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Hemorrhoids (Piles): Causes, Symptoms And Diagnosis

  • Post By: DDr Vandhana
  • 06 Nov 2016
Hemorrhoids (Piles)

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.


  • Hereditary
  • 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
  • Faecal leakage
  • 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.

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