Hemmorhoids commonly known as piles are swollen veins in the lowest part of the rectum and anus. They cause rectal bleeding and general clear up in a couple of weeks. Hemorrhoids may be internal or external.
Pressure on the lower rectum due to
Extra weight as in obesity or pregnancy
Pushing during bowel movements
Straining when you have constipation or diarrhoea
Pain around anus
Swelling near anus
Severe itching around anus
Difficulty in sitting
Painful bowel movements
Bleeding after bowel movement
Rarely, symptoms of anemia, such as weakness and pale skin due to blood loss, may develop
Visual examination for external hemorrhoids
Digital rectal exam for internal hemorrhoids
Sigmoidoscopy for internal hemorrhoids
Eat fibrous fruits and vegetables, whole grains, nuts, beans, seeds, and legumes
Drink plenty of water to avoid constipation and hard stools
Exercise and physical activity like walking for half an hour everyday
Go to the toilet as soon as you feel the urge, don’t wait long to go
Although hemorrhoids are painful, they arenot life-threatening and often go away on their own without treatment.
For pain relief sitz bath and sitting over warm water bottle are recommended
Over-the-counter medicated suppository, ointment, or cream, such as hydrocortisone or hemorrhoid cream, help to relieve the burning and itching
Over-the-counter fibre supplements such as psyllium and methylcellulose soften the stool
Practice good hygiene by cleaning your anus with warm water during a shower or bath every day.
Avoid using soap or toilet paper to clean after bowel movement.
Use a cold compress on anus to help reduce hemorrhoid swelling.
Analgesics, such as acetaminophen, ibuprofen, or aspirin can also alleviate the pain or discomfort.
Medical procedures include rubber band ligation.
If rubber band ligation isn’t an option, the doctor may perform injection therapy, or sclerotherapy.