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External Haemorrhoids

External haemorrhoids occur when the veins around the anus become irritated. The anus is where faeces exit the body. External haemorrhoids are often itchy, painful, and may bleed and clot. Haemorrhoids are also known as piles, and they form due to an excess of pressure on the veins of the rectum or anus. Everyone is susceptible to haemorrhoids, although age does increase the risk. Only children are rarely diagnosed with external haemorrhoids, and that’s because it takes long-term, repetitive pressure on the veins around the anus to cause a haemorrhoid.

Symptoms

Symptoms of external haemorrhoids include:

  • Hard bumps near the anus that may be painful or tender
  • Pain around the anus, particularly when sitting
  • Bleeding
  • Itching around the anus

Causes & Risk Factors

External haemorrhoids occur when the veins around the anus are put under a lot of pressure. Pressure can come from different types of strain that are put on the anus, such as:

  • Straining when trying to pass a bowel movement
  • Obesity
  • Pregnancy
  • Anal intercourse
  • Sitting on the toilet for a long time
  • Sitting for a long time without a break
  • Lifting heavy objects frequently
  • Eating a diet low in fibre
  • Experiencing chronic constipation or diarrhoea

The biggest risk factor for external haemorrhoids is age. The likelihood of developing haemorrhoids increases significantly with age due to a weakening of the tissues that support the anus and rectum and the veins that supply blood to them. This weakening also happens temporarily in pregnancy.

Diagnosis & Complications

To diagnose external haemorrhoids, your doctor will take a medical history, asking about any issues passing bowel movements recently and taking into account any risk factors for haemorrhoids. Your doctor will then do a physical examination of the outside of your anus using gloved hands. They should be able to visualise the external haemorrhoids and how severe they are.

Complications of external haemorrhoids include:

  • Blood clot – A clot can form in a haemorrhoid. This doesn’t happen very often, and it’s not dangerous. When it does happen, it can be painful. The haemorrhoid will need to be drained.
  • Anaemia – If a haemorrhoid bleeds continuously over a long period of time, you may not have enough healthy red blood cells left to oxygenate your body.

Treatment & Prevention

Haemorrhoids can often be treated at home by frequently soaking in warm baths, using haemorrhoid cream, beginning to incorporate more fibre into your diet, and taking over the counter painkillers. There are also minimally invasive and surgical treatment options for those dealing with more serious haemorrhoids, including:

  • External haemorrhoid thrombectomy – this procedure is done when a clot has formed inside a haemorrhoid. The doctor removes the haemorrhoid for immediate relief.
  • Injection – your doctor will inject a chemical solution into the haemorrhoid to shrink it.
  • Haemorrhoid removal – this is one of the most efficient surgical techniques for dealing with haemorrhoids and involves complete removal of the haemorrhoid.

There is a lot that you can do to prevent haemorrhoids. They are extremely common, so these preventative measures may not prevent every haemorrhoid, but they will help minimise the symptoms of any haemorrhoids you do get.

Having a high-fibre diet, drinking enough water every day, going to the bathroom when you feel the urge to pass a bowel movement, exercising, avoiding straining when trying to pass a bowel movement, taking fibre supplements, and moving frequently are all ways that you can prevent haemorrhoids and minimise the potential symptoms.

 
 
 

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