Hemorrhoids
Description
Dilated veins, similar to varicose veins, that are found in the anal canal (internal hemorrhoids), or at the anal opening (external hemorrhoids). They are often chronic and become a problem when they bleed, develop a blood clot or become larger. Hemorrhoids are associated with constipation, straining to have a bowel movement, pregnancy, prolonged sitting, and infections of the anal canal. In general internal hemorrhoids bleed but are not painful. External hemorrhoids are painful but usually do not bleed as much as internal hemorrhoids.
Symptoms
Rectal pain, rectal bleeding, fullness in rectum, constipation.
Tests
A history and physical exam will be performed.
Treatment
Treatment includes: Sitz baths (sitting in warm water), anti-inflammatory suppositories, increased fiber in the diet, stool softeners, and surgical resection. The surgeon may band the hemorrhoid or remove them.
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