Hemorrhoids is defined as the venous swelling of the internal and external hemorrhoid veins together
with inflammation. Piles may thus be internal or external. Generally middle aged individuals
are affected. External hemorrhoids can be seen around the outside of the anus and, many times, can be felt. External hemorrhoids develop under the skin just outside the opening of the anus. External hemorrhoids usually cause symptoms if they thrombose, in which case they appear as a very tender circular purplish bulge adjacent to the anal opening. Fortunately, effective medications and procedures are readily available to treat hemorrhoids. In many cases hemorrhoids may require only self-care and lifestyle changes.
Hemorrhoids are painful, swollen veins in the lower portion of the rectum or anus. They may result from straining during a bowel movement or the increased pressure on these veins during pregnancy, among other causes. A precise definition of hemorrhoids does not exist, but they can be described as masses or clumps (“cushions”) of tissue within the anal canal that contain blood vessels and their surrounding, supporting tissue made up of muscle and elastic fibers. Other contributing factors include pregnancy, aging, chronic constipation or diarrhea. Hemorrhoids are both inside and above the anus (internal) or under the skin around the anus (external). Internal hemorrhoids can prolapse (be pushed out) through the anus. Because rectal lining, rather than skin, covers internal hemorrhoids, they are usually not as tender as external hemorrhoids. However, if they strangulate (lose their blood supply) they can be very painful. A sometimes embarrassing topic of discussion, hemorrhoids are common. By age 50, about half of adults have had to deal with the itching, bleeding and pain that often signal the presence of hemorrhoids. Although most people think hemorrhoids are abnormal, they are present in everyone. It Hemorrhoids are usually not very painful or critical, but they can be bothersome.
Hemorrhoids, which are also called piles, are swollen and inflamed veins in your anus and rectum. The anal canal is the last four centimeters through which stool passes as it goes from the rectum to the outside world. When bulging hemorrhoidal veins are irritated, they cause surrounding membranes to swell, burn, itch, become very painful, and bleed. The anus is the opening of the anal canal to the outside world. External hemorrhoids involve the veins outside the anus. They can be itchy or painful and can sometimes crack and bleed. Hemorrhoids, also called 'piles', are enlarged, or varicose, veins of the anus and rectum. There are two types of hemorrhoids - internal and external - that can occur separately or in combination .Likewise, the external veins can swell to form external hemorrhoids.
Causes of Hemorrhoids
The common Causes of Hemorrhoids :
- Diarrhea (frequent, loose, watery stool).
- Familial tendency
- Constipation and the accompanying straining
- Frequent constipation (hard or difficult bowel movements).
- Chronic diarrhea
- Diarrhea and the continuous expulsion of loose stools
- Sitting or standing for a long time, especially sitting on the toilet
- Pregnancy (especially in the third trimester).
- Higher socioeconomic status
- Cirrhosis of the liver (can cause pooling of blood in the vessels around the rectum).
- Pregnancy and childbirth
Symptoms of Hemorrhoids
Some are common Symptoms of Hemorrhoids :
- Pain and pressure in the anal canal.
- Anal ache or pain, especially while sitting
- A grapelike lump on the anus.
- Itching and soreness in and around the anus.
- One or more hard tender lumps near the anus
- Blood on underwear, toilet paper, the surface of the stool or in the toilet bowl.
- small amount of blood in the stool or on the toilet paper after wiping
- Large hemorrhoids that bulge from the anus may secrete mucus, causing mild irritation
- For an external hemorrhoid, a painful bulge or firm lump around the rim of the anus.
Treatment of Hemorrhoids
- A sitz bath is recommended 3 times a day and after each bowel movement for at least 15 minutes.
- Taking herbs and dietary supplements that strengthen vein walls, such as butcher's broom , horse chestnut , bromelain , and Japanese pagoda tree extracts. Drinking 99% pure aloe juice can also relieve itching and swelling.
- For cases that don't respond to home treatments, a doctor may recommend surgery, like rubber band ligation or surgical hemorrhoidectomy .
- Bipolar electrocautery is best for lower-grade hemorrhoids; it quickly coagulates the hemorrhoid tissue but has no effect on prolapse.
- These procedures are generally used for patients with severe pain or bleeding who have not responded to other therapy.
- This is the best way to lessen the swelling and the pain.
- Pain medicine should be used for aching, but burning and itching respond best to surface-acting creams and suppositories found in the Recommended Products section.
- Although this surgical removal of hemorrhoids is very effective, it carries the risk of causing anal scars that may interfere with bowel movements.