Hemorrhoids - Causes, Symptoms, Diagnosis, Prevention & Treatment
Health Education


Authored by DesiMD Doctor on 19 Mar 2013 - 17:15.

Hemorrhoids are commonly known as “piles” in layman terms. Piles originates from Latin word ‘Pila’ which means a ball or a pillar. This condition is a very common problem among the Indians and many people worldwide.

Hemorrhoids are enlarged, bulging blood vessels in and about the anus and lower rectum. So what causes the blood vessels to bulge? When the tissues supporting the blood vessels in lower rectum stretch, the vessels dilate and their walls become thin and bleed. If the stretching and pressure continue, the weakened vessels protrude causing hemorrhoids.

There are two types of Hemorrhoids, Internal and External Hemorrhoids. We shall be focussing more on Internal Hemorrhoids in this issue.

Internal Hemorrhoids develop within the anus beneath the lining of the last part of the rectum and can cause severe pain if it is completely "prolapsed" - protrudes from the anal opening and cannot be pushed back inside.

Causes of Hemorrhoids may include:

• Sitting or standing for prolonged periods of time
• Aging
• Chronic constipation or diarrhoea
• During or after pregnancy/child birth Heredity
• Straining during bowel movements which in turn increases pressure on these veins
• Faulty bowel function due to overuse of laxatives or enemas
• Pelvic  tumours
• Eating high fat and low fiber diet

Patients usually present the manifestations as mentioned below:

• Streaks of red blood in the stools or toilet paper after having a bowel movement

• Burning and pain during a bowel movement
• Bleeding during bowel movements
• Protrusion during bowel movements
• Itching in the anal and rectal area

Your doctor can diagnose hemorrhoids by examining the rectal area and/or use diagnostic tests if required.

Diagnostic tests required:

•  Colonoscopy (examination of colon with a camera)
•  Sigmoidoscopy (partial colonoscopy)
•  Barium enema (X-ray exam of colon)
•  Anoscopy (direct exam with naked eye into the anal canal)


Treatment of Hemorrhoids

• Constipation and straining with stools should be avoided.
• Add high fiber in your diet. Stool softeners and laxatives should be used if necessary.
• Rectal pain and bleeding is controlled by sitz baths, creams and suppositories.

Definitive treatment to get rid of the Hemorrhoids like:

• Hemorrhoid band ligation which  involves applying rubber bands on the Hemorrhoids so that the blood supply is cut off and hemorrhoids shrink.
• Infrared coagulation using infrared rays.
• Hemorrhoidectomy which involves surgery to remove Hemorrhoids.

Sitz bath:
A sitz bath is used to treat the symptoms of anal fissures or Hemorrhoids by encouraging healthy blood flow to the rectal area.


Sitz bath after hemorrhoids surgery


Sitting for a few minutes in 3 inches of warm water twice a day helps:

Relieve the symptoms of                 Hemorrhoids

• Minimizes postoperative pain and promotes healing.

Methods for the cure of hemorrhoids in Ayurveda are:

• Turmeric powder mixed with the latex of Soro-soro or the common milk hedge (Euphorbia neriifolia Linn.) applied to piles

• Thread steeped in the same mixture used for ligaturing external hemorrhoids.

High fiber diet has been thought to prevent and help with various digestive disorders including Hemorrhoids.

Yoga is believed to play a major role in curbing piles to a great extent. There are various Yoga techniques (asanas) which you can do at the convenience of your home and greatly benefit from it.

*Disclaimer This is not medical advice. The content is for educational purposes only. Please contact your doctor for any health care issues.