Hemorrhoids (HEM-uh-roids), also called piles, are swollen veins in the anus and lower rectum, similar to varicose veins. Hemorrhoids can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids).

Nearly three out of four adults will have hemorrhoids from time to time. Hemorrhoids have a number of causes, but often the cause is unknown.

Fortunately, effective options are available to treat hemorrhoids. Many people get relief with home treatments and lifestyle changes.

Hemorrhoids can be caused by:

  • The veins around your anus tend to stretch under pressure and may bulge or swell. Hemorrhoids can develop from increased pressure in the lower rectum due to:
    • Straining during bowel movements
    • Sitting for long periods of time on the toilet
    • Having chronic diarrhea or constipation
    • Being obese
    • Being pregnant
    • Having anal intercourse
    • Eating a low-fiber diet
    • Regular heavy lifting

Signs and symptoms of hemorrhoids usually depend on the type of hemorrhoid.

External hemorrhoids

These are under the skin around your anus. Signs and symptoms might include:

  • Itching or irritation in your anal region
  • Pain or discomfort
  • Swelling around your anus
  • Bleeding

Internal hemorrhoids

Internal hemorrhoids lie inside the rectum. You usually can’t see or feel them, and they rarely cause discomfort. But straining or irritation when passing stool can cause:

  • Painless bleeding during bowel movements. You might notice small amounts of bright red blood on your toilet tissue or in the toilet.
  • Hemorrhoid to push through the anal opening (prolapsed or protruding hemorrhoid), resulting in pain and irritation.

Thrombosed hemorrhoids

If blood pools in external hemorrhoid and forms a clot (thrombus), it can result in:

    • Severe pain
    • Swelling
    • Inflammation
    • A hard lump near your anus

Your doctor might be able to see external hemorrhoids. Diagnosing internal hemorrhoids might include an examination of your anal canal and rectum.

  • Digital examination. Your doctor inserts a gloved, lubricated finger into your rectum. He or she feels for anything unusual, such as growths.
  • Visual inspection. Because internal hemorrhoids are often too soft to be felt during a rectal exam, your doctor might examine the lower portion of your colon and rectum with an anoscope, proctoscope, or sigmoidoscope.

Your doctor might want to examine your entire colon using colonoscopy if:

  • Your signs and symptoms suggest you might have another digestive system disease.
  • You have risk factors for colorectal cancer.
  • You are middle-aged and haven’t had a recent colonoscopy.

The Rafaelo® Procedure is a safe and effective treatment for internal hemorrhoids using well-established Radio frequency technology, allowing patients to walk in and walk out, with minimal post-operative pain, if any at all, and immediately return to normal daily activities. Its effect is to reduce the symptoms to a normal level and to remove hemorrhoids.

  • High fluid intake
  • Eating high fiber foods
  • Getting sufficient exercise
  • Losing weight when overweight
  • Avoid of diarrhea and constipation

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