Hemorrhoids (HEM-uh-roids)--also called ""piles''--are
swollen veins in the rectum or anus. You can have hemorrhoids
for years before they cause pain or
bleeding.
Causes
Hemorrhoids tend to develop
during pregnancy, and in people who are overweight. They may
also result from excessive straining during bowel movements and
from sitting too long on hard chairs. They are also associated
with liver problems.
Signs/Symptoms
The primary symptom is a swelling
or a soft lump at the anus, sometimes accompanied by pain and
itching. You may pass some mucus after a bowel movement. You
may also feel that you need to pass more stool. There may be
streaks of bright-red blood on the toilet paper or on the
stool. The water in the toilet may also be reddish from
blood.
Care
Your doctor may need to examine
your rectal area using a short tube. Usually, medications, warm
baths, and ice packs will relieve the problem. Surgery may be
necessary if the hemorrhoids cause you problems for a long
time.
WHAT YOU SHOULD DO
To reduce pain and swelling, apply an
over-the-counter hemorrhoid medicine. Follow the directions
on the label.
Sit in a tub of comfortably hot water for 20 minutes,
3 times a day.
If a hemorrhoid is very painful and swollen, apply an
ice pack to the anal area.
Clean the anal area gently with soft, moist toilet
paper after each bowel movement.
You may do normal activities if you are not in pain.
Avoid sitting or standing for long periods of time. If the
hemorrhoid is painful, lie down as much as
possible.
You may use a stool softener to make your bowel
movements easier to pass. Don't try to hurry bowel
movements and don't strain.
Lose weight if you are
overweight.
Eat a high-fiber diet. Good choices are fruits and
vegetables, oat and bran cereal, whole-grain bread, and
brown rice. Drink plenty of liquids, at least 6 to 8
glasses (soda-can sized) every day.
Exercise regularly.
Call Your Doctor If...
Your hemorrhoids cause severe pain that is not
relieved by the above steps.
You have rectal bleeding that is more than a trace or
streak on the toilet paper or in the
stool.
You notice a hard lump in the location of the
hemorrhoid.