Enlarged internal hemorrhoids are detected in two-thirds of all patients during routine anorectal examinations [link]. The absence of innervations explains why so many people with a history of straining may not realize that they have irreversible hemorrhoidal disease, until suddenly confronted with hemorrhoidal bleeding or prolapsed hemorrhoids.
The doctor will want to know if you have found blood in your stool, which may prompt a bowel endoscopy examination. The doctor will likely feel for anything unusual through a digital rectal examination.
Diagnosis begins with a visual examination of the anus, followed by an internal examination during which the doctor carefully inserts a gloved and lubricated finger into the anus. The doctor may also use an anoscope, a small tube that allows him or her to see into the anal canal. Under some circumstances the doctor may wish to check for other problems by using a sigmoidoscope or colonoscope, a flexible instrument that allows inspection of the lower colon (in the case of the sigmoidoscope) or the entire colon (in the case of the colonoscope).
The main drawback of sclerotherapy is that it does not permanently get rid of hemorrhoids, and they can return in about a year. The second drawback is that if the surgeon is not very skilled in this procedure, mild to severe complications can arise.
During this procedure, a specially designed circular stapler with smaller staples is used. The technique involves placing a suture in the mucosal and submucosal layers circumferentially, approximately 3-4 cm above the dentate line. The stapler is placed and slowly closed around the purse string. Care is taken to draw excess internal hemorrhoidal tissue into the stapler. The stapler is fired, resecting the excess tissue and placing a circular staple line above the dentate line, resulting in resection of excessive internal hemorrhoidal tissue, pexy of the internal hemorrhoidal tissue left behind, and interruption of the blood supply from above.
Alcohol can be dehydrating and hard on the digestive system, making hemorrhoid symptoms worse. And spicy foods can intensify the symptoms of hemorrhoids. Some studies show that both alcohol and spicy foods consumption serve as risk factors for hemorrhoids, although the data isn’t consistent. To be safe, limit these foods until the hemorrhoids have cleared up. (5)
Coconut oil, which is available online, is a natural moisturizer, which may also help with hemorrhoid symptoms. Applying coconut oil may reduce the irritation and swelling, and it may also help reduce the urge to scratch.
In those instances, an initial small abrasion may turn into a fissure (split that won’t heal), a fistula (duct from anus into perianal region), or an abscess (encapsulated pus) — conditions that, considering the location and “traffic,” are extremely painful, infection-prone, and hard to treat and heal.
Rectal bleeding can be a sign of a more serious problem, such as colon, rectal, or anal cancer. So if the first examination does not show a clear cause of your problems, your doctor may use a lighted scope (sigmoidoscope) to look at the lower third of your colon. Or your doctor may use another kind of scope (colonoscope) to look at the entire colon to check for other causes of bleeding.
The exact cause of symptomatic hemorrhoids is unknown. A number of factors are believed to play a role, including irregular bowel habits (constipation or diarrhea), lack of exercise, nutritional factors (low-fiber diets), increased intra-abdominal pressure (prolonged straining, ascites, intra-abdominal mass, or pregnancy), genetics, an absence of valves within the hemorrhoidal veins, and aging. Other factors believed to increase risk include obesity, prolonged sitting, a chronic cough, and pelvic floor dysfunction. Squatting while defecating may also increase the risk of severe hemorrhoids. Evidence for these associations, however, is poor.
Drink lots of fluids. Stay well hydrated to keep stools soft so they’re easier to pass. Water is the best choice. Drink plenty throughout the day. Prune juice is a natural laxative and can help you go.
To get rid of hemorrhoids, it’s important that you avoid constipation and hard stool, which can be done by eating plenty of high-fiber foods to make stools soft. For how to get rid of hemorrhoids, the recommendation is 30–35 grams of fiber daily. Eat foods such as avocados, berries, figs, Brussels sprouts, acorn squash, beans, lentils, nuts, flaxseeds, chia seeds and quinoa. In clinical studies, high-fiber diets reduced the risk of persisting symptoms and bleeding by approximately 50 percent. (2)