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Hemorrhoids

by Alike Medical Team ∙ Updated on June 13, 2023

Additional names

This group contains additional names: - Haemorrhoids - External Hemorrhoids Without Complications - Internal Hemorrhoids Without Complications - Internal Thrombosed Hemorrhoids - External Thrombosed Hemorrhoids

General

Hemorrhoids are swollen veins located around the anus or in the lower rectum. There are two kinds of Hemorrhoids: Internal hemorrhoids develop within the anus or rectum, And they tend to bleed more and hurt less than external hemorrhoids. External hemorrhoids develop outside of the anus, they do not tend to bleed but may be very disturbing or cause pain. The veins around the anus tend to enlarge as a result of pressure around the rectum. The risk factors for the development of hemorrhoids are: strain during bowel movement, sitting on the toilet for a long time, chronic constipation, pregnancy, obesity, and family history.

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Signs & symptoms

Symptoms of hemorrhoids include: * extreme itching around the anus * irritation and pain around the anus * a lump or swelling near your anus * fecal leakage * painful bowel movements * you may notice blood on your tissue or in the toilet after having a bowel movement

Diagnosis

A visual examination of your anus may be enough to diagnose hemorrhoids. Your doctor may also want to do a digital rectal exam. During this exam, your doctor inserts a gloved and lubricated finger into your rectum. Additional tests may include sigmoidoscopy or colonoscopy, in which a small tube with a camera is being inserted through your anus. From this test, your doctor gets a clear view of the inside of your rectum so that they can examine the hemorrhoid up close, and rule out other diseases of the colon that may cause your symptoms.

Treatment

Many cases of hemorrhoids resolve on their own. Treatment options include: * lifestyle modifications: you may soak in a hot tub for at least 10 minutes every day, avoid using dry or rough toilet paper when you wipe after a bowel movement, drink lots of water and eat a fiber-rich diet in order to minimize constipation. * Medications: you may use OTC suppository, ointment or cream to relieve the pain or itching. Ask your doctor or the pharmacist about them. Your doctor may also prescribe a corticosteroid cream. * In more severe cases, or if home-therapy did not help, certain procedures may be suggested. These include Band ligation (a procedure in which elastic bands are applied onto a hemorrhoid to cut off its blood supply), sclerotherapy (chemical injection to block off a vein), or a surgical removal of the hemorrhoids.

Note

☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.

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I healed one, it was a pain in the àss (pun intended) but it eventually got better. Lots of sitzbaths, prescription cream, mirilax. I tried really hard not to push very hard when pooping. It was at the same time as a **hemorrhoid** and Crohn's flare so where one ended and the next began was kinda blurred. But the sitzbaths were soothing, you can get salts to add to them as well.

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I'm on the same anti psychotic. I have IBS and have a history of **hemorrhoids**. Lurasidone keeps me no more stable than Geodon, but with even worse side effects. It gave me horrible constipation which makes my panic attacks worse which made my hemorrhoids so bad I might need surgery to get them removed now. I hate this med with all my passion and I'm counting down the days to my next appointment after having been on it over a few months after Geodon. But different meds work for different people. My brother is on the same med and at a higher dose then I am and he's just fine. Everyone reacts differently and unfortunately sometimes it takes a lot of trial and error. I started seeing a psychiatrist when I was 17 back in 2005. I'm 35 years old now. The only med that kept me personally stable was Fanapt until my insurance stopped covering it and it's not available as a generic for a few more years and I can't afford $2k+ a month on meds that helped me thrive because some rich insurance companies wanted more money. I've been struggling ever since, Lurasidone is the 10th anti psychotic I have tried since age 17. Fanapt did wonders for me personally, but it's too expensive for me to pay out of pocket. I'm on disability and can barely make ends meet as it is

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