Hemorrhoids are abnormally or markedly swollen or dilated veins and interlacing blood vessels or nerves, in and around the anis often complicated by inflammation, and the formation or presence of a blood clot within a blood vessel the condition is also commonly associated with anal bleeding.

External hemorrhoids are located below the the pointed conical projections on the anis and are covered by at least in its outer layers of small scale like cells

Internal hemorrhoids are located above the pointed conical projections on the anis and are lined by rectal mucous membranes

Hemorrhoids typically occur in the right front of the body, right hind part of the body, and side of the body and universally affect adults and children.

For more information see children Hemorrhoids children are affected as often as adults

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.

ANUICE® is an applicator of cold, which contains a coolant inside. It is applied directly to the swollen hemorrhoidal area; it is simple, just like applying ice.  This new, doctors recommended treatment relieves the painful discomfort of hemorrhoids, byreducing the pain and inflammation.  This technique, known as cryotherapy is simple and very effective.

Medical terms and definitions

Anemia, a condition in which the blood is deficient in red blood cells, in hemoglobin, or in total volume --

Asymptomatic, presenting no symptoms of disease

Dentate line, having teeth or pointed conical projections

Edematous, affected with edema

Hemorrhoidal plexus, a network of anastomosing or interlacing blood vessels or nerves

Left lateral zones, of or relating to the side

Perianal , tissues surrounding the anus

Pruritus ani, pruritus of the anal region localized or generalized itching due to irritation of sensory nerve endings from organic or psychogenic causes

Rectal mucosa, Mucous Membrane

Right anterior, situated toward the front of the body

Right posterior (toward the hind part of the body),

Sclerotherapy the injection of a sclerosing (condition in which a tissue has become hard also called also hardening

Sitz bath, a bath in which the hips and buttocks are immersed in hot water for the therapeutic effect of moist heat in the perineal and anal regions

Squamous epithelium, consists at least in its outer layers of small scale like cells

Stool softeners or bulking agents, (eg, psyllium) Here are some trade names for psyllium Fiberall, Metamucil, Konsyl,Hydrocil, Effer-syllium , Perdiem which can be found in your local drug store.

Strangulated hemorrhoids, acute attack of piles

Thrombosed, the formation or presence of a blood clot within a blood vessel

Varicosities, the quality or state of being abnormally or markedly swollen or dilated