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Hemorrhoids - Symptom, Treatment And Causes

What is Hemorrhoids?

Swollen veins near the lower rectum or the anus are known as hemorrhoids. More than half of all adults experience hemorrhoids or its symptoms before turning 50. They may be external or internal. External hemorrhoids form outside the anus, while internal hemorrhoids form within the rectum or anus. Hemorrhoids can also be called piles. External hemorrhoids can be the most troublesome and are the commonest kind. Hemorrhoids cause severe itches, difficulty in sitting and pain. They are thankfully treatable. Experts aren’t really sure what makes hemorrhoids appear.

Possible factors are:

  • Being strained during bowel movements.
  • Complications during chronic constipation
  • Sitting for long time periods, especially on toilets
  • A familial history for hemorrhoids

What causes Hemorrhoids?

Hemorrhoids may be genetically passed from parents to children. If either of your parents have had hemorrhoids, then you have higher chances of getting them. Constant lifting of heavy objects, having continuous body strain or being overweight can put consistent strain on the body and increase the risks of hemorrhoids. Standing for prolonged periods without taking breaks can also result in hemorrhoid formation. Diarrhea and constant anal intercourse also can increase the risks for hemorrhoids. Pregnancy also increases the chances of developing hemorrhoids. The uterus when it enlarges, presses on a vein present in the colon and makes it bulge. A visual exam of the anus suffices for diagnosing hemorrhoids. For confirming the diagnosis, the doctor might do a separate exam to look for any kind of abnormalities in the anus. This is called a digitized rectal exam. The doctor puts in a lubricated and gloved finger on to the rectum in this exam. If they experience any abnormalities, they might ask you to get an extra test done, known as a sigmoidoscopy. Your doctor will use a tiny camera to look for internal hemorrhoids in a sigmoidoscopy. This tiny fiber optic camera known as a sigmoidoscope is fitted into a narrow tube and is then inserted into the rectum. Using this test, the doctor can get a clear vision of the insides of the rectum so as to examine the hemorrhoid closely. To avoid straining the hemorrhoid, you should avoid putting pressure during bowel movements. Also, try increasing the daily water intake. Drinking sufficient water can prevent the stool from becoming too hard. Regular exercise should be done to prevent constipation. Consuming foods which have a high dietary fiber content can reduce the risks of possible hemorrhoid formation later on. You would notice better bowel movements after proper treatment. Following the doctor’s advice and being regular about certain habits can also help in the overall treatment and prevention of hemorrhoids.

Treatable by medical professional Usually self diagnosable Lab test not required Chronic: can last for years or be lifelong Non communicable
Extreme itching around the anus. Irritation and pain around the anus. Painful bowel movements. Blood leakage after having a bowel movement.

Popular Health Tips

Piles : How Can It Be Treated Without Surgery?

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ghaziabad
Piles : How Can It Be Treated Without Surgery?

Piles are the tortuous veins which bulge out in the anal canal. There are so many factors responsible for this engorgement of the anal veins. The most common cause is chronic constipation. In such condition patients have to strain for defecation which puts pressure on the veins leading to congestion & engorgement.

When these veins get ruptured by passing hard stools or due to straining it initiates characteristic painless bleeding. Bleeding may be in the form of fresh blood drops or spurts of fresh blood. At this stage bleeding is the only symptom that patients complain of. This is known as 1st degree hemorrhoid. When these congested rectal veins increase in size, the pile mass may protrude out during defecation. After passing stool, the pile mass reduces by itself and sometimes patients have to reduce the pile mass manually. This stage is labeled as 2nd degree piles. When these pile masses further increase in size they may protrude out during walking or sitting etc this is known as third degree piles.

Types of piles-

Piles also known as hemorrhoids are dilated, engorged veins carrying blood in the anal canal. In simpler words, these are dilated blood veins that are located near the areas of anus. Piles are mainly of two types in nature namely

1. Internal hemorrhoids and

2. External hemorrhoids.

The internal ones are more common in occurrence in the human body than the external ones. Most often, these appear around two centimeters above the opening in the anal canal. As the name suggests, the external piles occurs on the outside area of anus. Whereas the internal piles are present inside the anal canal. Here are different stages of internal piles.

  1. In First stage patient complains of painless bleeding during defecation.
  2. In 2nd stage- There is painless bleeding along with mass protruding out per rectum during defecation which gets reduced by itself or manual reduction is necessary.
  3. In 3rd stage; pile mass could not be reduced back or if reduced by force; these come out even on coughing, walking or sitting.
  4. Some classify piles differently as when manual reduction is required; it is the 3rd stage while when pile mass is not reducible; it is the 4th stage of internal piles.

Symptoms of piles-

Following are the symptoms commonly seen in patients of Piles:.

  1. Blood drops with the passage of stool. Blood spurts may also be noticed while passing stools.
  2. Moreover, there are instances when there is unbearable itchiness around the anus specialty in ext. piles.
  3. A soft mass or lump may be noticed coming out through anus during passing stools which is reduced spontaneously & if it is large in size then it may be manually inserted back in the anus.
  4. Acute cases when the pile masses get infected or inflamed there may be symptoms of acute pain

Treatment of piles without surgery!!!

Yes; It is possible to treat piles without having to undergo the knife of doctor. Ayurveda is well known for treatment of piles without surgery.

A. In the first stage of piles, Kshar Karma therapy (application some kshar or medicine on the pile mass that cause shrinking of the mass) is performed which leads to arrest of the bleeding & regression of the pile mass. No surgery is required.

B. In the second & third stage of piles, the pile mass is ligated by the Ksharsutra as an opd procedure. After ligation pile mass shed off in some days. Usually hospitalization or bed rest is not required & patients can go home after the treatment. It is not advisable to ignore the problem as it will only aggravate with time. Earlier is always better to treat pile. Even at first stage; it is very important to see the doctor because the blood loss during passing stools may lead to anemia. .

Home remedies for Piles

1. Piles are the resultant of putting too much strain while defecation or sitting too long for defecation. So these should be avoided.

2. Avoid fast foods, spicy and too much oily foods.

3. Increase consumption of fibrous foods like green leafy vegetables, fruits and salads;

4. Increase intake of fluids and butter milk etc.

5. You should exercise regularly.

6. If the pile mass protrude out during defecation these should be reduced and it is better to keep them inside.

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Suffering From Piles - What Type Of Food Should You Eat?

Diploma In Diet & Nutrition
Dietitian/Nutritionist, Delhi
Suffering From Piles - What Type Of Food Should You Eat?

Piles or haemorrhoids as they are also known are an extremely painful condition caused by the inflammation of veins in the rectum and anus. Straining to pass stool can create tears in these veins and cause bleeding. Some of the factors that influence this condition are age, a diet that is rich in processed foods and chronic constipation or diarrhoea. Treatment for piles is usually a combination of dietary changes, medication and exercise. While some foods ease digestion, others can hinder it. Hence, it is important to know what to eat and what to avoid when suffering from piles.

Here are a few things you should include in your diet.

  1. Figs and prunes: Figs and prunes can be eaten fresh or in their dried form to prevent and treat piles. Both these fruits are rich sources of fibre and can even act as home remedies for constipation.
  2. Spinach: Spinach is not only a rich source of iron and fibre; it also helps cleanse the digestive tract. Spinach also promotes regular bowel movements and eases constipation.
  3. Okra: Okra adds bulk to stool and makes undigested food move faster through the intestinal tract. Okra is also rich in fibre and hence prevents constipation and the formation of piles. Additionally, it soothes and lubricates the intestines.
  4. Brown rice: Brown rice is healthier than polished rice and also contains lesser calories. At the same time, it is a good source of fibre and hence a must have in your diet.
  5. Water: Lastly, drink plenty of water to prevent and treat piles. Water improves the digestive abilities of the intestines and eases the passing of stool. Not drinking enough water is one of the most common causes of constipation. Ideally, a person should drink 8-10 glasses of water a day.

There are also a few food items you should avoid when dealing with piles. Some of these are:

  1. Spices: Strong spices can irritate the digestive tract and cause diarrhoea and indigestion. Hence, avoid curries and food that is cooked in a lot of heavy spices.
  2. Red meat: Red meat is difficult to digest and hence a common cause of constipation. For this reason, it should be completely avoided when suffering from piles. Processed red meat such as salami, sausages etc should also be avoided.
  3. Caffeine: Tea, coffee and sodas that contain caffeine should be avoided as they can make stools hard and dry. This can cause constipation and aggravate haemorrhoids.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5163 people found this helpful

How Unani Treatment Can Help To Get Rid of Piles?

Bachelor of Unani Medicine & Surgery (B.U.M.S), D.A.F.E
Unani Specialist, Allahabad
How Unani Treatment Can Help To Get Rid of Piles?

A condition when tiny outgrowths are formed in the gastrointestinal region or anus is known as piles. Anybody can suffer from this painful disorder as such a condition arises only if an individual follows unhealthy daily food habits, faulty lifestyle or if he or she has constipation. Excessive stress is also another factor for the occurrence of piles. A person can experience intolerable pain due to piles, especially at the time of the passing of stool.

Though people do not consider piles to be a severe health issue, those who suffer from this condition knows how difficult it is to withstand such pain and irritation. Unani treatment or Unani medicines are highly beneficial in treating and dealing with piles. It is natural, cost- effective and also with no side- effects.

Piles treatment with Unani medicines
Effective paste for external application: One of the most effective and natural remedies is by preparing a mixture of catechu and soap nut. For trying this treatment, you need to grind equal amounts of soap nut or reetha and catechu for forming a powder. Just half gram of this natural powder needs to be applied on piles. Similarly, another paste is also helpful in the treatment of piles which has to be prepared by grinding hemp or bhang leaves, and Persian Lilac or Bakain leaves. After this, the appropriately mixed paste must be applied for providing quick relief from such intolerable pain. This particular medicine of Unani treatment is known to give extensive relief to people who are suffering from piles.

Remedy using neem leaves: The importance and significance of Neem leaves are known to almost all people. Besides other helpful features of those leaves, one more advantage of neem leaves is that they are also a part of Unani treatment for treating piles. Firstly, you need to wash nearly 200 gram of neem leaves properly and then extract juice from them. After the extraction is done, you have to boil the juice and then strain it. The next step is to mix barberry leaves' extract with the extracted neem juice. After cooling down the mixture, you need to make small sized pills. Experts advise consuming a total number of 2 pills twice each day.
Butter, camphor & galls to the rescue: Another effective means of getting rid of the pain due to piles is by applying a combined mixture of camphor, butter, and galls. For preparing this mixture, 4 gram of Mazu or galls, 12-gram butter and about 2 gram of camphor is required. The first step is to grind camphor and galls and then mix it with butter. Applying this mixture for getting relief from piles is actually beneficial.

There are very effective remedies available in Unani for piles treatment. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

4530 people found this helpful

Bowel Movement - What It Is Saying About Your Health?

MBBS, MD - Medicine, Masters In Evidence Based Medicine
General Physician, Delhi
Bowel Movement - What It Is Saying About Your Health?

Bowel movement is one of the most important clues about an individual’s health, as it gives a real idea of the gastrointestinal condition as well as overall health. One shall have to get familiar with the regular appearance of stool to spot the issues beforehand; however, the day to day alterations in the appearance does not mean that there is a problem with your health as one may notice short-term abnormalities based on what he or she is eating every day.

But in case an unexplained change lasts for over a week or so, it is a sign of some strange happening in the gastrointestinal tract.

  1. Hard pieces of faeces that are hard to pass: If the bowel movement is straining to pass, then the individual is constipated. Some people think that they are not suffering from constipation, but their stool is always hard and comes out in pieces rather than soft stool that passes out effortlessly. The most common reason behind such stool is a lack of fibre in the diet. According to general recommendations, an adult male must take at least 38 grams of fibre while an adult female must take about 25 grams of fibre. It is recommended to maintain a food journal to track the daily nutrients intake, and in case there is a lack of fibre in the diet, it can be stacked up with whole grains, fruits, beans and nuts.
  2. Black or bright red coloured poop: If the stool has a deep red appearance, it would indicate that a part of the bowel is bleeding. In most circumstances, the blood in the stool is caused by the benign haemorrhoids, but it could also be due to some ulcers in the colon or stomach or even cancer. That is why it is extremely crucial to bring it to the doctor’s notice. There are different types of over-the-counter medications which turn the stool into black colour. This sort of discolouration is entirely temporary and may stay along for a few days even after stopping the medicine.
  3. A loose stool which is not diarrhoeaLoose stool but not diarrhoea may mean that the individual is suffering from celiac disease. Although the illness is quite uncommon, most people who suffer from it are not aware of the condition. The appearance of the stool is the largest and most reliable signs of having celiac disease. Individuals affected with celiac disease are not able to tolerate gluten, and it destroys the villi in the lining of the small intestine. As a result, the nutrients are unabsorbed, and the stool becomes loose. Switching to a gluten-free diet for about 2 to 3 weeks can aid in alleviating the disease.

If the appearance of the stool remains abnormal for weeks together, it is important to talk to a doctor to find out if there is something serious underlying. Bowel movement is the truest sign of the intestinal health, and thus, should not be ignored. 

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Measures You Must Take Post Surgery for Hemorrhoids!

MBBS, MS - General Surgery
General Surgeon, Faridabad
Measures You Must Take Post Surgery for Hemorrhoids!

Have you ever faced difficulty or experienced severe pain while defecation? Well, this is a widespread phenomenon amongst many, but most of them feel shy to discuss this problem. Different People differently understand the term Piles. For some, it is the name given to the uneasiness or pain that one feels during defecation and for others, it might be blood found along with feces. This notion is partially correct. Piles, also known as Hemorrhoids, are vascular structures that are present in the anal canal.

These vascular structures are like cushions that help with stool control. The problem arises when these structures become swollen. Post inflammation of hemorrhoids leads to the ultimate problem. Piles become painful which is unbearable for many while a few people don’t feel much pain but bleeding characterizes the disease. Around 10% of patients having Piles problem require surgical treatment, but they are unaware of the measures needed before opting for a hemorrhoid surgery.


The operation that is used to remove hemorrhoids is known as Hemorrhoidectomy. In this surgery, a local or general anesthesia is given to the patient so that the affected area gets numb and the patient doesn’t feel much pain. The doctors make perform a procedure around the anus to get rid of the hemorrhoids. As the anus area is susceptible, stitches might be required. Patients can go home the same day, but intensive care is needed. It might take around two weeks to get normal, in some cases, it may also extend to 6 weeks.

Cure Piles in 15 Minutes (BIEM)-


‘Biological Impendence Electrical auto-Measurement’ (BIEM) concept is a smart and advanced technology that able to produce controlled ‘tissues fusion’ without causing any carbonation. This technology is being aggressively develop and incorporated into the variety of modern surgery.

The major advantages of this technology is no bleeding, no open wound, no risk of infection and less pain as the nerve fibers is sealed in the tissues fusion. The new tissues growth will take place from inside and the dry and hard zone will take off itself when tissues healed up. 

Measures to be taken post hemorrhoid surgery

The surgery is extremely safe, however, like all surgeries, there are certain precautions that need to be taken in order to avoid post-op infection or reaction to anesthesia. People mostly complain about the severe pain that they feel while defecating and might also be accompanied by irritation or itchiness in the treated area. These symptoms are normal, but if the irritation or itchiness becomes severe or excessive bleeding becomes frequent, then consult your doctor immediately.

Fever or difficulty while defecating should also be reported to the doctor if it continues to be a problem after surgery. For the recovery phase, your doctor might prescribe the use of some pain killers along with the usage of some stool softeners. Taking a warm bath might also lower down the pain.

Usually, the doctors prescribe a healthy diet before and after hemorrhoidectomy surgery. But the measures might differ from case to case. A few common after and before care measures include diet changes, lifestyle changes, and adopting a regular exercise program. These three steps will not only help in speedy recovery but also reduce the chances of hemorrhoids recurring.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2644 people found this helpful

Popular Questions & Answers

stomach and piles. It started with loose motion with pain. Took o2. Bifilac.meftal spas. Sucral o. After 4 days stool was very hard and that caused piles. Now stomach and piles.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, Warm welcome to I have evaluated your query thoroughly. You require an examination of proctoscopy with a consultant surgeon for best possible guidelines and management sir Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL Regards take care.

Hi yesterday I visited to a senior consultant gastro doc actually I’m suffering from anus itching and burning so he examined the place and said that I have a minor symptom of piles and fissure but he prescribed some blood test, whole abdominal usg and colonoscopy should he thinking any negative vibes I’m just 24 years old.

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
Sorry. But I can not agree to you on this point. If the patient consult a Gastroenterologist .who is supposed to be a superspecialist. He will definitely rule out the tests to rule out inflammatory bowel disease. Like ulcertive colitis. Also the blood test are probably to see the presence of anaemia related to blood loss. No test can be termed as unnecessary usually.

I am 27 year old female I have 1/2 inch fleshy skin hanging in my anus opening ,it doesn't bleed or pain. Is it piles? What should I do?

MBBS, MS - General Surgery, Diplomate of National board in Surgical Oncology
General Surgeon, Kolkata
Hi its an anal tag. Its a thrombosed piles often it results due to irregular bowel habbits and constipation its lead to discomfort and itching around anus. The treatment is excision of the tag. Apart from these yu can do the following. So reduce weight go for a jog in the morning drink 5 to 6 litres of water a day avoid red meat. Eat lot of vegetables daily. Sleep early donot panic. Go to a surgeon. Forv3rd n 4th degree piles. Get surgery done. Use stool softners do regular sitz bath. Thank you.
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Table of Content

What is Hemorrhoids?

Possible factors are:

What causes Hemorrhoids?

Having issues? Consult a doctor for medical advice