Hemorrhoids Symptoms, Hemorrhoids Signs, and Hemorrhoids Diagnosis

Hemorrhoids can present no symptoms of disease but may cause bleeding, protrusion, and pain. Rectal bleeding should be attributed to hemorrhoids only after more serious conditions are excluded. Hemorrhoidal bleeding, which typically follows defecation and is noted on toilet tissue, rarely leads to anemia or severe hemorrhage. External and internal hemorrhoids can protrude; they may regress spontaneously or be reduced manually. Only the formation or presence of a blood clot within a blood vessel or ulcerated hemorrhoids are painful.

The formation or presence of a blood clot within a blood vessel appears as protruding tissues surrounding the anus. These protrusions can vary with pain from nonexistent to severe.

Hemorrhoids which are ulcerated, and swollen with edema, or strangulated hemorrhoids, “acute attack of piles” can cause severe pain. Less commonly, internal hemorrhoids cause mucus discharge and a sensation of incomplete evacuation, and external hemorrhoids cause difficulty in cleansing the anal region.

localized or generalized itching due to irritation of sensory nerve endings from organic or originating in the mind or in mental or emotional conflict causes is usually not a symptom of hemorrhoids.

Blood clots within an anal blood vessel and ulcerated swollen strangulated hemorrhoids can be readily diagnosed on inspection of the rectum. Examination after straining at stool or a phosphate enema often reveals the extent of a person’s hemorrhoidal condition. Anoscopy is essential in evaluating painless hemorrhoids.
Hemorrhoid Treatment

Stool softeners or bulking agents (eg, psyllium) may correct constipation and straining, thus allowing hemorrhoids to resolve. Pain caused by a thrombosed hemorrhoid can be treated with reassurance, warm sitz baths, anesthetic ointments, or witch hazel compresses.

Bleeding hemorrhoids can be treated by injection sclerotherapy (the injection of a sclerosing (condition in which a tissue has become hard also called also hardening) agent into a vericose vein or spider veins to create fibrosis which closes the lumen) with 5% phenol in vegetable oil. Bleeding should cease at least temporarily.

source:www.edris.com