the Causes and Management of Internal Hemorrhoids

Formation of hemorrhoids

Hello, doctor.
I previously had a check-up that revealed I have mild internal hemorrhoids, but my bowel habits are normal, and I have never experienced constipation.
I also finish my bathroom visits quickly and haven't consumed irritating foods.
I don't sit or stand for long periods either.
After researching the causes of hemorrhoids, I find it hard to believe I developed them.
However, I have been staying up late for a long time, and I only recently started improving my sleep schedule by going to bed earlier.

1.
Could this be a contributing factor?
2.
Do internal hemorrhoids not heal on their own?
Thank you, doctor!

hen kunrao, 20~29 year old female. Ask Date: 2014/09/29

Dr. Ke Fangxu reply Surgery

1.
The symptoms of hemorrhoids in young people are often caused by poor lifestyle and dietary habits.
Generally, improving these issues can lead to spontaneous resolution without medication.

2.
If internal hemorrhoids are not severe, symptoms can be alleviated by avoiding constipation and minimizing the time spent on the toilet.
However, if there is persistent bleeding, it is advisable to consult a physician for appropriate diagnosis and treatment.

Reply Date: 2014/09/29

More Info

Internal hemorrhoids, commonly referred to as piles, are swollen veins in the lower rectum and anus that can cause discomfort, bleeding, and other symptoms. Understanding the causes and management of internal hemorrhoids is essential for effective treatment and prevention.

Causes of Internal Hemorrhoids
1. Increased Pressure: The primary cause of internal hemorrhoids is increased pressure in the lower rectum. This pressure can result from various factors, including:
- Straining During Bowel Movements: Even if you have a regular bowel habit, straining can still occur if you are not fully relaxed during defecation.

- Pregnancy: The weight of the fetus can put pressure on the pelvic veins, leading to hemorrhoids.

- Obesity: Excess weight can increase pressure on the pelvic veins.

- Chronic Coughing or Sneezing: Conditions that cause chronic coughing or sneezing can lead to increased abdominal pressure.

2. Dietary Factors: While you mentioned that you do not consume irritating foods, a low-fiber diet can lead to constipation, which can exacerbate hemorrhoids. Fiber helps to soften stool and promote regular bowel movements.

3. Sedentary Lifestyle: Prolonged sitting or standing can contribute to the development of hemorrhoids. If you have a job that requires long periods of sitting, it may be beneficial to take regular breaks to stand and move around.

4. Genetics: A family history of hemorrhoids can increase your risk, as some individuals may have a predisposition to developing them.

5. Age: As you age, the tissues supporting the veins in your rectum and anus can weaken, making hemorrhoids more likely.

Management of Internal Hemorrhoids
1. Lifestyle Modifications:
- Diet: Increase your fiber intake through fruits, vegetables, whole grains, and legumes. This can help prevent constipation and reduce straining during bowel movements.

- Hydration: Drink plenty of water to help keep your stool soft.

- Exercise: Regular physical activity can help improve bowel function and reduce pressure on the veins.

2. Over-the-Counter Treatments:
- Topical Creams: Hemorrhoid creams or ointments can provide relief from itching and discomfort.

- Suppositories: These can help reduce inflammation and soothe the affected area.

3. Medical Treatments: If conservative measures do not provide relief, medical treatments may be necessary:
- Rubber Band Ligation: This procedure involves placing a small rubber band 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 tissue to shrink it.

- Infrared Coagulation: This technique uses infrared light to coagulate the blood vessels, leading to the shrinkage of the hemorrhoid.

4. Surgery: In severe cases, surgical options such as hemorrhoidectomy (removal of hemorrhoids) may be considered.

Addressing Your Concerns
1. Impact of Sleep Patterns: While poor sleep habits, such as staying up late, may not directly cause internal hemorrhoids, they can contribute to overall health issues, including stress and digestive problems. Improving your sleep hygiene can have a positive impact on your overall well-being.

2. Will Internal Hemorrhoids Heal?: Internal hemorrhoids can improve with lifestyle changes and proper management. However, they may not completely disappear without intervention. Regular monitoring and maintaining a healthy lifestyle can help manage symptoms and prevent recurrence.

In conclusion, while internal hemorrhoids can be concerning, understanding their causes and implementing effective management strategies can lead to significant improvement. If symptoms persist or worsen, it is advisable to consult a healthcare professional for further evaluation and treatment options.

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