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Hemorrhoids

 

Hemorrhoids or piles are swollen and inflamed veins in the anus and rectum caused due to increased pressure in these veins.

Causes

  • Straining during bowel movements
  • Chronic constipation or diarrhea
  • Hypertension
  • Liver disease
  • Obesity
  • Pregnancy
  • Anal intercourse

Symptoms
Symptoms may not be present always. If present, they may include:

  • Bright red blood in stool
  • Swelling or lump around the anus
  • Pain if hemorrhoid is protruding outside the anus
  • Rectal itching

Treatment
Sometimes, minor hemorrhoids get cured on their own. In other cases treatment may include:

  • Lifestyle changes like increasing fluid and fiber intake, correct posture, increased physical activity etc.
  • Sitting in warm water for a few minutes several times a day
  • Wearing cotton underwear and loose clothing
  • Over the counter creams, ointments or suppositories
  • Rubber band litigation to tie off the blood supply to the hemorrhoid with a rubber band and shrink it
  • Injection Sclerotherapy to inject chemical solution in the hemorrhoid to shrink it
  • Infrared photocoagulation to clot the veins in the hemorrhoid through infrared light
  • Laser coagulation to stop blood flow to the hemorrhoid with help of electric current
  • Surgery or hemorrhoidectomy to surgically remove the hemorrhoid with help of scalpel and cautery deice

Prevention

  • Avoid straining during bowel motions
  • Avoid excessive alcohol and caffeine intake
  • Consume a lot of fluids and fiber
  • Exercise regularly
  • Maintain a healthy weight