> Hemorrhoids: symptoms, causes, treatment and remedies

Emorroidi interne ed esterne

The hemorrhoids are disorders to be relatively common, and within the 50 years of age; it is estimated that about halfà of the adults have had to deal with this annoying problem.

hemorrhoids are the vascular structures (acting as bearing) are present in the anal canal that plays an important role in the maintenance of fecal continence. It is a component of the anatomical normal, however, in the current language those who suffer from it tend to define as “hemorrhoids” is the pathological situation (disease haemorrhoids), making also the confusion with a series of disorders that affect the area anorectal as, for example, fissures, anal itching, etc., In pathological conditions, hemorrhoids are dilated and inflamed.

For simplicityà we will use the term “hemorrhoids” to indicate the pathological condition.

Among the causes that can lead to the pathological condition, there may be special efforts during defecation or increased stress in the course of pregnancy. Hemorrhoids may be located inside the rectum (internal haemorrhoids), or you may develop under the skin around the anus (external hemorrhoids).


symptoms may include:


  • Itching or irritation in the anal area
  • the

  • Bleeding no pain during bowel movements (bright red blood on the toilet paper or in the toilet bowl, in small quantitiesà).
  • the

  • Swelling around the anus
  • the

  • Pain or discomfort
  • the

  • loose stools
  • the

  • A swelling in the sensitive or painful in proximityà of the anus.

typically the symptoms of hemorrhoids depend on their position:

Emorroidi interne

they Are located inside the rectum and usually do not cause discomfort. However, one effort, or even the passage of stool can damage the surface, causing bleeding. Not è excluded that a hemorrhoid can be pushed outwards by excessive stress (hemorrhoids protruding or prolapsed) and thereò può to cause pain or irritation.

Emorroidi esterne

Are under the skin that surrounds the anus. When they are sore can lead to itching or bleeding. Not è excluded that the formation of a clot (thrombus), resulting in pain, swelling and inflammation.

bleeding is the symptom, more common hemorrhoids. However, the rectal bleeding può be a sign of other diseases such as colorectal cancer and anal cancer. If you do not have già had a diagnosis of disease hemorrhoidal is advisable to consult your doctor so as to rule out other disorders.

it is important to consult your doctor if you have experienced a significant change in your bowel habits, if the feces appear to be the tar or brown-black, if you notice blood clots, or blood mixed with the stool.

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Go to an Emergency room if bleeding from the rectum unexpectedly, you feel dizzy or experience vertigo, if you have lost your senses.


It’s rare conditions including:


  • the Anemia. A chronic blood loss from hemorrhoids can; cause anemia, thereò può cause fatigue and weakness.
  • the

  • the Hemorrhoid bleed. If there is no blood supply, the hemorrhoid may be “strangulated”, a condition that può cause extreme pain and lead to tissue death (gangrene).


hemorrhoids may develop because of increased pressure in the lower rectum. The increase in the pressure può to occur in these cases:


  • dietary fiber
  • the

  • Pregnancy
  • the

  • Diarrhea or chronic constipation
  • the

  • Stay seated too long on the toilet
  • the

  • anal intercourse
  • the

  • Obesityà
  • the

  • Tension during bowel movements

With aging, the risk of hemorrhoids rises because of a weakening of the tissues that support the veins of the rectum and anus.


The procedures can be the following:


  • Examination of the anal canal and rectum. The doctor performs a digital rectal examination by inserting a finger, gloved and lubricated into the rectum. The purpose is to identify the possible excrescences.
  • the

  • visual Inspection of the anal canal and rectum. Sometimes internal hemorrhoids can have a consistency that does not make finding it easier. The doctor può then examine the lower part of the colon and rectum with a anoscopio, proctoscopio or sigmoidoscope.

it is also possible to perform a complete examination of the colon with colonoscopy. Generally it is used when:

  • The symptoms suggest the possibilityà of another illness relating to the digestive system
  • there Are risk factors for colorectal cancer
  • The patient has exceeded 50 years of age; and has not performed a recent colonoscopy


Drugs for hemorrhoids

If the symptoms of hemorrhoids, they produce a mild discomfort, always on the advice of a doctor, you can use over the counter products (creams, ointments, suppositories or pads) can reduce the annoyance. It is products that contain, for example, witch hazel or hydrocortisone that can relieve pain and itching, at least temporarily.

However, è should not use these medicines for more than a week, unless directed by your doctor. In fact, can cause symptoms of side effects like rashes, inflammation and thinning of the skin.

Procedures, minimally invasive

In the case of external hemorrhoids, painful and swollen because of a blood clot, a simple incision by the doctor può give a quick relief.

In the case of persistent bleeding or hemorrhoids painful, the doctor can; making use of other procedure minimally invasive. This is outpatient therapy.


  • the Ligature elastic.In this case, the doctor places small rubber bands around the base of the internal hemorrhoid,depriving them così the circulation of the blood. Usually after a week, occurs the detachment of the tissue is not perfused. This procedure is effective for many people.
  • the

  • the Injection (sclerotherapy). In this case, the doctor injects a chemical solution into the hemorrhoid to shrink. Typically is a less effective treatment of the ligation elastic.
  • the

  • Technical clotting. You are running with infrared, laser, or scalpel, electric current and bipolar.Are treatments that bring less side effects, however, are associated with an increased number of relapses, compared to the ligature elastic.

surgical Procedures

If the above procedures have not been successful, and in the case the situation is particularly annoying, it is possible to resort to surgery. In general, these actions can be performed in outpatient settings or that may require a night in the hospital.


  • the Hemorrhoidectomy, that is, the removal of the hemorrhoids. In the course of the intervention, the surgeon removes the tissue that is excessive that is causing the bleeding. The techniques used may be different. The intervention can be run with a local anesthetic combined with sedation, spinal anesthesia or general anesthesia.
    To cure hemorrhoids is severe or recurrent, hemorrhoidectomy is; the più effective and complete. Complications may include difficultyà temporary to empty the bladder and urinary tract infections associated with this disorder.
    After the surgery you can feel pain, that can; be relieved by drugs.
  • the

  • the Staple. This procedure, called hemorrhoidectomy stapled, you run in the event of bleeding or the prolapse of internal hemorrhoid. Using a particular instrument, the surgeon blocks the blood flow to the hemorrhoidal tissue. This technique is less painful the hemorrhoidectomy and allows a more rapid recovery. Compared to hemorrhoidectomy, the technique of stapling is associated with a più high risk of recurrence and rectal prolapse.


it is possible to alleviate the mild pain, swelling and inflammation of hemorrhoids with treatments and home, often, solve the problem. Feel the doctor anyway.


  • the Wash in warm water. Soak the anal area for 10 minutes two or three times per day.
  • the

  • the topical Treatments. You canò to apply a cream to the hemorrhoid or suppositories containing hydrocortisone. Can also be used pads that contain witch hazel or an anesthetic agent.
  • the

  • the pain relievers for oral. To temporarily reduce the discomfort you può using paracetamol, aspirin or ibuprofen.
  • the

  • the toilet Paper. Do not use dry paper, &it is best to inumidirla. You can also use the towelettes that must not contain alcohol or perfume.
  • the

  • the Washing. To keep clean the anal area take a shower (preferably a bath) every day and clean gently the area around the anus. The water should not be too hot and do not use soap which could exacerbate the problem. Avoid wipes scented alcohol-based. To dry the area and avoid rubbing you can use a hair dryer.
  • the

  • the cold. To relieve the swelling you can apply on the anus of the cold packs.

With these remedies, the symptoms of hemorrhoids should disappear within a week. If you do not get benefits, or you continue to experience intense pain, or the bleeding is abnormal, it is necessary to seek medical attention.


there is a better way to prevent the onset of haemorrhoids (or reducing symptoms) to make sure that the stool will pass easily. Perché for this to happen, it is necessary that the stools are soft. To maintain this condition is important to follow these tips:


  • is Not retain the stool. It is important to evacuate as soon as you feel the stimulus. Procrastination may make the stool more dry complicating, then, the passage.
  • the

  • the Exercise. You must be active, physical exercise prevents constipation and reduces the venous pressure. Circumstances that may occur after long periods standing or sitting. In addition, the activitiesà physics helps fight obesityà one of the possible causes of the hemorrhoids.
  • the

  • the don’t stay too long sitting. Especially on the water.
  • the

  • Fibre in the diet. It is important to eat fibre-rich foods, then fruits, vegetables, and whole grains. Are foods that soften the stool and increase the mass, two characteristics that facilitate defecation. In case of problems with intestinal gas, you canò insert the fiber gradually into the diet.
  • the

  • the hydrated. Then, drink plenty of fluids. To keep the stools soft, drink six to eight glasses of water per day (or other non-alcoholic liquids).
  • the

  • the fiber Supplements. If you do not accept the amount; of the daily fiber recommended (25 grams per day for women and 38 grams per day for men), you canò use of supplements. However, it is a good thing to keep in mind the importance of staying hydrated by drinking at least eight glasses of water a day, otherwise the use of supplements può to worsen the situation, causing constipation or constipation.


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