Hemorrhoids Cause and how to Removal (Definitive Guide)

Also medically known as piles, hemorrhoids are swollen veins located around the anus or in the lower rectum. Learn more.
They affect millions globally and can cause significant discomfort that disrupts daily activities. This definitive guide aims to shed light on the causes, symptoms, and effective removal methods of hemorrhoids.
By the end of this article, you should be equipped with the knowledge needed to tackle hemorrhoids head-on. Let’s dive in!
What Are Hemorrhoids?
As earlier explained, hemorrhoids are swollen veins in the lowest part of your rectum and anus. Sometimes the walls of these blood vessels stretch so thin to the point that the veins begin to bulge and get irritated, especially when relieving yourself.
Hemorrhoids can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids). They can cause pain which can sometimes make your life unbearable.
What are the Main Causes of Hemorrhoids?
Having hemorrhoids can be an awful experience. If you suspect that you have them you may wonder; what are the main causes of hemorrhoids?
Now, several factors contribute to the development of hemorrhoids. However, the most notable ones include;
- Excessive straining during bowel movements which can increase pressure on the veins in the anus and rectum.
- Chronic constipation or diarrhea which can lead to prolonged periods of straining and sitting on the toilet.
- Prolonged sitting or standing.
- Pregnancy which causes increased blood volume and pressure from the growing uterus.
- Excess body weight which puts additional pressure on the pelvic veins.
- A diet low in fiber which can lead to constipation, increasing the likelihood of hemorrhoids.
How do you know if you have Hemorrhoids?
The only sure way to tell if you have hemorrhoids or not is through a thorough medical assessment. However, some symptoms may be suggestive of this condition and mustn’t be ignored. The most notable indicators of hemorrhoids include;
- Pain or discomfort around the anal area, especially during bowel movements.
- Swelling around the anus.
- Itching or irritation around the anus.
- Bleeding during bowel movements can be seen as bright red blood on toilet paper or in the toilet bowl.
- A lump near the anus.
Hemorrhoids can always go away on their own. However, you may want to get a diagnosis if you’re getting worrisome symptoms. Here are some options;
- Self-Assessment: Recognizing the symptoms of hemorrhoids is the first step towards diagnosis. If you experience any of the symptoms mentioned above, consider your recent bowel habits and dietary changes.
- Medical Diagnosis: To confirm a diagnosis, your doctor may perform a few examinations including:
- Physical Examination where they visually inspect the anus and surrounding area for external hemorrhoids.
- Anoscopy which involves the insertion of a small, tubular instrument into the anus to inspect the lower rectum and anal canal.
- Sigmoidoscopy which involves a flexible tube with a light and camera to examine the lower part of the colon.
- Colonoscopy to examine the entire colon and rectum. A colonoscopy can rule out other potential causes of rectal bleeding.
When should you go to the DR for Hemorrhoids?
Since hemorrhoids can always go away on their own, there is often confusion on when to see the doctor for the condition thus the question; when should you go to the DR for hemorrhoids? You should go to the DR for hemorrhoids if you experience any of the following symptoms;
- Severe pain or significant bleeding during bowel movements.
- Symptoms that persist for more than a week.
- Noticeable changes in bowel habits, such as altered stool color or consistency.
- A family history of colorectal cancer or other serious conditions affecting the digestive tract.
If diagnosed with hemorrhoids, don’t fret. Many cases can be managed with simple home remedies and lifestyle adjustments including;
- Incorporating fruits, vegetables, and whole grains into your diet to help soften stool and reduce straining.
- Drinking plenty of water throughout the day to maintain regular bowel movements.
- Soaking in a warm bath for 10-15 minutes several times a day to get relief from pain and swelling.
- Using OTC creams, ointments, and suppositories containing hydrocortisone or witch hazel to reduce itching and discomfort.
For persistent or severe hemorrhoids, medical intervention may be necessary. Your doctor may recommend;
- Prescription medications like stronger topical or oral medications to reduce inflammation and pain.
- Minimally invasive procedures to remove the hemorrhoids. Options include;
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- Rubber band ligation where a small rubber band is placed around the base of an internal hemorrhoid to cut off its blood supply and force it to wither and fall off.
- Sclerotherapy which involves the injection of a chemical solution into the hemorrhoid to cause it to shrink.
- Infrared coagulation where infrared light is used to clot the blood supply to the hemorrhoid and make it to shrink.
In cases where other treatments fail, surgical options may be considered. You may be recommended;
- Hemorrhoidectomy: The surgical removal of hemorrhoids is considered the most effective treatment for severe cases. The procedure can be performed under local or general anesthesia.
- Stapled Hemorrhoidopexy: This procedure involves stapling a portion of the hemorrhoidal tissue to reduce blood flow and reposition the hemorrhoids. It’s typically less painful and has a shorter recovery time compared to traditional hemorrhoidectomy.
How do you Stop Hemorrhoids from Forming?
To avoid the stress and frustration that come with hemorrhoids, your best bet is to take steps to prevent them from forming in the first place. Here are some suggestions;
·Maintain a Balanced Diet
A balanced diet rich in fiber is essential for preventing hemorrhoids. Aim to consume 20-35 grams of fiber daily from sources like fruits, vegetables, whole grains, and legumes. Fiber supplements such as psyllium husk can also help if dietary intake is insufficient.
·Maintain Healthy Bowel Habits
Adopting healthy bowel habits can significantly reduce the risk of hemorrhoids. Examples include;
- Avoid Straining: Try not to strain during bowel movements. Take your time and relax.
- Respond Promptly: Don’t ignore the urge to have a bowel movement. Delaying can lead to constipation and increased straining.
- Limit Sitting Time: Avoid prolonged sitting on the toilet, which can increase pressure on the anal veins.
·Incorporate Healthy Lifestyle Adjustments
Incorporate these lifestyle changes to minimize the risk of hemorrhoids:
- Regular Exercise: Engaging in regular physical activity helps prevent constipation and reduces pressure on the veins.
- Avoid Prolonged Sitting or Standing: Take breaks to move around if you have a sedentary job or stand for long periods.
It is a Wrap!
Hemorrhoids, though common and often painful, can be effectively managed and prevented with the right approach. If you experience persistent or severe symptoms, consult a healthcare professional for a proper diagnosis and treatment plan.
If you’re in Singapore, don’t let hemorrhoids make your life miserable. Drop us a line today to schedule an assessment and also to arrange for your treatment. Details below;
Gastrohealth Clinic @ Gleneagles – Dr Bhavesh Doshi | Gastroscopy | Colonoscopy | Health Screening | EUS and ERCP Singapore
6A Napier Rd, #05-35C Gleneagles Hospital Annexe Block,
Singapore 258500
+65 6355 5773