What Are Internal Hemorrhoids
Hemorrhoids are vascular structures in your rectum.Specifically, the final portion of the large intestine that your body uses to store and pass stool. These veins are cushioned by muscle and connective tissue.
Everyone has internal hemorrhoids, but we only notice them once they become a problem.
When we refer to hemorrhoids or piles, we are typically referring to hemorrhoids that have become inflamed. About half of adults over 50 experience this issue.
Internal hemorrhoids form near the end of the rectum, but you likely wont see or feel anything unusual, even when a hemorrhoid swells, because they are still far inside the body.
You only see or feel an internal hemorrhoid if they prolapse. Internal hemorrhoids do not cause pain because they are located in an area without any nerve endings. If you are experiencing pain, it may be from a different condition, such as external hemorrhoids, anal fissures or spasms.
How Do Foods Influence Hemorrhoids Diet
Diet is believed to have a big impact in causingand preventinghemorrhoids. People who consistently eat a high-fiber diet are less likely to get hemorrhoids, while those people who prefer a diet high in processed foods face a higher hemorrhoid risk.
A low-fiber diet can leave you constipated, which can contribute to hemorrhoids in two way. For one, it promotes straining on the toilet. It also aggravates the hemorrhoids by producing hard stools that further irritate the swollen veins.
Hemorrhoidectomy Versus Fixative Procedures For Internal Hemorrhoids
- Fixative procedures are usually tried before surgery if hemorrhoids are small and stick out of the anus during a bowel movement but return to their normal position afterward .
- Hemorrhoidectomy may provide better long-term results than fixative procedures. But surgery requires a longer recovery time, is usually more painful, and has a greater risk of complications.
- Fixative procedures are the preferred treatment for people older than age 70 and for people in poor health.
You can help prevent the irritating and painful symptoms of hemorrhoids.
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How Grade I Hemorrhoids Is Diagnosed
The common symptoms of non-prolapsed grade hemorrhoids include itching and constant straining during bowel movements. So the initial diagnosis straight-up starts from rectal examinations and going through your past symptoms.
The doctor uses a finger to detect if any abnormal lump is formed. The problem with Grade 1 Hemorrhoids is that they are still hard to detect with fingers so your physician might use other tools like an anoscope to thoroughly inspect the lower part of your rectum.
Improving Your Diet And Lifestyle
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Natural Remedies For Hemorrhoids
- By Matthew Solan, Executive Editor, Harvard Men’s Health Watch
Hemorrhoids are painful, unpleasant, and, um, well, difficult to talk about. But they actually are quite common: about half of people over age 50 have had them. However, theyre easy to treat and manage.
Hemorrhoids can be troublesome and embarrassing, but they often shrink on their own with simple self-help care and over-the-counter remedies, says Dr. Howard LeWine, assistant professor of medicine at Harvard Medical School.
Effective External Hemorrhoid Treatment Options
If at-home treatments arent enough to soothe your recurring symptoms and you are tired of dealing with external hemorrhoids, it might be time to consider a professional treatment option. While usually longer-lasting than other types of treatments, many of these options have their own complications to consider.
Here are three of the most common, but invasive, hemorrhoid treatment options:
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Home Remedies For Hemorrhoids
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Precautions On How To Get Rid Of Hemorrhoids
A common concern is that hemorrhoids increase the risk of colorectal cancer, but thats not true. However, the two conditions do cause similar symptoms. This is why its important to mention your hemorrhoids to your health care provider. Even when a hemorrhoid is healed completely, a colonoscopy may be done to rule out other causes of rectal bleeding. According to the American Society of Colon and Rectal Surgeons , every person age 50 and older should undergo a colonoscopy to screen for colorectal cancer.
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How To Cure Hemorrhoids Permanently
With proven home treatments, you can easily relieve the mild pain, swelling and inflammation of hemorrhoids. Usually, the following tips are enough to help you treat hemorrhoids, quickly and permanently:
- Apply an over-the-counter hemorrhoid cream or suppository that contains hydrocortisone. You can also use pads containing numbing agents.
- Using a sitz bath, place your anal area in plain warm water for 10 to 20 minutes. Repeat this twice to thrice a day. If you cant get a sitz bath, any other suitable container would do.
- Always keep your anal area clean by bathing regularly. Avoid using soap on the area, as this may aggravate the problem. After bathing, gently dry the area with a soft cloth or hair dryer.
- Always use moist towels or tissue paper to clean up after bowel movement. Using dry toilet paper will worsen the problem.
- To relieve swellings, apply ice packs or cold compresses on your anus.
- Take oral pain relievers like acetaminophen , aspirin or ibuprofen. All these will help relieve the discomfort.
With these treatments, your hemorrhoids should disappear within a few days. But if youve tried all these before, and youre still battling with hemorrhoids, any of these two treatment options will help.
When To See A Doctor About Hemorrhoids
You should see a doctor if you notice bleeding during a bowel movement, or if you produce stool thats red or black. If you know you have a hemorrhoid, you should also see a doctor if the discomfort doesnt go away after a week with the help of at-home remedies.
Many patients find it to be difficult or embarrassing to talk to their doctor about gastrointestinal issuesbut you should know that your doctor is there to help you find solutions to your medical concerns, and you are certainly not the first patient theyve seen with this problem! Talking openly with your doctor is the best way for you to find long-lasting relief.
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When Should You Call Your Doctor
Common symptoms of hemorrhoids may be a sign of other serious health problems. Colon or rectal cancer and other conditions have many of the same symptoms as hemorrhoids. Call your doctor if you have symptoms like these:
- Stools are black or tarry.
- A lump or bulge that is not tender and does not go away develops at the anal opening.
If you have hemorrhoids, call your doctor if:
- Moderate rectal pain lasts longer than 1 week after home treatment.
- Pain or swelling is severe.
- Tissue from inside the body bulges from the anus and does not return to normal after 3 to 7 days of home treatment.
- A lump inside the anus becomes bigger or more painful.
If rectal bleeding becomes heavy or changes colour , or if stools change size, shape, or colour , be sure to see your doctor.
What Are The Types Of Hemorrhoids
Hemorrhoids can happen inside or outside the rectum. The type depends on where the swollen vein develops. Types include:
- External: Swollen veins form underneath the skin around the anus. Your anus is the canal where poop comes out. External hemorrhoids can be itchy and painful. Occasionally, they bleed. Sometimes they fill with blood that can clot. This is not dangerous, but can result in pain and swelling.
- Internal: Swollen veins form inside the rectum. Your rectum is the part of the digestive system that connects the colon to the anus. Internal hemorrhoids may bleed, but they usually arent painful.
- Prolapsed: Both internal and external hemorrhoids can prolapse, meaning they stretch and bulge outside of the anus. These hemorrhoids may bleed or cause pain.
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How To Diagnose Grade 1 Hemorrhoids
They may also use a proctoscope or sigmoidoscope to make sure if you have a Grade I hemorrhoid condition. If you have a more developed condition of hemorrhoids, you wouldnt need such precise tools to detect your condition since most of them are externally visible from outside and can be taken care of accordingly.
If there is a pain in your anus, these tests are done very carefully to not mess things up in the process. Anoscopy is something physicians will highly recommend for diagnosing the early stages of hemorrhoids since they are suited for examining the lower portion of your rectum.
Anoscopy works by inserting a lighted tube inside the anus. But if bleeding is to be expected, then anoscopy isnt suggested by doctors. Instead, Colonoscopy or Sigmoidoscopy is used to determine the condition of your hemorrhoids.
If the situation is tough, doctors also recommend some blood tests to be done since bleeding can mess with the hemoglobin count in your blood along with red blood cell count.
Classification Of Internal Hemorrhoids:
- Grade 1 – A hemorrhoid is present but only visualized by a doctor with ansocopy or colonoscopy. The hemorrhoid does not extend out the anus.
- Grade 2 – The hemorrhoid extends out of the anus with a bowel movement or with straining. After your BM, the hemorrhoid goes back inside on its own.
- Grade 3 – The hemorrhoid extends out of the anus with a bowel movement or with straining. You have to manually push the hemorrhoid back inside the anus. If you have this, you should seek medical attention, but it is not urgent.
- Grade 4 – A hemorrhoid extends outside the anus and are not able to be manually pushed back inside. If you have this seek medical attention immediately. There are significant potential complications.
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How To Treat Bleeding Hemorrhoids
Though its not a very pleasant topic to think about, the fact is that hemorrhoids are one of the most common gastrointestinal problems. The National Institutes of Health estimates that about 1 in 20 Americans will develop hemorrhoids at some point during their life. For most people, though, getting hemorrhoids is a temporary problem that isnt much of a cause for concern. Sometimes the problem is more severe and the hemorrhoids cause rectal bleeding in those cases, a more proactive treatment approach is usually necessary.
How Do I Know I Have Grade 1 Hemorrhoids
Grade 1 Hemorrhoids may also develop some symptoms like itching, small lumps, and also itching. Since its hard to notice, physicians diagnose them by taking physical examinations or the history of your symptoms.
When doctors talk about symptom history taking, they connect a series of your past symptoms and diagnose the grade of your hemorrhoids and their existence. The focused history of symptoms includes long-term constipation, constant straining to poop along with having hard bowel movements.
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Symptoms Of Prolapsed Internal Hemorrhoids
Hemorrhoids prolapse when their blood vessels swell and extend from their location in the rectum through the anus. In the anal canal, the hemorrhoid is exposed to the trauma of passing stool, particularly hard stools associated with constipation. The trauma can cause bleeding and sometimes pain when stool passes.
The presence of
- inflammation, and
- constant moisture
can lead to anal itchiness , and occasionally the constant feeling of needing to have a bowel movement. The prolapsing hemorrhoid usually returns into the anal canal or rectum on its own or can be pushed back inside with a finger, but falls out again with the next bowel movement.
What You Need To Know About Grade 1 Hemorrhoids
Grade 1 hemorrhoids are located inside your anal canal and theyre not visible from the outside so its pretty hard to notice. Unless your doctor diagnoses you, its very complicated to realize if you have grade one internal hemorrhoids.
The reason is that theyre small in size and they are entirely formed inside the rectum. But the main reason theyre hard to detect is that they dont cause enough notable symptoms for you to notice. You only get to notice symptoms, when your hemorrhoids have gotten larger in size, and the symptoms include pain, and bleeding sessions.
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Crh Oregan: Fast And Painless Treatment For Internal Hemorrhoids
Internal hemorrhoids may go unnoticed at first, but they can worsen and start to cause problems. You may need a long-term solution to resolve the issue. If youre interested in removing your internal hemorrhoids in a way that is both effective and exceptionally comfortable, find a physician near you who can offer the CRH ORegan System for hemorrhoid banding.
Heal Your Hemorrhoids
Your Internal Hemorrhoid Problem
Visit your doctor to learn more about this issue and discuss the treatment approach that’s right for you. To find a local colorectal specialist, try our Find a Doctor database.
As with all medical issues, your physician is the ultimate source as to what procedure best fits your needs. Discuss all options and get a second opinion if you have any doubts. These articles are intended to be a source of general information only.
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Maintaining A Healthy Weight
What Can You Do For Relief
If you have hemorrhoids, lifestyle changes may help them heal faster. One cause of hemorrhoids is straining during bowel movements. Adding more high-fiber foods to your diet, such as vegetables, fruits, and whole grains, can help soften your stool and make it easier to pass.
You should also drink plenty of water to help relieve constipation and reduce straining during bowel movements.
Here are some additional things that may help relieve symptoms:
- Minimize the time you sit on the toilet.
- When you feel the urge to move your bowels, go as soon as possible.
- Put your feet on a small stool during bowel movements to change the position of your rectum.
- If youre pregnant, sleep on your side. This will help relieve some of the pressure around your anus.
- Ask your doctor about taking a stool softener or a fiber supplement, such as psyllium or methylcellulose . A tablespoon of mineral oil added to food can also help soften stools.
- Keep the anal area clean. Take regular showers, and use moist wipes to clean the area around your anus after you pass a bowel movement.
- Use a sitz bath or sit in a warm tub for a few minutes to bathe the anal area.
You may also try using over-the-counter topical medications to ease discomfort, such as phenylephrine hemorrhoidal gel . These products are used if the hemorrhoids are bulging and inflamed.
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When To See A Doctor
Doctors from the National Health Service advise that you always see a doctor for signs of rectal bleeding. Even though the majority of cases of pooping bloody stool are benign, you need to rule out more sinister causes for rectal bleeding.26
Also remember that rectal bleeding is one of the warning signs of colon cancer.
Another reason to visit your doctor for hemorrhoids is if home remedies dont help heal symptoms of enlarged hemorrhoids quickly. Doctors may recommend treatment to cure hemorrhoids for good and improve your quality of life.