An Overview of Hemorrhoids

Hemorrhoids, or swollen veins in the anal and rectal area, are among the most common health conditions affecting millions of people worldwide. Although they are typically not dangerous, they can lead to persistent discomfort and significantly affect an individual’s daily life. Therefore, understanding their causes and treatment options is essential for effective management.

Common Causes

There are several contributing factors that can lead to the development of this condition. For instance, chronic constipation, aging, pregnancy, and a lack of physical activity are all widely recognized causes. Additionally, individuals with a family history of hemorrhoids may be more prone to developing them. Meanwhile, prolonged sitting—either at work or during bowel movements—can further exacerbate the issue. As a consequence, those with sedentary routines are often more at risk.

Who Is at Risk?

This condition affects a broader range of people than many assume. In particular, while older adults are commonly affected, younger individuals can also suffer from hemorrhoids, especially if they follow poor dietary habits. Moreover, pregnant women are highly susceptible due to hormonal changes and increased pressure on the pelvic region. In contrast, those with an active lifestyle and a fiber-rich diet tend to have a lower risk. On the other hand, people with chronic illnesses like liver or heart disease should be especially cautious.

Symptoms and Impact

Hemorrhoids present a range of symptoms. These include pain, itching, and bleeding during bowel movements. In some cases, visible lumps or swelling may appear around the anus. As a result, some individuals may feel a constant urge to defecate even after using the toilet. Furthermore, discomfort may increase during long periods of sitting or physical strain. Although symptoms may vary in intensity, they often interfere with daily comfort and hygiene.

Are They Easy to Treat?

Fortunately, most cases respond well to proper care. Initially, conservative measures such as increasing fiber intake, drinking more water, and avoiding prolonged sitting can provide relief. However, if symptoms persist or worsen, medical treatments may become necessary. These include rubber band ligation, infrared coagulation, or more advanced options like laser therapy and radiofrequency ablation. In some cases, surgical procedures might be the most effective solution. Overall, early intervention usually leads to better outcomes and faster recovery.

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What are hemorrhoids?

Hemorrhoids are dilated veins found in the Anal Canal. They are common and rarely presented as a serious Problem. A hemorrhoid occurs as a result of a dilation or enlargement of the Veins in the lining of the anus, which often occurs as a result of excessive pressure

Causes:

      • Heredity: along with the presence of hemorrhoids in the family history, makes a person more likely to have it.
      • Overweight: Excess weight may increase pressure on the veins in the pelvis..
      • During pregnancy and childbirth: hemorrhoids occur in several ways, including hormonal changes during pregnancy that lead to increased blood flow in the pelvis, and the growth of the fetus increases pressure on the blood vessels. Hemorrhoids may also result from pushing and intense pressure on the anal area during labor and birth..
      • Getting older : Half of people older than 50 suffer from hemorrhoids.
      • Infection in the anal canal.
      • Having anal sex.
      • Having some health problems: Such as chronic heart disease, chronic liver disease, chronic kidney failure, and chronic cough.
      • Pelvic area tumors: It occurs in rare cases.

Factors that may make it worse:

      • Sitting or standing for long periods: This causes blood to collect in the anal area.
      • Carrying and lifting heavy objects or holding your breath when lifting heavy objects: this leads to an increase in pressure inside the blood vessels.
      • Excessive pressure and haste to finish defecation: Excessive haste and squeezing lead to increased pressure on the rectal veins.
      • Diarrhea or chronic constipation and sitting for long periods of time on the toilet: which causes pressure on the veins in the anal canal.

Types of hemorrhoids:

      • External hemorrhoids:

      • It manifests itself as a bulge and swelling in the anal area, and the swelling is sometimes painful (a vein may burst inside the external hemorrhoid and blood collects under the skin and forms a hard, painful lump called a thrombosed hemorrhoid). Bleeding occurs during defecation in some cases, and is accompanied by difficulty in cleaning, irritation, and itching at times.

      • Internal hemorrhoids:

      • The most common symptoms are bleeding during defecation, itching, pain, and the presence of swelling or prolapse of internal tissue from the anus.
        – Bleeding during defecation: You may find streaks of bright red blood on the toilet paper or red blood in the toilet after a normal bowel movement. Blood may also be visible on the surface of the stool.
        – Itching and skin irritation: It is a frequent complaint. Due to the presence of internal hemorrhoids, mucus leaks out, causing mild skin irritation.
        – Feeling uncomfortable: You may continue to feel the need to defecate immediately after you finish it, as this is caused by swelling of the hemorrhoid in the anal canal.
        – The Pain: Most internal hemorrhoids are not painful. However, large hemorrhoids that hang from the anus may become painful. Severe pain is a sign that there has been an interruption in blood flow to the hemorrhoid (strangulated hemorrhoid), and the patient then needs emergency treatment.

Grades of internal hemorrhoids:

      • First-degree internal hemorrhoids: :
        The hemorrhoid is within the anal canal and does not protrude during defecation.

      • Second degree internal hemorrhoids:
        The hemorrhoid protrudes out of the anal canal during defecation, and then rebounds spontaneously after defecation.

      • Third degree internal hemorrhoids:
        The hemorrhoid protrudes outside the anus when defecating and must be pushed with the finger until it recoils and returns to its place inside.

      • Fourth degree internal hemorrhoids:
         A fourth-degree hemorrhoid protrudes outside the anus and cannot be retracted.

Treatments :

      • Laser Treatment
      • THD Dubilier
      •  SCLEROTHERAPY
      • RUBBER BANDING
      • INFRARED COAGULATION
      •  RADIO FREQUENCY
      •  STAPLER
      • Dubilier
      • Radiofrequency

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