Hemorrhoids are a very common medical condition that results in rectal bleeding, pain, itching, and even a small structure change near the rectal opening. A structure near the anal canal occurs when this area becomes irritated and it becomes swollen and inflamed.

However, there are many cases of internal hemorrhoids – this leads to no external structure finding.

It some areas, hemorrhoids can also be known as “piles“.

Hemorrhoids can be divided into two types: 1.) Internal Hemorrhoids and 2.) External Hemorrhoids

Nearly 70% of people will have an issues with Hemorrhoids at some point.

Frequency of occurrence is equal between males and females. Often the causes including other medication conditions causing diarrhea or constipation. Often seen in pregnancy and childbirth. Excessive pushing to have a bowel movement and even exercise can cause them.

Symptoms

–  Rectal itching
–  Rectal pain
–  Painless bleeding – not painless in all cases
–  Swelling or lump near rectal opening
–  Rectal bleeding
–  Pain during bowel movements

Causes or Risk Factors

–  Constipation
–  Diarrhea
–  Sitting on toilet for extended periods
–  Pushing hard with bowel movements
–  Pregnancy
–  Childbirth
–  Exercise

Internal vs External Hemorrhoids

1.)  Internal

–  Is often painless rectal bleeding found in toilet bowel or on toilet paper.

Treatment is often increasing fiber and other creams to promote healing

–  Citrucel
–  Metamucil
–  Loperimide (cases of diarrhea)
–  Rowasa supp
–  Sitz bath
–  Anucort cream
–  Rubber band ligation in some circumstance may be appropriate

2.)  External

–  Sudden onset of pain and often bleeding on toilet paper.
–  Frequent follow straining with bowel movement

Treatment

–  Citrucel
–  Metamucil
–  Other Fiber supplements
–  Loperimide (cases of diarrhea)
–  Rowasa supp
–  Sitz bath
–  Anucort cream
–  Rubber band ligation in some circumstance may be appropriate

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