern

MS, RD

Dietitian verified

Mary Ahern, MS, RD is a registered dietitian and health writer who is passionate about plant-based nutrition and achieving better health by balancing time between the kitchen and the gym. Currently she's pursuing PhD from University of Arizona