How To Get Rid Of Hemorrhoids: Diagnosis And Treatments
Most individuals who have hemorrhoids discover them by either
- feeling the lump of an external hemorrhoid when they wipe themselves after a bowel movement,
- noting drops of blood in the toilet bowl or on the toilet paper, or
- feeling a prolapsing hemorrhoid after bowel movements.
With a history of symptoms, a physician can begin diagnosis on the basis of a careful examination of the anus and anal area. Although the physician should try his or her best to identify the hemorrhoids, it is perhaps more important to exclude other causes of hemorrhoid-like symptoms that require different treatment such as
- anal fissures,
This is true whether or not hemorrhoids are found during anoscopy.
Where Should I Buy A Hemorrhoid Suppository
Most suppositories can be purchased at any of your local pharmacies, drug stores, or grocery stores. You can also find some at your local vitamin or natural foods stores.
All the products mentioned above can also be purchased online. Talk to your doctor about whether they carry any of these products in the office.
Sometimes your physician may be able to direct you towards the product that may work best for your particular condition.
Hemorrhoids: Signs Symptoms And Complications
For most people, the signs and symptoms of hemorrhoidsitchiness, swelling, discomfortwill be mild and respond to home remedies. In a minority of cases, however, hemorrhoid signs and symptoms will be severe enough that they require treatment from a physician. Rarely, hemorrhoids that cause significant blood loss or a blood clot can be life-threatening. It’s important to note that one of the chief calling cards of hemorrhoids, blood in or on the stool or on toilet paper, should never be considered normal. While the cause could indeed be hemorrhoids, a more serious condition could be afoot.
Hemorrhoids can come with external and/or internal symptoms, depending on how they form.
External Hemorrhoids
Hemorrhoids on the outside of the anus are known as external hemorrhoids. A hard lump might be felt in that area and can often be uncomfortable because it is irritated by bowel movements and by wiping with toilet paper. External hemorrhoids are painful because of the many nerve endings located on the skin around the anus.
If the hemorrhoid becomes inflamed and engorged with blood it may look bluish-purple and be painful, not only during a bowel movement but even when walking or sitting.
The symptoms of external hemorrhoids can include:
- Anal pain
- Tenderness when wiping
Internal Hemorrhoids
The symptoms of internal hemorrhoids can include:
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What Happens When A Hemorrhoid Bursts
When a thrombosed hemorrhoid becomes too full of blood, it can burst. This can lead to a brief period of bleeding. Keep in mind that a thrombosed hemorrhoid will usually be very painful before it actually bursts. Once it bursts, youll likely feel an instant sense of relief due to the release of extra pressure from built-up blood.
If you have some bleeding but continue to also have pain or discomfort, you likely just have a bleeding hemorrhoid, rather than a burst hemorrhoid.
Learn more about bleeding hemorrhoids and how to handle them.
Hemorrhoids Create Embarrassment: But How Many Suffer From It
Knowing with certainty the incidence given by haemorrhoid disorders among the population is not easy, because even today a certain embarrassment is hidden behind this pathology. Hemorrhoidal disease is in fact linked to the anus, a part of the body considered private and personal.
It is a disorder that not everyone wants to talk about, but by investigating a little, even among friends and acquaintances, it is clear that it is much more widespread than one thinks.
At least 10% of the world population would suffer from it, and some research has shown that about 50% of people have been affected at least once in their life. The incidence is highest in developed countries, without there being a real discrepancy between men and women.
Women can suffer from hemorrhoids, in particular, during pregnancy or shortly after giving birth. Both hormonal changes and the increase in pelvic pressure can favor the onset of the problem, which however tends to disappear spontaneously after a few months.
Among other triggers, an incorrect lifestyle is the one that affects the most, related to continued constipation, alcohol consumption and aging.
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What Do Hemorrhoids Look Like
Hemorrhoids arent always visible. But when they expand, they can look like red or blue bumps or lumps.
Here are descriptions of the appearance of the four main types of hemorrhoids:
- Internal. These cant always be seen because theyre too deep in your anus to be visible. They are protrusions of the wall of your anal canal or rectum. Less-serious internal hemorrhoids are bumps inside, and more serious ones can form a long protrusion.
- Prolapsed. When an internal hemorrhoid swells and elongates to the point where it protrudes out of your anus. Less serious prolapsed hemorrhoids come out of the anus during straining but spontaneously retract when you relax, whereas more serious prolapsed hemorrhoids remain protruding from the anus.
- External. Appear as one or more bumps on and around the anus. You or a doctor can see these from the outside.
- Thrombosed. These are external or internal hemorrhoids in which the blood thats pooled inside has clotted, which can be painful in external hemorrhoids.
You might have just one hemorrhoid or more than one at a time.
What Questions Should I Ask My Doctor
You may want to ask your healthcare provider:
- Why did I get hemorrhoids?
- What is the best treatment for me?
- What lifestyle changes can I make to keep from getting hemorrhoids again?
- When will symptoms improve?
- Should I look out for signs of complications?
A note from Cleveland Clinic
An estimated 15 million Americans have sought treatments for hemorrhoids at some point in their lives. But many more suffer needlessly. Dont be too embarrassed to talk to your healthcare provider about your symptoms. If hemorrhoids cause pain or discomfort, your provider has treatments that can help. You can also take steps to keep hemorrhoids from coming back.
Last reviewed by a Cleveland Clinic medical professional on 01/18/2021.
References
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Is Marijuana A Good Treatment For Hemorrhoids
Hemorrhoids Fully Treatable with Marijuana
Hemorrhoids the one thing that literally causes pain in the ass and no one wants to talk about it. But facts are, 2 out of 3 adults will suffer from hemorrhoids from time to time in their life. Hemorrhoids are also known as piles and are swollen veins in the lower rectum or anus. They are somewhat similar to varicose veins and can develop inside the rectum, or under the skin around the anus. The good news is cannabis can treat these horrid hemorrhoids.
Why do we get hemorrhoids?
Hemorrhoids are veins around the anus that are inflamed for more than one reason. Normally, the function of these veins is to return deoxygenated blood to the heart. When those veins are irritated, they get swollen up and become very painful. Apart from hurting, they could also be itchy. The irritation can be caused by normal everyday activities. Even sitting for a long period could be the culprit. Often, a lack of a fiber-rich diet also leads to hemorrhoids. Some other validating reasons are:
Overweight
Typical Symptoms to Lookout For
There are Different Types of Hemorrhoids
Not all hemorrhoids are the same and treatment will vary according to the type you are diagnosed with. Three types of hemorrhoids are identified, each with its own level of discomfort and pain.
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How Bad Is The Smell Associated With Hemorrhoids
While its no secret that bowel movements dont smell like roses, you can assume that any leakage or loss of control from your anal sphincter will result in a foul smell or lingering odor.
Because everyone is different, you may not experience an odor as a symptom of your hemorrhoids.
But, this may also be the only symptom you have.
Internal hemorrhoids are often symptom-less. So, you may find you have no other symptoms of hemorrhoids except for an unpleasant odor that might come from your hemorrhoids.
In these cases, it is necessary to see a doctor to determine if internal hemorrhoids are in fact the cause of this odor.
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Severe Hemorrhoids Vs Mild Hemorrhoids: Stages
Many physicians use a grading system to categorize hemorrhoids along four stages:
- First-degree hemorrhoids: Hemorrhoids that bleed, but do not prolapse. These are slightly enlarged hemorrhoids, but they do not protrude outside the anus.
- Second-degree hemorrhoids: Hemorrhoids that prolapse and retract on their own . These may come out of the anus during certain activities like passing stool, and then return back inside the body.
- Third-degree hemorrhoids: Hemorrhoids that prolapse and must be pushed back in by a finger.
- Fourth-degree hemorrhoids: Hemorrhoids that prolapse and cannot be pushed back in the anal canal. Fourth-degree hemorrhoids also include hemorrhoids that are thrombosed or that pull much of the lining of the rectum through the anus.
How Do Healthcare Providers Treat Hemorrhoids
You should see your healthcare provider if symptoms get worse or interfere with your daily life or sleep. Also seek help if signs dont improve after a week of at-home treatments. Your provider may treat hemorrhoids with:
- Rubber band ligation: A small rubber band placed around the base of a hemorrhoid cuts off blood supply to the vein.
- Electrocoagulation: An electric current stops blood flow to a hemorrhoid.
- Infrared coagulation: A small probe inserted into the rectum transmits heat to get rid of the hemorrhoid.
- Sclerotherapy: A chemical injected into the swollen vein destroys hemorrhoid tissue.
Surgical treatments include:
- Hemorrhoidectomy: Surgery removes large external hemorrhoids or prolapsed internal ones.
- Hemorrhoid stapling: A stapling instrument removes an internal hemorrhoid. Or it pulls a prolapsed internal hemorrhoid back inside the anus and holds it there.
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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.
Should I See A Doctor
Any anal bleeding should be properly evaluated. If you have anal bleeding that lasts for more than 10 minutes, its best to see a doctor to make sure that something else isnt causing your bleeding.
Not all bleeding is due to hemorrhoids, so its important to not self-diagnose. Sometimes, bleeding can be symptom of a more serious underlying condition, such as colorectal or anal cancer.
Make sure to tell them if you have any of the following symptoms in addition to bleeding:
- changes in stool consistency or color
- changes in bowel movement habits
- anal pain
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What Should You Know About Hemorrhoids
What are hemorrhoids?
Hemorrhoids are blood vessels located in the smooth muscles of the walls of the rectum and anus. They are a normal part of the anatomy and are located at the junction where small arteries merge into veins. They are cushioned by smooth muscles and connective tissue and are classified by where they are located in relationship to the pectinate line, the dividing point between the upper 2/3 and lower 1/3 of the anus. This is an important anatomic distinction because of the type of cells that line hemorrhoid, and the nerves that provide sensation.
What are the internal and external hemorrhoids?
Internal hemorrhoids are located above the pectinate line and are covered with cells that are the same as those that line the rest of the intestines. External hemorrhoids arise below the line and are covered with cells that resemble skin.
What are the symptoms of hemorrhoids?
Hemorrhoids become an issue only when they begin to swell, causing itching, pain, and/or bleeding.
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How To Heal Hemorrhoids: Over
Products used to treat hemorrhoids are available as
- ointments,
- foams, and
- pads.
When used around the anus, ointments, creams, and gels should be applied as a thin covering. When applied to the anal canal, these products should be inserted with a finger or a “pile pipe.” Pile pipes are most efficient when they have holes on the sides as well as at the end. Pile pipes should be lubricated with ointment prior to insertion. Suppositories or foams do not have advantages over ointments, creams, and gels.
What Do External Hemorrhoids Look Like
Hemorrhoids, often referred to as piles, get their name from the Greek word haimorrhoides. If you do hear someone talking about piles, just know that piles and hemorrhoids refer to the same thing.
This means veins that are liable to discharge blood. Do external hemorrhoids go away? Yes, in most cases, they’ll go away in a few days and won’t require any medical treatment.
External hemorrhoids, unlike internal ones, are noticeable to the human eye. They are located underneath the skin that surrounds the anus.
When external hemorrhoids swell, they can be visible. When an external hemorrhoid becomes swollen, it will prolapse to the outside of the anus and can then be seen or felt.
External hemorrhoids appear as clumps of dilated blood vessels outside the opening of the anus.
When hemorrhoids swell, the veins enlarge, and their walls become stretched, causing the swollen bulges we see in external hemorrhoids.
External hemorrhoids appear in bunches as soft lumps. They are generally soft or squishy to touch and can range in size. Witch hazel is often used for external hemorrhoids.
External hemorrhoids can be as small as a pea and as large as a grape. There is a mucus covering on hemorrhoids that can become damaged during bowel movements.
This is when bleeding external hemorrhoids occur.
External hemorrhoids that become thrombosed may appear different as explained in the next section.
You may experience serious hemorrhoid pain with a thrombosis.
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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.
Signs And Symptoms Of Hemorrhoids
Seeing blood in your toilet bowl after a bowel movement is no doubt alarming, but its one of the main symptoms of hemorrhoids. Other symptoms include:
- Bright red blood on toilet paper or in your stool after a bowel movement
- Itching in the anal area
- Pain in the anal area, especially when sitting
- Pain during bowel movements
- One or more hard, painful lumps around the anus
If you experience any of these hemorrhoid symptoms, avoid excess straining, rubbing, or cleaning around the anus, which can make irritation and itching worse, and can even lead to bleeding. In addition, try to pat the area dry instead of wiping it.
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What Are Common Side Effects Of Hemorrhoid Medicine
Hemorrhoid medications are generally considered safe drugs, however, as with all medications, there is the potential for side effects. If you decide to use a treatment that contains steroids, it is not advised to continue its use for more than one week as it can lead to skin damage.
Here are some side effects to look out for when using hemorrhoid medications, including creams and gels:
- Skin irritation at the site of application
- Rectal bleeding
- Severe irritation inside or around the rectum
- Allergic reaction, including rash, hives, or swelling of the lips
- Increased blood pressure
- Headache, dizziness, and nausea
Although side effects with these medications are rare, and this is not a comprehensive list, please speak to your healthcare provider immediately if you notice any signs of a negative reaction.