Hemorrhoids, also called piles, are swollen or enlarged veins that form in the lower rectum and around the anus.
There are two types of hemorrhoids: internal and external hemorrhoids. Internal hemorrhoids form in the lining of the anus and the lower rectum. External hemorrhoids develop under the skin around the anus.
Hemorrhoids are common in both men and women, affecting an estimated 50% of adults at some point in their lives. Some people are more at risk of developing hemorrhoids than others. They include those who:
- Live a sedentary lifestyle or have a profession where they sit for long periods
- Are pregnant
- Have a family history of hemorrhoids
- Are between the ages of 45 and 65 years old
Hemorrhoids develop when there is increased pressure on the veins in the anus or rectum, which leads to inflammation and swelling.
Increased pressure on the veins in these areas may be caused by:
- Chronic constipation or diarrhea
- Straining when passing stool
- Sitting on the toilet for extended periods
- Eating a low-fiber diet
- Being pregnant
- Frequently lifting heavy objects
- Being overweight or obese
- Having anal intercourse
The symptoms of hemorrhoids vary based on the type you have (internal or external). You may experience:
- Itching
- Swelling or hard lumps around the anus
- Pain or discomfort in the affected area
- Bleeding (You may see bright red blood in stool, on toilet paper, or in the bowl, after pooping)
Symptoms of more minor hemorrhoids may be treatable at home, using over-the-counter hemorrhoid and pain medications, soaking in sitz baths, drinking more water, eating more fiber, or taking laxatives.
You should see a doctor if symptoms persist (not improving after one week of at-home treatments), and especially if your stool turns black or red, or if you notice more blood than usual.
Your doctor can diagnose hemorrhoids by performing a physical examination or tests such as a digital rectal exam or anoscopy. They may recommend treatments based on the symptoms you are experiencing and their severity. Treatment can include injections, surgery, rubber band ligation, or using infrared light to burn hemorrhoids.
To schedule an appointment with a doctor at Jamaica Hospital Medical Center, please call 718-206-7001.
All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

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