What They Are, What Causes Them and When to Seek Help
Seeing Blood? It Needs to Be Investigated
Blood from the anus should never be ignored. While hemorrhoids are a common cause, it’s essential to rule out other conditions like anal fissures, inflammatory bowel disease, or even colon cancer.
If you see blood—book an appointment. A simple examination like a proctoscopy or anal ultrasound can give you answers fast.
What Are Hemorrhoids and Why Do They Occur?
Hemorrhoids are normal vascular structures located in the anal and rectal region. They function like cushions and assist in controlling bowel movements. When these veins become swollen or inflamed, they cause discomfort, swelling, and bleeding—this is when we refer to pathological hemorrhoids. They can cause:
• Bleeding
• Discomfort or pain
• A lump or swelling near the anus
• Mucus or moisture
Inside the anus, these vessels act like cushions to help control bowel movements. But when strained or swollen—often from constipation or pushing too hard—they can become problematic.
Anal Anatomy
The anus contains hemorrhoidal vessels that help maintain continence. These structures are not inherently pathological.
Normal Hemorrhoid Function
When functioning properly, hemorrhoids aid in regulating defecation. Issues arise when pressure, congestion, or injury occurs in the area.
Avoid sitting on the toilet for more than 5 minutes
Symptoms You Shouldn’t Ignore
Recognizing symptoms early is crucial for proper treatment.
• Bright red blood during wiping or in the stool
• A lump that bulges from the anus (can be small or large)
• Pain or pressure, especially after bowel movements
• A feeling of incomplete emptying
• Sudden painful swelling may mean a small clot (thrombosis)—this is not dangerous and usually heals in days
But keep in mind: not all symptoms are from hemorrhoids. Some serious conditions can mimic them. That’s why getting a proper evaluation is so important.
Common Causes of Hemorrhoids
• Sitting on the toilet for more than 5 minutes
• Constipation and straining
• Pregnancy (increased pressure)
• Obesity
• Heavy lifting or intense workouts (e.g., squats)
• Standing for long periods
Changing these habits can reduce symptoms or even prevent hemorrhoids altogether.
How Are Hemorrhoids Diagnosed?
• External hemorrhoids are usually visible.
• Internal hemorrhoids need a proctoscopy—a quick, painless scope to check inside the rectum.
• Anal fissures, inflammation, or tumors may also be detected during this exam.
• Endoanal ultrasound may be used to get a deeper look at what’s going on.
If you feel fullness, frequent urges to go, or something “off,” these tools help provide clarity.
Hemorrhoid Grading: What It Means
Grade
- Grade I: Internal; no prolapse
- Grade II: Prolapse during bowel movement, then retracts on its own
- Grade III: Prolapse; needs to be pushed back manually
- Grade IV: Permanently prolapsed; cannot be pushed back
Treatment depends on symptoms, not just size.
-> Not all large hemorrhoids need surgery.
-> Not all small ones are harmless.
Why Hemorrhoids Recur
Even after treatment, hemorrhoids may return if underlying causes are not addressed:
- Poor diet
- Lack of hydration
- Improper toilet habits
- Inadequate medical follow-up
Conservative Hemorrhoid Treatment
Before considering surgery, it’s essential to explore non-invasive solutions that often provide relief.
Diet and Hydration
- A diet rich in fiber (fruits, vegetables, whole grains) softens stool.
- Drinking plenty of water (1.5–2 liters per day) helps prevent constipation.
Healthy Bowel Habits
- Avoid straining
- Respond promptly to the urge to defecate
- Minimize toilet time
Topical Treatments and Creams
Medicated creams with anti-inflammatory, pain-relieving, or decongestant properties can reduce symptoms effectively.
Modern Surgical Treatment Options
When conservative methods fail, we employ evidence-based surgical techniques:
Laser-LHP
Minimally invasive laser method, with very short recovery time.
HAL-RAR
A combination of arterial ligation and mucosal lifting, ideal for advanced stages.
Band Ligation
Painless method suitable for early-stage internal hemorrhoids.
Sclerotherapy (Injections)
Used for mild cases; causes controlled inflammation that shrinks the hemorrhoid.
Surgical Excision
For chronic or recurring hemorrhoids with significant swelling and pain.
Ready to Feel Better?
If you’re experiencing symptoms—or just want peace of mind—book your consultation today. Early diagnosis can make a world of difference.
Contact our Anal Surgery Clinic today for personalized evaluation and proven treatment guided by science and experience.
Hemorrhoids – FAQs
Pressure in the anal area due to constipation, sedentary life, or pregnancy.
Yes, with proper diet, hydration, and healthy bowel habits.
No surgery needed if:
• Hemorrhoids don’t bleed or cause major discomfort
• They’re Grade I or II, and managed well with lifestyle changes
Surgical or interventional treatment may be needed if:
• There is frequent bleeding
• Grade III or IV hemorrhoids cause pain or hygiene issues
• Symptoms interfere with daily life
Less invasive treatments like rubber band ligation or laser therapy work well for many cases—and are done in the clinic with little to no downtime.
Modern methods are pain-free or involve minimal discomfort.
It depends on the technique and individual case. We provide an estimate during consultation.
New methods with fancy names often appear in advertising. But not all are necessary—or even scientifically backed.
Always consult a proctologist to understand:
• What’s really going on
• Which treatments are actually right for you
- Don’t ignore blood or pain
- Most hemorrhoids don’t need surgery
- Constipation and toilet habits are key causes
- Modern treatments are fast, safe, and effective
- A simple proctoscopy or ultrasound can provide clear answers
Yes, especially if lifestyle factors aren’t addressed.
The one tailored to your specific condition and symptoms
At our Anal Surgery Clinic, we offer:
• Personalized care
• Medically proven techniques
• Avoidance of unnecessary surgeries
• Over 30 years of experience
Delaying a specialist visit can lead to complications or misdiagnosis.
- Persistent bleeding
- Ongoing discomfort or pain
- Failure of conservative treatment
- Rule out other anal conditions
Accurate diagnosis is the first and most important step.
- Proctoscopy: Visual examination of the anal canal
- Medical history: Assessing lifestyle, symptoms, and prior issues
- Personalized assessment: Tailored treatment plan for each case
| Myth | Fact |
| They go away on their own | In some cases yes, but often they need treatment |
| Only older people get them | They can occur at any age |
| Surgery is always required | No, many cases are treated conservatively |
Relevant Articles
Hemorrhoid Thrombosis: What It Is and How to Treat It
Options and techniques for treatment of hemorrhoids.
Rubber band ligation of hemorrhoids
Invasive treatment of hemorrhoids
Fecal incontinence after Anal dilation (Lord’s operation)
Classification of hemorrhoids
Acute Thrombosed hemorrhoids
Hemorrhoids-Athens Colorectal Laboratory
Correlation between Hemorrhoids and sport activities
