Stuffed veins in the rectum and around the anus … hemorrhoids. Hemorrhoids are a common problem that affects half of all people at a certain moment. In this condition, the veins in the soft tissue at the anus and in the lower part of the rectum. If they occur outside the anus, they are called external hemorrhoids; those in the rectum are called internal hemorrhoids. Hemorrhoids often cause bleeding, itching and discomfort; these symptoms are not serious in themselves.
Hemorrhoids are usually the result of constipation if you have to press hard during bowel movements. Pressing increases the pressure in the abdomen, causing the blood vessels to set up around the rectum. Constipation is often the result of a low-fiber diet. Overweight also increases the pressure on blood vessels, and therefore the risk of hemorrhoids. During pregnancy, the growing fetus can have the same effect.
The symptoms usually follow constipation. Being able to be:
fresh blood on the toilet paper or in the toilet after the bowel movement;
increasing burden of a feeling of bowel movements;
secretion of mucus from the anus, which sometimes leads to itching;
visible swelling around the anus;
the feeling that the intestines are not completely empty.
A bulging hemorrhoid can sticking out of the anus after the bowel movement and then withdraw or be pushed back with a finger. In some cases, a protuberant hemorrhoid can form a blood clot (thrombus) that causes severe pain, and a visible, painful, blue swelling the size of a grape. If you have blood loss through the anus, consult your doctor, especially if you are over forty, because it can indicate a more serious condition such as colon cancer.
Your doctor will presumably examine your rectum with a gloved finger, and if a bleeding has occurred that may be due to an underlying, serious cause, refer you for an endoscopy. Small hemorrhoids usually do not need to be treated. Hemorrhoids caused by pregnancy usually disappear soon after birth.
A high fiber diet helps to prevent constipation, and laxatives can facilitate bowel movements. Corticosteroic creams and suppositories can reduce swelling and itching, and local painkillers can alleviate pain. Small internal hemorrhoids can be treated by means of sclerotherapy, where the affected part is injected with a solution that reduces the set up veins.
Large or protruding hemorrhoids can be successfully controlled by tying them off with a rubber band around the base of the hemorrhoid. As a result, the hemorrhoid shrinks slowly and falls off after a few days. Before the procedure is applied, you will be given a laxative so that the rectum is empty. The treatment is performed in the hospital and is usually painless.
Persistent, painful, bleeding hemorrhoids can be removed surgically. Hemorrhoids can come back, although the treatment is usually successful.