Last Reviewed : 12/28/2020

Hemorrhoids, also spelled haemorrhoids, are vascular structures in the anal canal. In their normal state, they are cushions that help with stool control. They become a disease when swollen or inflamed; the unqualified term "hemorrhoid" is often used to mean the disease. The signs and symptoms of hemorrhoids depend on the type present. Internal hemorrhoids usually present with painless, bright red rectal bleeding when defecating. External hemorrhoids often result in pain and swelling in the area of the anus. If bleeding occurs it is usually darker. Symptoms frequently get better after a few days. A skin tag may remain after the healing of an external hemorrhoid.

While the exact cause of hemorrhoids remains unknown, a number of factors which increase pressure in the abdomen are believed to be involved. This may include constipation, diarrhea, and sitting on the toilet for a long time. Hemorrhoids are also more common during pregnancy. Diagnosis is made by looking at the area. Many people incorrectly refer to any symptom occurring around the anal area as "hemorrhoids" and serious causes of the symptoms should be ruled out. Colonoscopy or sigmoidoscopy is reasonable to confirm the diagnosis and rule out more serious causes.

No specific treatment is often needed. Initial measures consists of increasing fiber intake, drinking fluids to maintain hydration, NSAIDs to help with pain, and rest. Medicated creams applied to the area are poorly supported by evidence. A number of minor procedures may be performed if symptoms are severe or do not improve with conservative management. Surgery is reserved for those who fail to improve following these measures.

Half to two thirds of people have problems with hemorrhoids at some point in their lives. Males and females are affected about equally commonly. Hemorrhoids affect people most often between 45 and 65 years of age. It is more common among the wealthy. Outcomes are usually good. The first known mention of the disease is from a 1700 BC Egyptianpapyrus.


We researched this topic for you and found the following best online resources. They are categorized into basic, advanced, and research level based on the extent of information you need. You will be taken to the respective websites by pressing on the links below.


Basic information:

http://www.webmd.com/digestive-disorders/tc/understanding-hemorrhoids-basics web md hemorrhoids: what you should know

http://www.healthline.com/health/hemorrhoids healthline hemorrhoids

http://www.health.harvard.edu/diseases-and-conditions/hemorrhoids_and_what_to_do_about_them health harvard hemorrhoids and what to do about them

http://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/hemorrhoids/pages/facts.aspx national institute of digestive and diabetes and kidney diseases hemorrhoids

http://www.medicalnewstoday.com/articles/73938.php mnt hemorrhoids: facts, causes and treatments

http://www.medicinenet.com/hemorrhoids_piles/article.htm medicine net.com hemorrhoids (piles)

https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/haemorrhoids better health hemorrhoids

http://www.merckmanuals.com/professional/gastrointestinal-disorders/anorectal-disorders/hemorrhoids merck manuals hemorrhoids

http://familydoctor.org/familydoctor/en/diseases-conditions/hemorrhoids.html family doctor.org hemorrhoids

http://www.everydayhealth.com/hemorrhoids/guide/ everyday health hemorrhoids

http://www.livescience.com/34734-hemorrhoid-symptoms-treatment-causes.html live science hemorrhoids: symptoms, causes and treatment

http://www.nhs.uk/conditions/haemorrhoids/pages/what-is-it-page.aspx nks uk hemorrhoids

http://bodyandhealth.canada.com/condition/getcondition/rectal-swelling canada.com hemorrhoids

http://www.nytimes.com/health/guides/disease/hemorrhoids/overview.html new york times hemorrhoids

http://kidshealth.org/en/parents/piles.html kids health hemorrhoids

http://www.healthlinkbc.ca/healthtopics/content.asp?hwid=hw213495 health link bc hemorrhoids

https://www.verywell.com/preventing-and-treating-hemorrhoids-3157225 very well preventing and treating hemorrhoids

http://www.healthcentral.com/encyclopedia/hc/hemorrhoids-3169015/ health central hemorrhoids

https://myhealth.alberta.ca/health/pages/conditions.aspx?hwid=hw213495 my health alberta.ca hemorrhoids


Advanced information:

http://www.emedicinehealth.com/hemorrhoids/article_em.htm emedicine health hemorrhoids

http://emedicine.medscape.com/article/775407-overview medscape hemorrhoids

https://www.fascrs.org/patients/disease-condition/hemorrhoids-expanded-version american society of colon and rectal surgeons hemorrhoids: expanded version

http://www.medbroadcast.com/condition/getcondition/piles medbroad cast hemorrhoids

http://www.uptodate.com/contents/hemorrhoids-beyond-the-basics upto date patient information: hemorrhoids (beyond the basics)

http://gicare.com/diseases/hemorrhoids/ jackson siegelbaum gastroenterology hemorrhoids

http://www.hemorrhoids.net/ hemorrhoides.net hemorrhoids

http://www.britannica.com/science/hemorrhoid britannica hemorrhoids



http://memo.cgu.edu.tw/cgmj/3305/330502.pdf current status of surgical treatment for hemorrhoids -systematic review and meta-analysis by jinn-shiun chen, md, facs; jeng-fu you, md chang gung med j vol. 33 no. 5 september-october 2010

http://www.aafp.org/afp/2011/0715/p204.html hemorrhoids anne l. Mounsey, md; jacqueline halladay, md, mph; and timothy s. Sadiq, md, university of north carolina school of medicine, chapel hill, north carolina am fam physician. 2011 jul 15;84(2):204-210.

http://www.scielo.br/scielo.php?script=sci_arttext&pid=s0102-86502004000100013 acta cir. Bras. Vol.19 no.1 são paulo jan./feb. 2004 http://dx.doi.org/10.1590/s0102-86502004000100013 technical skill:infrared coagulation: a preferred option in treating early hemorrhoids by pravin j.gupta

http://medind.nic.in/iaa/t14/i11/iaat14i11p577.pdf management of hemorrhoids by anmol chugh, rajdeep singh, pn agarwal indian journal of clinical practice, vol. 25, no. 6, november 2014

http://www.asge.org/assets/0/71312/71314/145aeb14-9e9d-43d9-8a51-80ff3bde20a4.pdf devices for the endoscopic treatment of hemorrhoids gastrointestinal endoscopy volume 79, no. 1 : 2014


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http://www.drhomeo.com/hemorrhoids/hemorrhoids-and-homeopathy/ 10 best homeopathic medicines for piles

http://naturalsociety.com/home-remedies-for-hemorrhoids-6-natural-treatments/ home remedies for hemorrhoids – 6 natural treatments

read more: http://naturalsociety.com/home-remedies-for-hemorrhoids-6-natural-treatments/#ixzz4bminqgwx

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