Hemorrhoids: Symptoms, reasons, complications, assessment processes and treatments

 What are hemorrhoids?

Hemorrhoids are swollen veins related problems to the location of anus or lower part of the rectum which widely popular to all as piles. It can be developed inside (Internal hemorrhoids) the rectum or mostly outside (External hemorrhoids) of the anus. External hemorrhoids are more painful and irritating because of producing more nerve sensation or a lump or an extra skin tag surrounding the anus than internal hemorrhoids, even though, they cause bleeding. Report shows that anyone can affect at any time by these problems but about more than 50 percent of the individuals have faced different hemorrhoids symptoms when they are turned to middle age. Despite of having a lot of symptoms and complications, luckily, there have many options to treat these problems readily by the help of advance medical science and technology.

What are the symptoms of hemorrhoids?

Based on hemorrhoids types, symptoms are written below-

  1. Internal Hemorrhoid:  
  • Bleeding is the most common symptom which appeared on toilet tissue or the toilet bowl or in poop, just after occurring any lower rectum bowel movement. 
  • Produce pain and irritation while prolapsing or protruding of hemorrhoids around the anus.  
    2. External Hemorrhoid:
  • Excessive Pain particularly while sitting.
  • Swelling or hard lump around the anus.
  • Rectal Bleeding.
  • Too much itching to the surrounding area of anus.
     3. Thrombosed or Thrombosis Hemorrhoid: A blot clot form outside of anus               due to the external hemorrhoids.





What are the possible causes of Hemorrhoids?
There are some factors that are taking into account to cause the hemorrhoids which mentioned below. 
  • Over weight or obesity
  • Give excessive pressure during normal bowel movement
  • Women during pregnancy which makes more pressure on the anal part veins of the body.
  • Genetical or inherited reason
  • Some diseases such as, Diarrhea or Chronic constipation
  • Sit prolong time on the toilet 
  • Do weight-lifting work out or take heavy weight on regular basis
  • Do anal intercourse in case of hemorrhoids present
  • Intake too much rich-protein diet rather than high-fiber foods
What are the major complications of Hemorrhoids?
  • Strangulated Hemorrhoids
  • Anemia
  • Bleeding continuously
  • Rectal Infection
  • Skin Tags or excess skin that made by tissues and hang off outside
  • sometimes Blood clot in the outer area of anus
What are the diagnosis processes of Hemorrhoids?
The healthcare providers are doing some examinations to diagnose hemorrhoids. Among them, 
  • Physical Examination: To check physically the swollen blood vessels to the anus and rectum area.
  • Digital Rectal Exam: To detect the swelling veins, doctor normally insert the lubricated finger wearing gloves.
  • Anoscopy: To examine the anus and rectum, use lighted tube area only.
  • Sigmoidoscopy: To clearly observe the lower part of colon and rectum, use camera holding lighted tube (sigmoidoscope). There are two types of sigmoidoscopy-Rigid sigmoidoscopy (Proctoscopy) and Flexible sigmoidoscopy.
  • Colonsocopy: By using this test, diagnose the entire colon.
What are the common treatment ways for hemorrhoids?
   1. Home Treatments: These are considering to decline the symptoms only.
a. For reducing pain and inflammation, Use the Over-the-counter NSAIDS such as, Diclofenac (Olfen, Voltaren, Rofenac, Cataflam), Mefenamic acid (Ponstan Forte), Ibuprofen(Brufen), Celecoxib    (Celebrex, coxicel), Etoricoxib(Arcoxia) and so on
b. Apply Some ointments and creams after pooping or whenever advices by healthcare provider. For example, Lidocaine cream or ointment (Doxiproct Plus), Hydrocortisone cream or ointment (Locoid, Alfacort), Natural and herbal ointment (Neohealar), even witch hazel.
c. Use hemorrhoidal relief suppositories if necessary. For instances, Natural extract preparation (Neohealer), Tribenoside and lidocaine combination (Proctoglyvenol).
d. Some Laxative products which aid to soft poop - Lactulose Syrup (Duphalac), Sachets (Movicol),Granules (Agiolax), Ispaghula Husk (Fybogel) 
e. Eat more rich-fiber (Daily 35 grams) foods such as, vegetables, fruits, whole grains, brown rices and drink plenty of water.
f. Use warm water while bathing or cleaning anus area.
g. Try to reduce weight in case of over weight or obese patients.
h. Do not sit long time on toilet seater and make any strain during pooping.
   2. Medical treatmentsThese are considering to prevent or recurrent the symptoms whenever it becomes severe to lead someone normal life. Some treatments and surgeries are as following - 
a. Rubber Band Ligation
b. Infrared Coagulation
c. Electrocoagulation
d. Hemorrhoidectomy
e. Hemorrhoidopexy or Hemorrhoid Stapling
f. Sclerotherapy