Hemorrhoids are basically large blood vessels within the rectum. There are two different of hemorrhoids — one, internal hemorrhoids, and one other, external hemorrhoids. The external hemorrhoids are the kind of hemorrhoids that actually hang outside the anus. The internal hemorrhoids are the ones that are inside the anus. Both of them can cause a lot of pain, and both of them can cause bleeding. Most common cause of hemorrhoids and hemorrhoidal pain is constipation. Basically, hemorrhoids are a cluster of blood vessels within the rectum, and their main function is, basically, to keep the anus closed, so that you don’t spill any stool out, and basically, keep the contents within the rectum encased. People who’ve chronic constipation can intermittently engorge those blood vessels, and if they strain, they can tear those blood vessels and cause bleeding, that’s what a lot of people will complain about when they have hemorrhoids, hemorrhoidal pain or hemorrhoidal bleeding.
The diagnosis of an internal hemorrhoid is easy if the hemorrhoid protrudes from the anus. Although a rectal examination with a gloved finger may uncover an internal hemorrhoid high in the anal canal, the rectal examination is more helpful in excluding rare cancers that begin in the anal canal and adjacent rectum.
3. Reduce Salt Intake – As you work on changing your diet and increasing your fluid intake, consider how much salt you’re taking in. Salt leads to fluid retention, which in turn causes your body to swell, including the blood vessels that cause hemorrhoids.
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If you feel like you are experiencing symptoms of hemorrhoids, you should contact Dr. Murrell today. There is nothing embarrassing about symptomatic hemorrhoids and the sooner you see a colorectal surgeon in Los Angeles, the better you will feel.
Other conditions cause hemorrhoidal disease indirectly, by either applying pressure similar to the passing of large stools — such as during anal intercourse, or straining during pregnancy and bouts of diarrhea — or through the lifting of heavy objects.
Precisely why hemorrhoids develop is unknown. Researchers have identified a number of reasons to explain hemorrhoidal swelling, including the simple fact that people’s upright posture places a lot of pressure on the anal and rectal veins. Aging, obesity, pregnancy, chronic constipation or diarrhea, excessive use of enemas or laxatives, straining during bowel movements, and spending too much time on the toilet are considered contributing factors. Heredity may also play a part in some cases. There is no reason to believe that hemorrhoids are caused by jobs requiring, for instance, heavy lifting or long hours of sitting, although activities of that kind may make existing hemorrhoids worse.
Vinson-Bonnet B, Higuero T, Faucheron JL, Senejoux A, Pigot F, Siproudhis L. Ambulatory haemorrhoidal surgery: systematic literature review and qualitative analysis. Int J Colorectal Dis. 2015 Apr. 30 (4):437-45. [Medline].
Pregnancy clearly predisposes women to symptoms from hemorrhoids, although the etiology is unknown. Notably, most patients revert to their previously asymptomatic state after delivery. The relationship between pregnancy and hemorrhoids lends credence to hormonal changes or direct pressure as the culprit.
26. Jutabha R, Jensen DM, Chavalitdhamrong D. Randomized prospective study of endoscopic rubber band ligation compared with bipolar coagulation for chronically bleeding internal hemorrhoids. Am J Gastroenterol. 2009;104(8):2057–2064.
For severe cases of hemorrhoids, you may need to consider medical intervention. Before considering a medical procedure, take a look at the following alternatives and talk to the doctor about your options.
If office treatment is not enough, some type of surgery may be necessary, such as removal of the hemorrhoids (hemorrhoidectomy). These procedures are generally used for people with severe bleeding or prolapse who have not responded to other therapy.
Rivadeneira DE, et al. (2011). Practice parameters for the management of hemorrhoids. Diseases of the Colon and Rectum, 549(9): 1059-1064. Available online: http://www.fascrs.org/physicians/practice_parameters.
Hemorrhoids (also called piles) are distended varicose veins in the anus. All veins are lined with valves that permit blood to flow in only one direction (back to the heart). Excess pressure on these valves can cause them to weaken and fail, allowing blood to flow in the wrong direction or to stagnate. The vein may engorge with blood, which, in the anus, results in a hemorrhoid.
Not surprisingly, when the anus is overstretched by large stools, the forces needed to pass them — pressure from the inside, straining from the outside — cause hemorrhoids to enlarge or skin to tear up, and this brief passage to the sewer gradually becomes one long tortuous journey.
Davis, BR; Lee-Kong, SA; Migaly, J; Feingold, DL; SR (March 2018). “The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Hemorrhoids”. Diseases of the colon and rectum. 61 (3): 284–292. doi:10.1097/DCR.0000000000001030. PMID 29420423.
Take a sitz bath two to three times daily for 15 to 20 minutes. Sit in warm water, covering just your hips and buttocks. This can help reduce itching and irritation. You can take a sitz bath in a few inches of water in a regular tub, but small tubs that fit over toilet seats are also available for this purpose at pharmacies. Following a sitz bath, gently pat the area dry to avoid further irritation. (2)
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.