Hemorrhoids

Hemorrhoids are enlarged or swollen veins in the lower rectum and  around the anus. The most common symptoms of hemorrhoids are rectal bleeding, itching, and pain. You may be able to see or feel hemorrhoids around the outside of the anus, or they may be hidden from view, inside the rectum.

Hemorrhoids are common, occurring in both men and women. Although hemorrhoids do not usually cause serious health problems, they can be annoying and uncomfortable.

Fortunately, treatments for hemorrhoids are available and can usually minimize the bothersome symptoms.

Hemorrhoids are more common in older people, in those who have diarrhea or pelvic tumors, during or after pregnancy, and in people who sit for prolonged periods of time and strain (push hard) to have a bowel movement.

One of the most common causes of hemorrhoids is straining to pass hard, dry stools during bouts of constipation. Other factors that can lead to hemorrhoids include:

  • Straining to lift heavy objects
  • Pregnancy
  • Obesity
  • Sitting for long periods
  • Diarrhea

Symptoms of hemorrhoids can include the following:

  • Painless rectal bleeding
  • Anal itching or pain
  • Tissue bulging around the anus
  • Leakage of feces or difficulty cleaning

References:

  1. Clinical Practice Committee, American Gastroenterological Association. American Gastroenterological Association medical position statement: Diagnosis and treatment of hemorrhoids. Gastroenterology. 2004 May;126(5):1461-2. doi: 10.1053/j.gastro.2004.03.001. PMID: 15131806.
  2. Alonso-Coello P, Guyatt G, Heels-Ansdell D, et al. Laxatives for the treatment of hemorrhoids. Cochrane Database Syst Rev 2005; :CD004649.
  3. Jayaraman S, Colquhoun PH, Malthaner RA. Stapled versus conventional surgery for hemorrhoids. Cochrane Database Syst Rev 2006; :CD005393.