Hemorrhoids: Symptoms, Treatment Options, and Relief

Q: Hemorrhoids: Symptoms, Treatment Options, and Relief

Hello, Xiaoyun： Hemorrhoids can generally be classified into three types： internal hemorrhoids, external hemorrhoids, and mixed hemorrhoids. <br>Internal hemorrhoids are painless but may cause bleeding. <br>External hemorrhoids are located outside the anal opening and can cause p

Hemorrhoid issues

Hello Doctor: I have developed hemorrhoids around my anus, and every time I have a bowel movement, they protrude.
At first, I could push them back in with my hand, but recently, they can no longer be fully reinserted, and they seem to be getting larger.
To make matters worse, I have noticed another one forming outside my anus.
Although they are usually not painful, I do feel a slight pain during bowel movements, and there is a constant sensation of a foreign body when sitting.
What can I do to make them go away? Do I need to seek medical treatment, or would increasing my intake of fruits and vegetables and drinking more water suffice? If treatment is necessary, what options are available? Thank you.

Xiao Yun, 20~29 year old female. Ask Date: 2009/01/07

Dr. Lin Kecheng reply Surgery

Hello, Xiaoyun: Hemorrhoids can generally be classified into three types: internal hemorrhoids, external hemorrhoids, and mixed hemorrhoids.
Internal hemorrhoids are painless but may cause bleeding.
External hemorrhoids are located outside the anal opening and can cause pain and itching due to friction with underwear.
Mixed hemorrhoids occur when both internal and external hemorrhoids are present simultaneously.
In severe cases, internal hemorrhoids may protrude outside the anal opening due to swelling, which can also cause pain if they become trapped.
Once the swelling subsides or after soaking the anal area in warm water, they may retract naturally or can be pushed back manually.
Hemorrhoids are more likely to recur during bowel movements or after consuming irritating foods (such as spicy hot pot or alcoholic beverages).
It is best for you to consult a colorectal surgeon for an examination to confirm the diagnosis and treatment.
Wishing you a speedy recovery.
Lin Kecheng

Reply Date: 2009/01/07

More Info

Hemorrhoids, commonly referred to as piles, are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding. They can be classified into two main types: internal hemorrhoids, which occur inside the rectum, and external hemorrhoids, which develop under the skin around the anus. Understanding the symptoms, treatment options, and relief strategies for hemorrhoids is crucial for managing this common condition effectively.

Symptoms of Hemorrhoids
The symptoms of hemorrhoids can vary depending on their type and severity. Common symptoms include:
1. Bleeding: Bright red blood may appear on toilet paper or in the toilet bowl after a bowel movement.

2. Pain or Discomfort: While internal hemorrhoids typically do not cause pain, external hemorrhoids can be painful, especially during bowel movements.

3. Swelling: You may notice swelling around the anus, which can be sensitive to touch.

4. Itching or Irritation: The area around the anus may feel itchy or irritated.

5. A lump near the anus: This may be a thrombosed hemorrhoid, which is a clot that forms in an external hemorrhoid.

Treatment Options
Treatment for hemorrhoids can range from home remedies to medical procedures, depending on the severity of the condition. Here are some common treatment options:
1. Lifestyle Modifications:
- Diet: Increasing fiber intake by consuming more fruits, vegetables, and whole grains can help soften stools and reduce straining during bowel movements. Drinking plenty of water is also essential.

- Exercise: Regular physical activity can help prevent constipation and reduce pressure on the veins.

- Avoiding Straining: Try not to strain during bowel movements, as this can worsen hemorrhoids.

2. Over-the-Counter Treatments:
- Topical Creams and Ointments: Products containing hydrocortisone or witch hazel can help relieve itching and discomfort.

- Suppositories: These can provide relief from pain and inflammation.

3. Medical Procedures: If home treatments do not provide relief, or if hemorrhoids are severe, medical procedures may be necessary:
- Rubber Band Ligation: A rubber band is placed around the base of the hemorrhoid to cut off its blood supply, causing it to shrink and fall off.

- Sclerotherapy: A chemical solution is injected into the hemorrhoid to shrink it.

- Infrared Coagulation: This technique uses infrared light to cut off blood supply to the hemorrhoid.

- Surgery: In severe cases, surgical removal of hemorrhoids (hemorrhoidectomy) may be required.

When to Seek Medical Attention
Given your description of the hemorrhoids becoming larger and the presence of a new lump, it is advisable to seek medical attention. A healthcare provider can perform a thorough examination to determine the best course of action. They can also rule out other potential issues, such as anal fissures or more serious conditions.

Conclusion
While lifestyle changes and over-the-counter treatments can be effective for managing mild hemorrhoids, your symptoms suggest that a more comprehensive evaluation and possibly medical intervention may be necessary. It is essential to consult with a healthcare professional who can provide personalized advice and treatment options tailored to your specific situation. Remember, early intervention can help prevent complications and improve your quality of life.

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