Conditions / Haemorrhoid


Also called piles, haemorrhoids are swollen veins in the lower rectum and anus. These veins are similar to varicose veins. Haemorrhoids may be internal (located inside the rectum) or external (develop under the skin around the anus).

Sign and Symptoms

  • Painless bleeding during defecation in internal haemorrhoids
  • Painful bleeding in case of external haemorrhoids due to an erosion of skin
  • Swelling around your anus
  • Itching or irritation in your anal region


The veins around the rectum and anus tend to stretch, bulge or swell with high pressure. There are multiple causes of increased local pressure;

  • Low-fibre diet
  • Obesity
  • Anal intercourse
  • Pregnancy
  • Chronic diarrhoea or constipation
  • Sitting for long periods of time on the toilet
  • Straining during bowel movements


External haemorrhoids can be diagnosed simply by looking the anal area. To diagnose internal haemorrhoids, two most common types of procedures include;

  • Visual inspection
  • Digital examination


    1. Home remedies and precautions
      • Keep the anal area clean
      • Eat high-fibre foods
      • Don’t use dry toilet paper
      • Soak regularly in a warm bath or sitz bath
      • Do not spend more time on the toilet
      • Cold compressions
    2. Medications
      • Topical treatments
      • Haemorrhoid suppository or cream containing 1% hydrocortisone
      • Oral pain relievers such as aspirin or ibuprofen (Advil, Motrin IB, others). and acetaminophen (Tylenol, others).
    3. Surgical procedures
      If symptoms don’t improve by home remedies and medications, a doctor may recommend a surgical procedure that would be either


      • Haemorrhoid stapling or
      • Haemorrhoid removal

    Disclaimer: This article is for information only and should not be used as a substitute for professional medical care by a qualified doctor or other healthcare professional. ALWAYS check with your doctor if you have any concerns about your condition or treatment.

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