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What are the Symptoms of Hemorrhoids

What are the Symptoms of Hemorrhoids

by | Hemorrhoids, Hemorrhoids Symptoms

A hemorrhoid is an enlarged or twisted vein in the wall of the lower rectum and/or the anus. 

Hemorrhoids may occur for many reasons, the most common of these are the extra pressure placed on the anorectal area by frequent constipation or by pregnancy; aging, obesity and the frequent use of enemas or suppositories can also be significant factors. 

Hemorrhoids (or ‘piles’ as they are sometimes called) may be so insignificant that you will hardly notice that there is a problem or they may be so severe that the pain is excruciating and, in the more extreme cases, you may experience bleeding.

Hemorrhoids may be classified as internal or external but it is possible to have both at the same time; these categories are simply referring to the hemorrhoids you can see outside the anal opening and those that are not apparent outside of your body.

Hemorrhoids that are severe enough to require medical treatment are least common in men and women in their 20s or younger. It is estimated that after age 30, however, three-quarters of all Americans will have hemorrhoids that require medical treatment; most of those cases will involve men and pregnant women.


Minor hemorrhoids (internal or external) will not be painful and may go away without treatment of any kind.

A more serious hemorrhoid may bleed and you may notice blood in the toilet bowl, on the feces, on the toilet paper or on your undergarment.

If an internal hemorrhoid becomes large enough it will protrude through the anal opening. Often it can be pushed back inside if it does not go back inside by itself. These protruding internal hemorrhoids quickly become irritated and painful if they are allowed to remain outside. If it cannot be pushed back inside, a visit to the doctor quickly becomes a priority.

External hemorrhoids, if they are large, however, can be painful when attempting to clean the anal area after a bowel movement, they are also subject to blood clots. If a blood clot forms a painful lump may develop and the skin around the anal area will become red. This is not a life threatening situation but it does call for medical intervention.

Symptoms of hemorrhoids include:

* Rectal bleeding
* Pain around the anus and rectum
* Irritation and itching
* Bulge or lump at the anus

Excessive straining, rubbing or cleaning the anus may worsen symptoms. In most cases, the symptoms of hemorrhoids will only last a few days. Not every one with hemorrhoids will experience symptoms.

Prevalence of hemorrhoidal disease increases with age until the seventh decade and then diminishes slightly. Hemorrhoids also increase in pregnancy due to direct pressure on the rectal veins.

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