Who Is At Risk Of External Hemorrhoids
If your parents have had hemorrhoids, you may be more likely to have them as well. Hemorrhoids may also be more likely to happen during pregnancy.
As we age, hemorrhoids can occur due to increased pressure caused by sitting a lot. And anything that causes you to strain during bowel movements can lead to external hemorrhoids.
A healthcare professional may be able to help you determine the cause of your hemorrhoids.
How Are Hemorrhoids Diagnosed
Your healthcare provider diagnoses hemorrhoids based on symptoms and a physical exam. You may also have:
- Digital rectal exam: Your provider inserts a gloved, lubricated finger into the rectum to feel for swollen veins.
- Anoscopy: Your provider uses an anoscope to view the lining of the anus and rectum.
- Sigmoidoscopy: Your provider uses a sigmoidoscope to view inside the lower part of the colon and rectum. Procedure types include flexible sigmoidoscopy and rigid sigmoidoscopy .
These tests may be uncomfortable but arent painful. They typically take place in a doctors office or outpatient center without anesthesia. You go home the same day.
Your provider may perform a colonoscopy to confirm findings from other tests or check for signs of colon cancer. This outpatient procedure requires anesthesia.
What Is Stapled Hemrroidectomy
The following are pictures of the stapled hemorrhoidectomy procedure.
- Picture of Hollow Tube Inserted into the Anal Canal and Pushing up the Hemorrhoids
- Picture of Internal Hemorrhoids in Anal Canal
- Picture of Suturing the Anal Canal Through the Hollow Tube
- Picture of Bringing Expanded Hemorrhoidal Supporting Tissue into the Hollow Tube by Pulling on Suture
- Picture of Hemorrhoids Pulled Back Above Anal Canal After Stapling and Removal of Hemorrhoidal Supporting Tissue
You May Like: Is Peroxide Good For Hemorrhoids
Are Internal Hemorrhoids Hard Or Soft
Internal hemorrhoids are considered to be soft because they consist of a collection of blood vessels that form in the lowest part of the rectum.
Internal hemorrhoids become inflamed and irritated, although we do not feel any pain or discomfort with this type of hemorrhoid.
This area of the rectum lacks pain-sensing nerves, which is why we hardly ever know if our internal hemorrhoids are inflamed.
When an internal hemorrhoid becomes prolapsed, it might feel soft to the touch, as it is a cushioning of blood vessels.
Prolapsed hemorrhoids can return inside the rectum on their own, but you can also gently nudge them back through the anal opening with your fingers.
Don’t Make Things Worse
Bump up the fiber. It softens your stools and makes them move through your body more easily. You’ll find it in beans, whole-grain breads and cereals, and fresh fruits and veggies. You may also want to try a supplement if you can’t get enough from foods. Add fiber slowly to help avoid gas and bloating.
Drink lots of fluids. Stay well hydrated to keep stools soft so they’re easier to pass. Water is the best choice. Drink plenty throughout the day. Prune juice is a natural laxative and can help you go.
Exercise regularly. Even brisk walking 20-30 minutes every day can help keep you from getting stopped up.
Breathe! Keep the air moving in and out when you’re working hard. It’s common to hold your breath as you’re pushing, pulling, or making an effort — and that can lead to hemorrhoid pain and bleeding.
Use a pillow. Sit on a cushion instead of a hard surface. It will ease swelling for any hemorrhoids you have. It may also help prevent new ones from forming.
Take breaks. If you must sit for a long time, get up every hour and move around for at least 5 minutes.
Recommended Reading: What Is The Best Prescription Medicine For Hemorrhoids
Can Hemorrhoids Be Prevented
You can help prevent hemorrhoids by:
- Eating foods that are high in fiber
- Taking a stool softener or a fiber supplement
- Drinking enough fluids every day
- Not straining during bowel movements
- Not sitting on the toilet for long periods of time
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
Dont Suppress Your Urge To Use The Bathroom
Many people think its better to hold their stool in or reduce the number of times they use the restroom. The idea is that this helps them heal more quickly and stop bleeding. Unfortunately, thats not the case.
The reason is simple: when you accumulate more waste in your body, its harder to get rid of it without pain or discomfort. Its also not good for you. You end up keeping toxins in your body. These can then cause diseases.
Youre in a lot of pain because of the hemorrhoids, but you need to be brave and go to the bathroom. If you put it off, it just ends up being more unpleasant and painful. It will take longer to heal, and youll be more likely to start bleeding again.
Recommended Reading: How Do You Get Rid Of Internal Hemorrhoids
How Are Haemorrhoids Diagnosed
Diagnosis of haemorrhoids usually involves an examination of the anal passage to look for any swollen blood vessels. Your doctor may conduct one of the following tests.
- Digital rectal examination, where your doctor puts on gloves and places a lubricated finger inside the back passage to gently feel for any abnormalities. This is likely to be uncomfortable but will probably not be painful.
- Proctoscopy, where your doctor examines the inside of the rectum using a proctoscope to look for any swelling or other symptoms. Again, this may be uncomfortable but will probably not be painful.
There is no need to feel embarrassed about these tests haemorrhoids are a common problem and your doctor is used to diagnosing and treating them.
In some cases, your doctor may refer you to a surgeon who can assess your haemorrhoids and recommend a treatment.
What Do External And Internal Hemorrhoids Look Like
Normal hemorrhoidal tissue cannot be seen since they must first swell and become inflamed or develop a clot to cause symptoms. One can see swollen external hemorrhoids or internal prolapsed hemorrhoids exposed outside the anus but internal hemorrhoids cannot be seen because they remain inside the anus. A thrombosed hemorrhoid will appear as a lump at the anal verge, protruding from the anus, and will be dark bluish in color because of the blood clot contained inside the swollen blood vessel. Non-thrombosed hemorrhoids will appear as a rubbery lump. Often more than one swollen hemorrhoid appears at the same time.
Read Also: What Makes You Get Hemorrhoids
How To Get Rid Of External Hemorrhoids Fast
This article was medically reviewed by Sarah Gehrke, RN, MS and by wikiHow staff writer, Jessica Gibson. Sarah Gehrke is a Registered Nurse and Licensed Massage Therapist in Texas. Sarah has over 10 years of experience teaching and practicing phlebotomy and intravenous therapy using physical, psychological, and emotional support. She received her Massage Therapist License from the Amarillo Massage Therapy Institute in 2008 and a M.S. in Nursing from the University of Phoenix in 2013.There are 19 references cited in this article, which can be found at the bottom of the page. This article has been viewed 208,634 times.
Hemorrhoids can happen to anyone at any age. These uncomfortable enlarged veins can be found inside or externally around the anus. Hemorrhoids are caused by increased pressure on your pelvic and rectal veins, usually linked to constipation, diarrhea, or straining to pass a stool. In some cases, hemorrhoids can be caused by obesity, lifting heavy objects, or from the strain of pregnancy which applies pressure to the veins of the lower abdomen. Fortunately, external hemorrhoids can usually be taken care of without seeing a doctor. There are several things you can do to help relieve the pain, discomfort, and itching of hemorrhoids.
Reduce The Amount Of Harmful Foods You Eat
Salt is one of the worst enemies for hemorrhoids because it causes fluid retention.
Whats the relationship between hemorrhoids and swelling? Your body swells due to the accumulation of water, which causes the blood vessels in your rectal canal to become inflamed.
The consequence is bleeding, pain, and discomfort when going to the bathroom or sitting.
We also recommend reducing the amount of coffee, alcohol, chocolates, fatty foods, sugary foods, and white flours you eat. All of these foods produce harder, dryer stool, which is more difficult to get rid of without feeling any pain.
Don’t Miss: How Long Will Hemorrhoids Last
Why Do Hemorrhoids Occur
Sometimes hemorrhoids develop for no reason, but often they are associated with chronic constipation or diarrhea, straining during bowel movements, and prolonged sitting on the toilet. You can reduce your risk by following these three easy steps:
- Get enough fiber in your diet
- Stay well hydrated
- Exercise regularly .
Dietary Changes And Self Care
If constipation is thought to be the cause of your haemorrhoids, you need to keep your stools soft and regular, so that you donât strain when passing stools.
You can do this by increasing the amount of fibre in your diet. Good sources of fibre include wholegrain bread, cereal, fruit and vegetables.
You should also drink plenty of water and avoid caffeine .
When going to the toilet, you should:
- avoid straining to pass stools, because it may make your haemorrhoids worse
- use moist toilet paper, rather than dry toilet paper, or baby wipes to clean your bottom after passing a stool
- pat the area around your bottom, rather than rubbing it
Donât Miss: How To Check For Hemorrhoids
Also Check: How To Treat Prolapsed Hemorrhoids
About Author: David Pruitt
David Pruitt is a writer for the Marketing & Communications division of OSF HealthCare. He has a bachelors of journalism from Southern Illinois University Edwardsville and worked as a reporter before joining OSF HealthCare in 2014. An avid golfer and fisherman, David was born and raised Alton, Illinois, which is where he currently resides with his son, James.
What Are The Symptoms Of Haemorrhoids
If you have haemorrhoids you may notice bright red blood on the toilet paper or in the toilet when you have a bowel motion . There may be some itchiness, discomfort or pain around the anus. Sometimes there can be a noticeable lump that protrudes out of the anus.
Many people experience no symptoms or very mild symptoms that disappear after a couple of days. For other people, haemorrhoids are more painful.
Internal haemorrhoids are classified into 4 different types based on their degree of prolapse .
- First degree haemorrhoids often bleed a little bit when you pass a bowel motion, but stay inside the anus and are not usually very painful.
- Second degree haemorrhoids bleed and protrude out of the anus when you pass a bowel motion. Once the bowel motion is over, they disappear back inside the anus by themselves.
- Third degree haemorrhoids have to be physically pushed back inside the anus after passing a bowel motion. They may be painful if they are large.
- Fourth degree haemorrhoids are larger lumps that protrude out of the anus permanently, and cannot be placed back inside. The blood inside these haemorrhoids may clot and the lumps can become very painful.
External haemorrhoids occur as a lump outside the anus. A thrombosed haemorrhoid occurs when there is a blood clot in the skin overlying the anus this can cause severe and constant pain.
You May Like: What To Do About Large Hemorrhoids
What Are The Signs And Symptoms Of An Internal Or Prolapsed Hemorrhoid
Most often, internal hemorrhoids have no symptoms but are only found if there is bleeding with a bowel movement or if the hemorrhoid prolapses so that it can be felt outside of the anus. This may lead to itching and pain as well as the bleeding.
Prolapse of an internal hemorrhoid occurs when the internal hemorrhoids swell and extend from their location in the rectum through the anus. A prolapsed internal hemorrhoid:
- Can be felt as a lump outside the anus
- Can be gently pushed back through the anus, this may resolve the location of the hemorrhoid, but does not fix the hemorrhoid itself
- May enlarge and swell even more if it cannot be pushed back
- May become entrapped, which requires more urgent medical attention
Hemorrhoids may also cause anal itching , and a constant feeling of needing to have a bowel movement .
Internal hemorrhoid severity can be graded:
- Grade I: Prominent blood vessels with no prolapse
- Grade II: Prolapse with bearing down but with spontaneous reduction
- Grade III: Prolapse with bearing down but requiring manual reduction
- Grade IV: Prolapse with inability to manual reduction
Who Removes Hemorrhoids Treatment
Treating enlarged hemorrhoids is important, because they tend to get worse over time. Hemorrhoids are treated with a variety of measures including diet, over-the-counter medicine like
- anti-inflammatory pain killers,
and various treatment options are available, like
Who Removes Hemorrhoids?
Most hemorrhoid complaints begin with a trip to a family doctor. Your doctor will then refer you to a specialist: either a gastroenterologist or a proctologist . Proctologists specialize in surgical treatments, while gastroenterologists are experts in digestive diseases.
Read Also: How To Shrink Swollen Hemorrhoids
Whom Do Hemorrhoids Affect
Although most people think hemorrhoids are abnormal, almost everyone has them. Hemorrhoids help control bowel movements. Hemorrhoids cause problems and can be considered abnormal or a disease only when the hemorrhoidal clumps of vessels enlarge.
Hemorrhoids occur in almost everyone, and an estimated 75% of people will experience enlarged hemorrhoids at some point. However only about 4% will go to a doctor because of hemorrhoid problems. Hemorrhoids that cause problems are found equally in men and women, and their prevalence peaks between 45 and 65 years of age.
What Creams Can Be Used
Anti-inflammatory creams and pastes containing ingredients like zinc and panthenol, or herbal substances like witch hazel and aloe vera, are often recommended for the treatment of hemorrhoids. These aim to relieve skin irritations and itching.
Some doctors also prescribe ointments to numb the skin locally, for example with the drug lidocaine. Steroid creams are sometimes used to reduce the inflammation too. These should only be used for a limited amount of time.
Don’t Miss: Why Do I Get Hemorrhoids Before My Period
Do I Have A Thrombosed Hemorrhoid
You generally will know if you have a thrombosed hemorrhoid The pain is usually unbearable. If your having a hard time sitting or moving around due to excruciating pain, you may have a thrombosed hemorrhoid. When a hemorrhoid is described as being thrombosed, that means that it contains a blood clot. Blood clots can occur in the hemorrhoid when there is a lack of blood flow.
While blood clots more frequently occur in an external hemorrhoid, they can also occur in an internal hemorrhoid. This is especially the case when the internal hemorrhoid becomes prolapsed, which we will explain.
What Role Does Hygiene Play
Stool that is left behind after wiping can aggravate enlarged hemorrhoids even more. So its important to carefully cleanse the anus after going to the toilet, for example by wetting toilet paper with water first, and drying the anus afterwards. This can help avoid wiping yourself too roughly and making the symptoms worse.
Exaggerated hygiene can make symptoms worse too, though. Many people use things like liquid soaps and alcohol-based or perfumed wipes. But these often contain substances that can irritate the skin and lead to allergic reactions.
Recommended Reading: What Causes Hemorrhoids To Flare
What Are Possible Complications Of Piles
A possible complication of piles that hang down is that they can strangulate. This means that the blood supply to the pile has been cut off. A blood clot can form within the pile. This causes really severe pain if it occurs. The pain usually reaches a peak after 48-72 hours and then gradually goes away over 7-10 days.
From Home Remedies To Advanced Surgical Techniques
Hemorrhoids can be the source of unrelenting aggravation for some and the cause of debilitating pain in others. The aim of treatment is threefold: to alleviate the immediate symptoms to prevent further exacerbation of the injury, and to resolve the underlying cause. This is often accomplished with high-fiber diets, stool softeners, and over-the-counter topical medications. In severe cases, however, surgical and non-surgical procedures may be used to remove the hemorrhoid.
Verywell / Cindy Chung
You May Like: Does Metamucil Help With Hemorrhoids
When To Seek Medical Care For Hemorrhoids
When to call the doctor
- Bleeding from the rectum or anus is never normal and although hemorrhoids are the most common reason to have blood in the stool, it should be discussed with your primary health-care professional. Other causes of rectal bleeding exist and can be serious. Inflammatory bowel disease and cancers of the colon can present with rectal bleeding. Blood in the stool should never be ignored.
- Medical care should be sought urgently if a person is taking anticoagulation medications such as warfarin , dabigatran , rivaroxiban , apixaban , clopidogrel , prasugrel or enoxaparin .
- Individuals who have associated symptoms such as lightheadedness and weakness may have significant blood loss and may require more urgent care.
- Hemorrhoids do not cause abdominal pain should this pain be present with bleeding, medical care should be sought immediately.
- Prolapsed hemorrhoids that cannot be pushed back through the anus require medical care.
- Thrombosed external hemorrhoids may cause significant pain and medical care may be necessary to remove the clot.
Bleeding Hemorrhoids: How Do You Treat Them
04 October, 2018
Hemorrhoids are very annoying and painful. This is especially true if they bleed. You might not have known, but a large percentage of the population has this problem, or will get it at some point in their life. This is especially true of women after giving birth or after the age of 35. Do you want to learn the best natural treatments for bleeding hemorrhoids? Keep reading!
Read Also: What To Do For Hemorrhoids