Hemorrhoids: What They Are and How to Treat Them?

Certain health conditions are difficult to discuss, even with your healthcare professional but it is critical that you do so. Hemorrhoids are one such condition. Swollen veins in the lower area of your rectum and anus are known as haemorrhoids or piles. The walls of these blood vessels can sometimes stretch so thin that they protrude and irritate the veins, especially when you defecate.

Hemorrhoids are referred to as “vascular cushions” because they surround the anus. There are two types:

1.Internal haemorrhoids are found inside the anus that are covered by mucosa.

2.External haemorrhoids are located outside the anus that are covered by skin.

Chronic back pain or long-term pain comes suddenly and lasts for days, thus interrupting your daily life and causing frustration. At times, people suffering from lower back pain often end up with chronic low back pain with the symptoms that lasts for one year.

Grades of Internal Haemorrhoids:

Grade I—Visible hemorrhoids that do not prolapse.

Grade II Hemorrhoids that prolapse upon bearing down, but spontaneously reduce.

Grade III Hemorrhoids  that prolapse upon bearing down recurring manual reduction

Grade IV—Nonreducible hemorrhoids.


Unless internal haemorrhoids prolapse, they rarely cause pain (and are hardly noticed). Because internal haemorrhoids have no symptoms, many people are unaware they have them.

If you have internal haemorrhoids, you may notice:

Blood on the toilet tissue, in your stool, or in your toilet bowl. Rectal bleeding is indicated by these symptoms.

External haemorrhoids can be identified by the following symptoms:

  • An itchy anus
  • Hard lumps near the anus.
  • Anus pain or discomfort, especially when sitting.
  • Rectal bleeding

Causes of Haemorrhoids:

  • Inflammatory bowel diseases
  • Prolonged sitting
  • Obesity
  • Pushing during bowel movements
  • Alcoholism
  • Pregnancy
  • Infection
  • Colon Malignancy
  • Loss of muscle bone due to old age


You may require a more complete test to detect internal haemorrhoids or rule out other problems, such as:

Anoscopy – An anoscope is a small plastic tube that your doctor uses to peer into your anal canal.

Sigmoidoscopy – A sigmoidoscope is a flexible lit tube that your doctor uses to examine into your lower intestine. They can also collect a sample of tissue for testing with the tube.

Colonoscopy – A colonoscope is a long, flexible tube that your doctor uses to examine your whole big intestine. They can also collect tissue samples and address any other issues they come across.

Treatment for Haemorrhoids:

Haemorrhoids can be treated in two ways:

1. Conservative management

  • Eat foods that are high in fiber
  • Take a stool softener
  • Relieve Constipation
  • Increase liquid intake
  • Don’t strain during bowel movements
  • Don’t sit on the toilet for long periods of time
  • Take over-the-counter pain relievers
  • Take warm baths several times a day to help relieve pain.
  • To treat minor discomfort, swelling, and itching of external haemorrhoids, use over-the-counter hemorrhoid lotions, ointments, or suppositories.

Rubber band ligation is the most popular non-surgical hemorrhoid removal method.

An elastic band is inserted on the base of the hemorrhoid to block off blood flow in this outpatient surgery for internal haemorrhoids. Either the hemorrhoid will shrink or fall off.

2.Surgical treatments

Hemorrhoidectomy: It removes large external hemorrhoids or prolapsed internal ones.

Hemorrhoid stapling: An internal hemorrhoid is removed with a stapler. Alternatively, it pushes a prolapsed internal hemorrhoid back into the anus and retains it in place.


Visit a general physician in Kukatpally if you have symptoms of haemorrhoids, such as rectal bleeding or blood in your stool, as bleeding can be an indication of other serious conditions. Before attempting any treatment choices, get medical guidance.

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