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Hemorrhoids are swollen blood vessels in and around the anus and lower rectum. They stretch under pressure and are similar to varicose veins in the legs. Hemorrhoids are either internal or external.
Internal hemorrhoids develop inside the anus. They are painless and sometimes bleed a lot during bowel movements. They may also protrude during bowel movements. If they protrude from the anal opening and cannot be pushed back, they can cause severe pain.
develop under the skin around the anus and can easily be felt or seen as a lump. They bleed when broken by straining, rubbing, or scratching.
The doctor will ask about your symptoms and medical history. A physical exam will be done. Your anus and rectum will be examined to look for swollen blood vessels. A digital rectal exam will be done. This is done by inserting a gloved, lubricated finger into the rectum to feel for abnormalities. Sometimes, it is necessary to do the exam with the use of an endoscope that allows the rectal canal and other parts of the colon to be viewed.
Bleeding from the rectum or blood in the stool can be a symptom of other diseases involving gastrointestinal tract or colon/rectal cancer. It is important to see a doctor if you have any rectal bleeding.
Initial medical treatment of hemorrhoids is aimed at relieving symptoms. Measures to reduce symptoms include:
Sitz baths—sitting in plain, warm water 2-3 times a day for about 10 minutes each time
Ice packs—putting cold packs on the anus for short durations to relieve pain and swelling
Medication—applying hemorrhoidal creams or suppositories to the affected area
—eating more fresh fruit, raw or cooked vegetables, and whole grains has been shown to reduce hemorrhoid symptoms.
Fluids—drinking plenty of non-alcoholic fluids will help soften stools
If these treatments do not provide relief, one of several nonsurgical procedures may be used to shrink or destroy the hemorrhoidal tissue. These procedures, which are generally performed in a doctor’s office, include:
Rubber band ligation
—a rubber band is placed around the base of the hemorrhoid to cut off circulation and force the hemorrhoid to wither away within a few days
Sclerotherapy—a chemical solution is injected near the blood vessel to cause scarring and shrinkage of the hemorrhoid
Coagulation therapy—electricity, laser, or infrared light is used to shrink the hemorrhoidal tissue
If nonsurgical procedures are not an option or fail to resolve the problem, surgery may be needed.
is the permanent removal of hemorrhoids by cutting the hemorrhoidal tissue away. Some of the newest surgical treatments involve using stainless steel staples. While many surgeons favor these treatments, there is some evidence that techniques that are more traditional produce more consistent and long-lasting relief.
If you are diagnosed with hemorrhoids, follow your doctor's
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