Search by name
logo

Haemorrhoids

Haemorrhoids, also called piles, are inflamed veins located inside or outside of your anus (the opening that allows stool to pass out of the body). They are similar to the varicose veins that may appear on your legs. Haemorrhoids are often painful or itchy.

Haemorrhoids are a very common condition — they affect as many as 75% of people at some point throughout their lives. However, they can often be treated and prevented with simple home remedies.

Types & Symptoms

External haemorrhoids develop near your anus. They may lead to:

  • Pain or swelling in the anal region, especially while sitting down
  • Tender or painful lumps near the anus
  • Itchy or irritated skin near the anus
  • Rectal bleeding, which may appear as bright red blood in your stool, in the toilet, or on toilet paper

Internal haemorrhoids occur inside your rectum (the end of your large intestine that connects to your anus). They often don’t lead to any symptoms, although you may notice rectal bleeding, itching, or skin irritation.

Rarely, the swollen vein that makes up an internal haemorrhoid may push through your anus, becoming prolapsed. A prolapsed haemorrhoid is usually painful.

Haemorrhoid symptoms can also be caused by other serious medical conditions such as colon cancer, so it is important to tell your doctor when symptoms arise.

Causes & Risk Factors

Usually, doctors don’t know the specific cause of haemorrhoids. In general, they are thought to develop when your pelvis is put under extra pressure. This may occur due to risk factors like:

  • Straining when undergoing a bowel movement
  • Sitting on the toilet for a long time
  • Pregnancy
  • Obesity
  • Anal intercourse
  • Frequent diarrhoea or constipation
  • Lifting heavy objects

You are also more likely to get haemorrhoids as you get older. Additionally, heart disease, liver disease, and other ongoing health conditions may increase your risk.

Reference Articles

Diagnosis

If you have haemorrhoid symptoms, your doctor may examine your rectum and anus to look for swelling. They may use a gloved finger or a special tool to see into your rectum. Your doctor may also perform other tests to look for health conditions that cause similar symptoms.

Treatment

You often don’t need to treat external haemorrhoids — they tend to go away on their own. You can use various remedies to relieve symptoms:

  • Inflammation can be lessened with over-the-counter ointments or creams containing hydrocortisone, witch hazel, or lidocaine.
  • Painful bowel movements can be treated by placing petroleum jelly just inside the anus.
  • Pain while sitting can be eased with a pillow or cushion shaped like a doughnut.
  • Inflammation, pain, and itching can be relieved by soaking in a warm bath for 15 minutes.

If home remedies don’t heal your haemorrhoid after one week, schedule a visit with your healthcare provider. Minor procedures can help cut off blood to the swollen vein and remove the haemorrhoid. Your doctor may suggest placing elastic bands around the haemorrhoid (rubber band ligation), injecting chemicals into the vein (sclerotherapy) or using light or heat to damage the haemorrhoid (coagulation).

Haemorrhoids that are very large or cause extreme pain may need to be surgically removed. Surgery is not often necessary, but it can be very successful.

Prevention

Avoiding straining when going to the bathroom is one of the best ways to reduce your risk of haemorrhoids. To promote healthy bowel movements, try:

  • Drinking more water
  • Eating more fibre from vegetables, fruits, whole grains, or fibre supplements — women should get 25 grams per day and men should get 35 grams
  • Getting more exercise
  • Avoiding sitting down or standing in one place for long periods
  • Going to the bathroom as soon as you feel like you need to
  • Getting off the toilet as soon as you’re done

These prevention tips may also improve your well-being while treating haemorrhoids.

 
 
 

The content appearing on this site is not intended to treat, diagnose, or provide health care advice. The articles you read here are meant for informational purposes only. Please review additional information to learn more.