What is Hemorrhoids & Types of Hemorrhoids ?


Hemorrhoids (or Hemorrhoids) (also called piles) are actually vascular formations in the anal canal. Normally, they are shaped like cushions and their function is to aid in bowel control. Swelling of the Hemorrhoids results in disease.


  • Internal
  • External
  • Prolapsed
  • Thrombosed

When defecating, internal Hemorrhoids frequently cause painless, bright red rectal bleeding. External Hemorrhoids may cause discomfort and oedema in the anus. When there is bleeding, it is generally darker. A skin tag may linger after an external haemorrhoid has healed. Symptoms frequently get better after a few days; however, in case it causes disruptions in normal activities and bowel movements, a physician should be consulted immediately, especially if the swelling and discomfort does not go away after treating at home for a week. If there is rectal bleeding, changes in bowel habits and the colour or consistency of your faeces, it shouldn’t automatically be chalked up to Hemorrhoids, as it could indicate a more severe condition, including colorectal cancer and anal cancer can cause rectal bleeding. Heavy rectal bleeding accompanied by fainting, dizziness, or lightheadedness, would require immediate medical attention.

For more information about Hemorrhoids, type “gastroenterology in Guwahati” in the Google search bar.


Hemorrhoids are not noticeable in all cases. However, when they enlarge, they may seem as lumps or bumps in either red or blue.

The four primary forms of Hemorrhoids are described below in terms of how they appear:

  • Internal. These are too deep in the anus to always be seen, thus they aren’t always visible. They are outgrowths from the rectum or anal canal wall. Internal Hemorrhoids can manifest as lumps or a lengthy protrusion depending on their severity.
  • Prolapsed. This is when a haemorrhoid inside of you enlarges and lengthens to the point that it protrudes from your anus. Serious prolapsed Hemorrhoids continue protruding from the anus, but less severe prolapsed Hemorrhoids emerge from the anus when straining and spontaneously retract when you relax.
  • External. This resembles one or more lumps on the anus and its surroundings. These are visible from the outside.
  • Thrombosed: When a blood clot develops inside a hemorrhoidal vein, restricting blood flow and resulting in a painful swelling of the anal tissues, the haemorrhoid becomes thrombosed.

If you are unsure of the way your Hemorrhoids appear or seek more information regarding the same, type “gastroenterology in Guwahati” in the Google search bar.


Complications of Hemorrhoids may include:

  • Bleeding from anus
  • Fissures and fistulate formation in the anal and rectal region
  • Allergy or irritation
  • Anal venous thromboses may develop after sclerotherapy
  • Anal prolapse may occur with longstanding Hemorrhoids

For more about complications stemming from Hemorrhoids, type “gastroenterology in Guwahati” in the Google search bar.


Diagnosis  is done either by

  • Digital examination. Your doctor inserts a gloved, lubricated finger into your rectum. He or she feels for anything unusual, such as growths, or
  • Visual inspection. Because internal hemorrhoids are often too soft to be felt during a rectal exam, your doctor might examine the lower portion of your colon and rectum with an anoscope, proctoscope or sigmoidoscope.

Physical examination is often used to diagnose Hemorrhoids. External or prolapsed Hemorrhoids may be identified visually by examining the anus and its surroundings. Rectal exams can be used to look for abscesses, polyps, enlarged prostates, and rectal malignancies. Despite the fact that most internal Hemorrhoids are painless, this examination may not be feasible without the proper sedative due to discomfort. Internal type may need to be visually confirmed via anoscopy, which involves inserting a hollow tube device with a light connected at one end.  may be identified by where they are in relation to the pectinate line. Some people may have both symptoms manifestations at the same time. For more about Hediagnoses, type “gastroenterology in Guwahati” in the Google search bar.

Hemorrhoids can be cured and its pained alleviated most of the time by home remedies. You can often relieve the mild pain, swelling and inflammation of hemorrhoids with home treatments such as
  • Eating high-fiber foods like fruits, vegetables and whole grains. By doing this, the stool will become softer and more bulky, preventing straining, which can make the symptoms of pre-existing Hemorrhoids worse. To avoid issues with gas, gradually introduce more fibre into your diet.
  • Regularly take sitz baths or warm baths. Take a 10- to 15-minute bath in plain, warm water twice or three times daily to treat your anal region. The toilet may fit over a sitz bath.
  • Oral pain relievers like acetaminophen (Tylenol, others), aspirin or ibuprofen (Advil, Motrin IB, others) can be used temporarily to help relieve discomfort.
  • Over-the-counter lotions, ointments, suppositories, or pads in case of minimal discomfort. These lotions have chemicals including witch hazel, hydrocortisone, and lidocaine that help reduce itching and discomfort momentarily. Over-the-counter steroid cream should not be used longer than a week as it might thin your skin. For additional information on Hemorrhoids medications, type “gastroenterology in Guwahati” in the Google search bar.


    • Rubber band ligation:
    • Injection (sclerotherapy). Your doctor injects a chemical solution into the hemorrhoid tissue to shrink it. While the injection causes little or no pain, it might be less effective than rubber band ligation.
  • Coagulation (infrared, laser or bipolar).


Although surgery is rarely required for treating , certain complications might induce the doctor to recommend surgical procedures such as:

  • Hemorrhoid removal (hemorrhoidectomy)
  • Hemorrhoid stapling.

For more information about surgical procedures , “gastroenterology in Guwahati” in the Google search bar.


Although everyone gets it at some point in their life, it can be prevented in the following ways:

  • Do not put off going to the bathroom as much as can be helped
  • Eat a fibre rich diet
  • Exercise regularly



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