Hemorrhoids

Hemorrhoids, also known as piles, are swollen veins in the lower rectum and anus, similar to varicose veins. They can cause discomfort, itching, pain, and bleeding during bowel movements. Hemorrhoids are a common condition, especially among adults aged 45 to 65, and can be managed with lifestyle changes, medications, or medical procedures if necessary.

What are Hemorrhoids?

Hemorrhoids are enlarged blood vessels in the rectum and anus that can be internal (inside the rectum) or external (under the skin around the anus). They develop when the veins around the anus or lower rectum become swollen due to increased pressure. Hemorrhoids can range from mildly irritating to severely painful, and they are a frequent cause of rectal bleeding.

Types of Hemorrhoids

  • Internal Hemorrhoids: Located inside the rectum, these hemorrhoids usually aren’t visible and rarely cause discomfort unless they prolapse or bleed.
  • External Hemorrhoids: Found under the skin around the anus, these can cause itching, pain, and swelling and may bleed if irritated.
  • Thrombosed Hemorrhoids: Occurs when a blood clot forms in an external hemorrhoid, leading to severe pain, swelling, and inflammation.

How Common are Hemorrhoids?

Hemorrhoids are prevalent, affecting up to 75% of adults at some point in their lives. The prevalence increases with age, with people over 50 most at risk. While often a minor issue, hemorrhoids can cause significant discomfort and inconvenience for those affected.

Common Symptoms

  • Pain or discomfort, especially during bowel movements
  • Itching or irritation around the anus
  • Swelling around the anus
  • Bleeding during bowel movements (bright red blood on toilet tissue or in the toilet bowl)
  • A lump near the anus, which may be sensitive or painful
  • Mucus discharge after a bowel movement

Common Causes

  • Straining During Bowel Movements: Straining can increase pressure in the rectal veins, leading to the formation of hemorrhoids.
  • Chronic Constipation or Diarrhea: Both can cause repeated straining and pressure on the veins.
  • Prolonged Sitting: Sitting for long periods, particularly on the toilet, can increase pressure on the anal veins.
  • Pregnancy: Increased pressure from the growing uterus on the rectal veins and hormonal changes can lead to hemorrhoids during pregnancy.
  • Aging: The tissues supporting the veins in the rectum and anus can weaken and stretch with age.
  • Obesity: Excess body weight increases pressure on the pelvic and rectal veins.

FAQs

Yes, mild hemorrhoids often resolve on their own with lifestyle changes, such as increasing fiber intake and avoiding straining. However, persistent or severe hemorrhoids may require medical treatment.

A diet high in fiber, including fruits, vegetables, whole grains, and legumes, can help prevent constipation and reduce the risk of hemorrhoids. Staying hydrated is also important.

Hemorrhoids themselves are not a sign of colorectal cancer, but rectal bleeding should always be evaluated by a doctor to rule out other conditions, including colorectal cancer.

 

Prevent hemorrhoids by maintaining a high-fiber diet, staying hydrated, exercising regularly, and avoiding prolonged sitting or straining during bowel movements.

Internal hemorrhoids are located inside the rectum and are usually painless, while external hemorrhoids are under the skin around the anus and can be painful, especially if thrombosed.

You may get hemorrhoids if you:

  • Often strain during bowel movements
  • Are pregnant
  • Have a family history of hemorrhoids
  • Are older
  • Have long-term chronic constipation or diarrhea

Some of the most common symptoms of hemorrhoids include:

  • Bright red blood in your stool, on toilet paper, or in your toilet bowl
  • Pain and irritation around your anus
  • Swelling or a hard lump around your anus
  • Itching

Hemorrhoid symptoms may look like other health problems. Always see your healthcare provider to be sure.

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