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More about Internal hemorrhoids


What are internal hemorrhoids?

Internal hemorrhoids describe swollen veins inside the anus.

You can't feel or see internal hemorrhoids. Straining from passing a stool can damage a hemorrhoid's delicate surface and cause bleeding. This bleeding can then show up as small amounts of bright red blood on your toilet tissue or in the toilet bowl water. Because internal anal membranes don't have pain-sensitive nerve fibers, internal hemorrhoids don't usually cause discomfort. Occasionally, straining can push an internal hemorrhoid through the anal opening. If a hemorrhoid remains displaced (prolapsed), it can cause pain and irritation.


Hemorrhoids are not usually dangerous or life threatening....just extremely annoying and painful!

How are they caused?

Hemorrhoids can be caused in a number of ways. Straining when you go to the toilet, constipation and getting older make them more likely.

Hemorrhoids are common in both men and women. About half of the population has hemorrhoids by age 50.

Hemorrhoids are also frequently suffered by pregnant women due to their blood volume being increased, coupled with the baby squashing veins in the abdomen. Hormonal changes can also cause the blood vessels to get bigger. The veins are placed under a huge strain during the birthing process and this can cause hemorrhoids just when you really don't want them! For most women though, hemorrhoids caused by pregnancy and childbirth are a temporary problem, and usually disappear shortly after the baby is born.


What are the symptoms?

Many people have hemorrhoids, but not everyone has symptoms.

The most common symptom of internal hemorrhoids is bright red blood on the stool, on toilet paper, or in the toilet itself.

Excessive straining and wiping around the anus may cause soreness with bleeding and itching, which produces a vicious cycle of symptoms.
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How do I get rid of them?

Treatment of hemorrhoids begins with relieving the symptoms. Things you can do to reduce symptoms include
  • taking a bath several times a day in warm water for about 10 minutes
  • applying a hemorrhoidal cream or inserting a hemorrhoidal suppository 

In order to stop hemorrhoids from coming back you will need to relieve the pressure and strain of constipation. Health care workers will probably recommend increasing fiber and fluid in your diet. By eating lots of fiber and drinking between 6 and 8 glasses of fluid (not alcohol) you'll get softer, bulkier stools that are easier to pass. A softer stool not only makes emptying the bowels easier, it lessens the pressure on hemorrhoids caused by straining. Eliminating straining also helps prevent the hemorrhoids from protruding.

Good sources of fiber are vegetables, fruit and whole grains. In addition, you could try a stool softener or a fiber supplement such as psyllium (Metamucil) or methylcellulose (Citrucel).

In rare cases, hemorrhoids need to be treated surgically. Methods are used which shrink and destroy the hemorrhoid. The doctor will usually perform the procedure during an office or hospital visit.

A number of methods may be used to remove or reduce the size of internal hemorrhoids. These techniques include

  • Rubber band ligation This involves placing a small rubber band at the base of the internal hemorrhoid. The band works by cutting off the blood supply to the hemorrhoid. This causes it to shrivel up and fall off in a few days

  • Injection Sclerotherapy A chemical is injected around the blood vessel which shrinks the hemorrhoid.
  • Infrared Photocoagulation The hemorrhoidal tissue is burnt off using a special device.

  • Laser Coagulation This new procedure uses an electric current applied to the hemorrhoids. The electric current, emitted by an electrode probe, causes a chemical reaction that stops the blood supply to the hemorrhoid and causes it to shrink

  • Hemorrhoidectomy Occasionally, very severe internal hemorrhoids may need removing via a surgery known as hemorrhoidectomy.

Can I avoid them?

The best way to avoid hemorrhoids is to make sure stools are soft so you can pass them easily. Also, emptying your bowels as soon as possible after the urge occurs helps to relieve pressure and straining. Exercise, including walking, and making sure you have increased fiber in your diet help by reducing constipation.

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