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Hemorrhoids

Hemorrhoids are swollen blood vessels in the anal region. The blood vessels usually become swollen by straining during bowel movements. Hemorrhoids can develop both inside and outside the rectum and are usually painful, accompanied with some bleeding. Other symptoms of hemorrhoids include itching and a change of the stool shape or caliber.

Hemorrhoids are more common in women (particularly after pregnancy) and usually after the age of 30.  They are commonly seen in people who are constipated, but also can occur in people without any bowel problems.

Treatment of hemorrhoids includes sitz bath (warm bath for more than 20 minutes), topical ointments and creams and regulating bowel movements.  High fiber diets, increasing fluid intake, fiber supplements and stool softeners can correct constipation and straining. Twenty to thirty grams of fiber are recommended daily.  Chronically painful or bleeding hemorrhoids may need to be treated with banding or surgery. Consult your physician with questions or problems.