Hemorrhoids are swollen, inflamed veins around the anus or lower part of the rectum. They can be found inside the anus or under the skin surrounding the anus.
Often they are a result of the effort to evacuate the intestine. Other factors include pregnancy, aging and chronic constipation or diarrhea. Within the internal ones, four grades of hemorrhoids can be differentiated:
Grade 1: Hemorrhoids are slightly inflamed, but are not visible from the outside of the anus. In most cases it does not cause discomfort, although it can cause blood defecation.
Grade 2. The inflammation is greater, and during the evacuation tend to leave outside the anus, although they return to enter inside.
Grade 3. In this degree there are prolapses already, that is to say, the hemorrhoids leave the anus after the evacuation or spontaneously, and they can only be reintroduced into the anus manually by pushing with the finger.
Grade 4. It is the highest degree, and hemorrhoids are found permanently, that is, they are constantly outside the anus. This causes that there are also some tissues of the anus, such as mucous tissue, which also move outwards.
Causes of hemorrhoids
Hemorrhoids appear due to the submission to high and repeated pressures of the veins of the rectum and anus. The most common cause of this is constipation, because a great effort is made on the anal area, and this causes the pumping of a lot of blood. When the amount of blood to return to the heart is very large, the veins become inflamed and that is when the hemorrhoidal pathology originates. In addition, with constipation it also happens that fecal material accumulates in the rectum, and that presses the veins. However, the opposite disorder, diarrhea also favors the appearance of hemorrhoids because liquid stools irritate the veins if the evacuations of this type are continued.
Hemorrhoids can occur in any person and at very different ages. However, there are a number of factors that favor the appearance of this pathology, in addition to the fact of suffering temporary disorders such as diarrhea or constipation. Some of them are:
– Obesity, because there is an increase in the pressure of the abdominal area on the pelvic floor.
– Pregnancy, on the one hand, because the hormonal changes that occur in this stage cause constipation, and on the other, because of the fetus, especially in recent weeks, causes an increase in pressure on the pelvic area and hinders the proper circulation of the veins of that area.
– To spend long hours daily standing or sitting, or carrying heavy material.
– Hereditary factors.
– Eating an incorrect diet, where foods rich in fiber are not consumed, which favor proper intestinal functioning. They can also be caused to take spicy foods in excess.
– Colon problems.
How to relieve the discomfort of hemorrhoids
Avoid the use of wipes and soaps, whose components would irritate more inflammation. Sitz baths with warm water will relieve symptoms and keep the area clean. We can carry them out 2 or 3 times a day, especially after defecating. For this, fill the bidet or a basin with warm water, sit on it and keep the submerged zone for approximately 10 minutes.
If your hemorrhoids do not improve with home treatments, you may need a type of treatment in the doctor’s office to reduce the size of the hemorrhoids.
If the treatment in the doctor’s office is not enough, some type of surgery may be necessary, such as the removal of hemorrhoids (hemorrhoidectomy). These procedures are usually used for people who have severe bleeding or prolapse that has not responded to other therapy.
Listen to the body: It is important not to suppress the need to defecate for a long time because it can contribute to the appearance of hemorrhoids. On the other hand, go to the bathroom only when you really feel the need to defecate and not when you think it’s time to go. Each person has their own rhythm or needs.
Enough time: Take the time you need and relax. Avoid spending more than 5 minutes in the toilet trying to defecate, because the effort worsens the condition of the hemorrhoids. Also carry out a correct hygiene of the anal area. Do not stay longer than necessary in the service. Otherwise, continuous and unnecessary pressure is exerted on the anal area.
Do not force when defecating: Try not to make too much force when you go to the service because if you do not submit to the anal area at a high pressure that promotes the increase of hemorrhoids.