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Hemorrhoid Symptoms: What You Need to Know

By Dr. Rajan Madan in General & Minimal Access Surgery

Jul 09 , 2024 | 3 min read

Hemorrhoids, commonly known as piles, are swollen veins in the lower rectum and anus. Similar to varicose veins, they can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids). Millions of people worldwide suffer from hemorrhoids, with those between the ages of 45 and 65 most commonly affected.

Recognising and understanding the symptoms of hemorrhoids is crucial for timely treatment and preventing complications.


Hemorrhoids Symptoms

Depending on whether they are internal or external, hemorrhoids can cause a variety of symptoms. Knowing these symptoms can make it easier to get the proper treatment.

Rectal bleeding during bowel movements

One of the most common symptoms of hemorrhoids is rectal bleeding, often noticed as bright red blood.

Itching or irritation in the anal region

Persistent itching or irritation around the anus can be a sign of hemorrhoids, often due to the sensitive skin in the area being affected.

Swelling or lumps around the anus

Swelling or the presence of lumps around the anus is a common symptom of external hemorrhoids and can cause significant discomfort.

Pain or discomfort

Pain or discomfort, especially when sitting or during bowel movements, is often associated with external hemorrhoids but can also occur with internal ones that have prolapsed.


Internal Hemorrhoids Symptoms

Internal hemorrhoids are usually painless but can still cause significant symptoms.

Painless rectal bleeding

Internal hemorrhoids often cause painless bleeding during bowel movements, which can be alarming but is typically not serious.

Prolapse of hemorrhoid tissue

Prolapsed internal hemorrhoids can extend outside the anus, causing discomfort and requiring manual retraction.

Sensation of incomplete bowel movements

If internal hemorrhoids obstruct the anal canal after a bowel movement, you may experience a feeling of incomplete evacuation.


External Hemorrhoids Symptoms

External hemorrhoids are located around the anus and can cause several uncomfortable symptoms.

Pain or discomfort

Pain or discomfort around the anus, particularly during sitting or bowel movements, is a hallmark of external hemorrhoids.

Itching or irritation

The sensitive skin around the anus can become irritated and itchy due to external hemorrhoids.

Swelling or lumps

Visible swelling or lumps around the anus are common with external hemorrhoids and can cause significant discomfort.


When to Seek Medical Care?

While hemorrhoids are generally not serious, certain symptoms require medical attention. Consulting a healthcare professional is crucial to ensure appropriate diagnosis and treatment.

If you experience severe pain, significant rectal bleeding, or a prolapsed hemorrhoid that cannot be pushed back in, it is essential to seek medical care promptly. Other concerning symptoms include changes in bowel habits, significant discomfort, or if the symptoms do not improve with over-the-counter treatments.


Conclusion

Understanding the symptoms of hemorrhoids is crucial for timely treatment and preventing complications. For an appropriate diagnosis and course of treatment, consult a healthcare professional if you suffer from persistent and severe symptoms.


Frequently Asked Questions

1. Do hemorrhoids go away?

Yes, many hemorrhoids resolve on their own in the initial grade with home treatment, but severe cases may require medical intervention.

2. Are there different types of hemorrhoids?

Yes, hemorrhoids can be internal, external or prolapsed, with different symptoms and treatment approaches.

3. What is the treatment for hemorrhoids?

Treatment ranges from home remedies and over-the-counter medicines to medical procedures for more severe cases.

4. Are there home remedies for hemorrhoids?

Yes, remedies include warm baths, dietary changes, and topical treatments to reduce symptoms.

5. How long can symptoms last?

It varies- mild cases may resolve in a few days, while severe cases may persist longer.

6. Who suffers most from hemorrhoids?

Hemorrhoids are common in adults aged 45 to 65, pregnant women, and individuals with chronic constipation or a sedentary lifestyle.

7. What size hemorrhoids need surgery?

Large, painful hemorrhoids with persistent bleeding that do not respond to other treatments may require surgical intervention.

8. Are there over-the-counter treatments for hemorrhoids?

Yes, numerous creams, ointments, and suppositories are available to relieve symptoms.

9. Can exercise help prevent hemorrhoids?

Regular exercise can help prevent hemorrhoids by promoting healthy bowel movements and reducing pressure on the veins.

10. Who treats hemorrhoids?

General practitioners, gastroenterologists, and general surgeons are specialists who can diagnose and treat hemorrhoids. Hemorrhoids can also be presently features of more serious disease. Therefore, symptoms should not be ignored and consultation with specialists will help the patient.