Hemorrhoids/Piles

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 Definition

Hemorrhoids also known as piles, are swollen veins located around the rectum or in the lower part of the rectum or anus. They can cause discomfort, bleeding and pain, especially during bowel movement.

Types :

There are two main types of Hemorrhoids

1. Internal Hemorrhoids: These occurs inside the rectum, so you typically can't see or feel them. They may bleed during bowel movements.

2. External Hemorrhoids: These are under the skin around the anus, where there are may more pain, sensing nerve , so they tend to hurt as well as bleed.

Level

Hemorrhoids are Categorised into 

four grades based on the severity:

1.Grade 1: Hemorrhoids that bleed but do not prolapse.

2. Grade 2 : Hemorrhoids that prolapse ( protrude out) during a bowel movement and retract spontaneously.

3. Grade 3 : Hemorrhoids that prolapse (Protrude out) during a bowel movement and retract spontaneously.

4. Grade 4 : Hemorrhoids that are always prolapsed.

Causes :

1. Straining during bowel movements: This is a common cause and can be due to constipation or diarrhea.

2. Chronic Constipation or Diarrhoea: These condition can put excess pressure on the rectal veins.

3. Sitting for long period : They can put pressure on the veins in your anus or rectum.

4. Pregnancy and Childbirth: The increased pressure on the pelvic area can leads to hemorrhoids.

5. Aging:  The tissue supporting the veins in the rectum and anus tend to weaker over time.

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