Hemorrhoids are one of the most common diseases in adults, especially those over the age of 50. There are many types of them, and they cause very annoying and often unbearable pain. Their symptoms usually appear in the form of bleeding and itching in the anus. The cause of their occurrence is commonly due to advanced age as well as genetic factors. However, the correct methods of treating hemorrhoids must be followed to avoid many complications, while making sure to go to Al Mousa Specialist Center to receive the necessary medical care at the hands of an elite group of doctors, and for more details about this. 

 Causes of hemorrhoids in men

Children rarely get hemorrhoids because it takes time to develop and become a health problem.

• السمنة.
• الإمساك المزمن.
• Sitting for long periods.
• رفع الأشياء الثقيلة. 
• Low-fiber diet. 
• Make an effort when defecating.

The causes of hemorrhoids in women do not differ from those in men, but in addition to pregnancy, which increases the chances of hemorrhoids occurring.

What are the forms of hemorrhoids?

There are three different types of hemorrhoids, which include the following: 

• البواسير الخارجية – External haemorrhoids: They feel like hard lumps surrounding the anus, and resemble small hemorrhoids.
• البواسير الداخلية - Internal haemorrhoids: They are located inside the rectum, and are usually painless, but they tend to bleed more. 
• Prolapsed hemorrhoids – prolapsed hemorrhoids: are The most dangerous types of hemorrhoids They hang outside the body through the anus, especially after defecation.

Symptoms of external hemorrhoids

Signs of hemorrhoids vary depending on their types. Symptoms of external hemorrhoids include:

• Pain, itching and swelling in the anal area.  
• Feeling pain when defecating.
• النزيف. 

Do not neglect the previous symptoms, and be sure to visit a doctor to treat the problem early, before the symptoms develop and worsen. 

Types of internal hemorrhoids 

Internal hemorrhoids are the mildest type of hemorrhoids, because they are located inside the rectum and rarely cause pain: 

• Bloody stool, due to rupture of bulging capillaries inside the rectum. 
• They turn into prolapsed hemorrhoids, which causes pain and irritation in the rectum and anus. 

Are there similarities between hemorrhoids and other diseases? 

Some diseases that affect the digestive system may cause symptoms similar to hemorrhoids, and some of them require treatment as soon as possible due to their seriousness, including: 

• سرطان القولون. 
• مرض كرون. 
• Ulcerative colitis 

تعرف علي :القضاء على البواسير الخارجية نهائيا

What do hemorrhoids look like at first? 

Hemorrhoids are a natural component of the body, but the problem begins when their veins become swollen and enlarged, causing protrusions in the anus or rectum area. 

What are the most dangerous stages of hemorrhoids? 

Prolapsed hemorrhoids are divided into four main stages: 

• First degree: It is the mildest stage, and is characterized by inflammation of the hemorrhoids, but they remain inside the rectum and do not prolapse. 
• The second degree: It follows the first stage and is characterized by the hemorrhoids emerging from the anus upon expulsion, and returning to their place again. 
• Third degree: Starting from this stage, the person usually needs treatment, to avoid complications. This stage is characterized by prolapse of the hemorrhoids upon expulsion, but they do not return to their place again, but rather need pressure on them to return. 
• Fourth degree: Fourth-degree hemorrhoid complications are the most dangerous among the previous stages, because the veins remain hanging outside the body most of the time, in addition to the possibility of clots and ulcers. 

The first three stages are treated either with behavioral therapy or medications, but in the fourth stage it can only be treated with the surgical option and removal of hemorrhoids, to relieve pain and prevent serious complications. 

What complications do hemorrhoids cause?

Hemorrhoids rarely cause serious health problems, but neglecting treatment may lead to many complications, such as: 

• فقر الدم. 
• جلطات الدم. 
• العدوى. 

Complications may also develop and cause thrombosed hemorrhoids, which appear in the form of a single mass, or a group of small masses around the anus, as a result of clots occurring there.

This type should be treated early to avoid blocking blood flow to the rectal and anal tissues. 

Are external hemorrhoids dangerous?

As we mentioned before, external hemorrhoids may include annoying symptoms such as pain while sitting with constant swelling and bleeding, but there are those who ask: Are external hemorrhoids dangerous?

What is the prohibited food for hemorrhoids? 

If the problem of hemorrhoids is due to chronic constipation, or other habits related to the bowel movement, the doctor will recommend avoiding or reducing the intake of foods that are low in fiber, or that stimulate constipation, such as:

• الخبز الأبيض. 
• Milk and dairy products. 
• Processed foods and fast food. 
• الأيس كريم. 

You should also consult a doctor before taking iron supplements, as they may cause constipation and digestive problems. 

Forbidden food after hemorrhoid surgery

After performing the operation, the doctor gives many important instructions to the patient, including how to deal with the body after the operation, and the most prominent foods prohibited after hemorrhoid surgery, which include the following:

• Foods that cause constipation, such as fried foods, white bread, pastries, and fast food. 
• Foods that irritate the digestive system, such as spicy or acidic foods, and soft drinks.
• Foods that cause bloating and gas, such as beans, lentils, and vegetables such as cauliflower and broccoli.

How to sleep after hemorrhoid surgery

Make sure to follow the following tips to sleep in the best way after hemorrhoid surgery, and to relieve hemorrhoid pain during the night:

• Make sure the bed is soft to relieve pressure on the lower back area.
• Lying on your side and placing a soft pillow between your knees is one of the best sleeping positions for people with hemorrhoids, or after surgery. 
• Sleeping on the stomach may be an alternative solution to reduce pressure on the anal area, and thus reduce the pain of hemorrhoids.

What can I eat after hemorrhoid surgery? 

It is preferable to eat foods rich in fiber after hemorrhoid surgery, or even when continuing with medications,  in order to avoid constipation and facilitate the excretion process. 

• Replace white bread and pasta with whole-grain flour. 
• Eat vegetables and fruits rich in fiber, such as apples, pears, plums, and potatoes. They also contain flavonoids that contribute to controlling hemorrhoidal bleeding.  

Do not forget the importance of drinking sufficient amounts of water to hydrate the body and avoid dehydration. 

Surgical intervention to treat hemorrhoids

There are many surgical methods to treat internal hemorrhoids, including the following:

• Ligating hemorrhoids with rubber bands: This procedure aims to prevent blood flow to the hemorrhoids using one or two rubber bands, so that they fall out and heal within two weeks. 
• Laser coagulation, or infrared radiation: This procedure is similar to tying tapes, and aims to stop the blood supply, thus making it easier to treat. 
• Sclerotherapy: The doctor injects a chemical solution into the hemorrhoidal tissue to shrink its size and facilitate treatment. This method is less effective than band ligation. 
• Ligating the artery using Doppler-guided technology: The doctor uses the Doppler device to identify the blood vessels responsible for nourishing the hemorrhoids, and then surgically connects them, causing them to shrink. 
• Surgical hemorrhoidectomy: This procedure relies on surgically cutting the hemorrhoids.

What is better Creams and suppositories To treat hemorrhoids?

العلاج	الاستخدام	المرحلة	التركيب	الفعالية
Sediproct	The cream is used to reduce the feeling of pain, numb the anal area, and eliminate internal infections.	It is used to treat internal and external hemorrhoids in the first and second stages	It contains hydrocortisone, an anti-inflammatory substance.  Sinko Cayenne is a local anesthetic	It is among the effective medicines in strengthening blood vessels, eliminating inflammation, and relieving pain.
gtn ctn	This drug is used to eliminate infections surrounding the anal area.	It is used in the early stages of hemorrhoids	Contains isosorbide dinitrate	Helps relieve pain for up to 8 hours.
Viosin cream vinosin cream	This cream is used to eliminate bacteria and microbes, and it also moisturizes and protects the anal area from cracks.	Suitable for treating early cases of internal hemorrhoids.	It contains vitamin C as an antioxidant, in addition to wexapenethol, a skin moisturizer, and chlorhexidine, an antiseptic that eliminates bacteria.	It helps in treatment in addition to providing complete protection for the skin from inflammation.
Neohilar ointment	The ointment is used to relieve the symptoms of hemorrhoids in addition to eliminating inflammation.	It is suitable for cases that suffer from swelling inside the rectum if suppositories are used, while ointment is used externally.	It contains substances and compounds to relieve pain.	The treatment begins to work within a quarter of an hour to relieve pain, and is usually prescribed for a week.
Facto suppositories and ointment	Facto is available in the form of suppositories and ointment to treat hemorrhoids and eliminate the pain associated with them, as well as relieve itching.	Suitable for treating cases suffering from internal and external inflammation	It contains cincocaine, which acts as a local anesthetic to reduce pain. Polycrystalline antiseptic material.	The treatment is used according to the doctor's instructions to effectively reduce pain starting within half an hour of use.

Do hemorrhoid treatment medications replace surgery?

It cannot be said with certainty in all cases that medications replace surgery, as in advanced cases of infection in which medications do not achieve cure rates and surgery must be resorted to, therefore the appropriate treatment is chosen after examining the condition by a specialist doctor, and this is usually done in the first and second stages of hemorrhoids, and among the methods of treatment without surgery are the following: 

Behavioral therapy involves changing the patient's behavior, drinking more fluids in addition to fiber, and avoiding spicy foods. 

Injectable treatment is suitable for the first and second stages of hemorrhoids.

Stapling treatment is one of the methods that helps return hemorrhoids to their natural position externally without surgery. 

Using infrared radiation and thermal cauterization of hemorrhoids. 

Treatment of hemorrhoids according to the degree of infection

There are four degrees of hemorrhoids, and treatment is determined according to the injury, as follows: 

1- First class:

These are hemorrhoids that remain inside the rectum and do not prolapse externally. Oral medications, ointments, and topical creams are relied upon.

2- Second degree:

 At this stage, the hemorrhoids prolapse through the anus and return again to their place automatically. At this stage, creams and suppositories can be used for treatment.

3- Third degree:

In this case, the hemorrhoids prolapse upon excretion and do not come back again on their own. Rather, they should be pressed with the fingers and require an immediate treatment plan. Treatment can be done by using a laser or infrared rays, especially if there is bleeding that accompanies the prolapse of the hemorrhoids.

4- Fourth degree:

In this case, hemorrhoids remain veins prolapsed at all stages and times, and they are among the most dangerous stages, as the patient may suffer from thrombosis in addition to ulcers, and here he must undergo surgery immediately to remove them in order to relieve pain and protect against complications. 

Diagnosis of hemorrhoids

When you go to the doctor to complain about the symptoms you feel, the doctor begins by making guesses about the nature of the disease, asks several questions, and then performs a clinical examination to confirm the nature of the disease. 

The clinical examination for hemorrhoids depends on examining the anal area by examining the skin around the anus, then the doctor performs a digital anal palpation after placing a lubricant on his fingers and then inserting it through the anus to examine the inner skin of the anus. 

An anoscope equipped with a small camera can also be used to photograph the inner area of ​​the anal canal, and in advanced cases, the doctor may need to examine with a proctoscope and colonoscope.

In conclusion, simple hemorrhoids are easily treated by following a healthy lifestyle and avoiding bad habits that increase the likelihood of developing them, as discussed in the article. Consult a doctor If symptoms persist, get the necessary help.

Frequently asked questions

How to get rid of hemorrhoids permanently?

Methods for getting rid of hemorrhoids permanently vary from one case to another depending on the severity and type of hemorrhoids, and the doctor chooses the appropriate method to treat and get rid of them, either through health routines and lifestyle changes, or with home remedies, or reducing them with a laser, or surgical intervention if necessary.

What irritates hemorrhoids?

There are many things that irritate hemorrhoids, such as having severe and chronic constipation or diarrhea, sitting for long periods, wearing tight underwear, and not drinking water, as well as some irritating foods such as spicy food, fried foods, and soft drinks.

What are the most dangerous stages of hemorrhoids?

The fourth degree is the most dangerous stage of hemorrhoids, in which external hemorrhoids appear continuously and cannot be recurred, with serious symptoms such as chronic bleeding with tissue damage due to weakness and lack of blood flow to the hemorrhoids.

What drinks soothe hemorrhoids?

One of the best drinks that soothe hemorrhoids are those that contain fresh fruits rich in fiber, such as apple and orange juice, pear juice, and also cold barley drink to improve food digestion and reduce constipation.

How to get rid of hemorrhoids in two minutes?

Of course, this does not mean getting rid of hemorrhoids completely in two minutes, but it means how to relieve the acute symptoms of hemorrhoids to relieve the pain and annoying itching that may affect your daily activity. If you suffer from severe pain in the area where hemorrhoids occur, you can follow one of these steps to relieve the pain:

• Sitting in warm water for 20 minutes may help relieve pain and itching. 
• Apply cold compresses to the affected area to reduce swelling in the area and relieve pain. 
• Use a topical ointment that contains analgesic and anti-inflammatory agents. 
• Use a soft cloth and apply pressure to the affected area to reduce swelling and improve blood circulation. 

How to get rid of hemorrhoids permanently?

Getting rid of and treating hemorrhoids permanently requires a comprehensive therapeutic approach in several ways, such as changing lifestyle to avoid worsening the condition, and following medical treatments to remove the effect of the infection and heal it. Lifestyle changes to treat hemorrhoids include the following:

• Follow a diet based on the availability of fiber to prevent constipation. 
• Drink adequate and regular water throughout the day. 
• Exercising helps improve digestion and blood circulation. 
• Avoid experiencing constipation or diarrhea, both of which worsen the condition of hemorrhoids. 
• Keep the area clean and dry and use soft, moisturizing wipes. 
• Avoid sitting and putting pressure on the hemorrhoid area for long periods. 

In severe cases of hemorrhoids, doctors resort to surgical interventions, such as:

• Hemorrhoidectomy, which is the removal of all affected tissue. 
• Stapling of hemorrhoids, to cut off the blood supply to the affected area, causing it to atrophy. 
• Connecting the blood vessels that feed the hemorrhoids, stopping the blood supply to them and leading to their atrophy. 
• Coagulation, i.e. using heat or chemicals to coagulate and destroy affected tissue. 

What is the treatment for swollen external hemorrhoids?

Treatment of swollen external hemorrhoids includes a group of topical and oral medications, in addition to some home procedures to help heal and avoid worsening the condition. Treatment includes the following:

• Apply ice packs or cold compresses to the anal area to relieve pain and swelling. 
• Use topical creams for hemorrhoids, analgesics, and anti-inflammatory drugs. 
• Resorting to surgical interventions in cases of severe hemorrhoids that do not respond to previous treatment methods, such as cauterizing the hemorrhoids, using a laser to remove them, or sclerotherapy.