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HEMROIDS / HEMORRHOIDS and their Appearance, Signs, Causes, Symptoms and Treatment.

After information and treatment options on hemorrhoids?

A particular type of hemorrhoid - such as internal, external, thrombosed, or prolapsed hemorrhoids?

Or are you after information on a particular hemorrhoids symptom - such as color, shape, pain, swollen, or bleeding hemorrhoids?

Well, all that hemorrhoid information, including hemorrhoids photos, are right here, plus much, much more.

All aspects of hemorrhoids are dealth with - such as the hemorrhoids grading systems doctors use to determine the surgery they should use on you, as well as how to deal with unpleasantries such as embarrassment in the doctor's office.


NON MEDICAL / NON-SURGICAL Hemorrhoid treatments are covered in detail as well. 

The hemorrhoids treatments encompass everything from treating the pain of hemorrhoids, to stopping bleeding hemorrhoids.  There are hemorrhoids treatments you can use to cure hemorrhoids, as well as obtain immediate relief from the pain and discomfort of hemorrhoids.

There are just so many hemorrhoids treatments - home remedies, alternative remedies, dietary remedies, surgery...  all these hemorrhoids treatments are covered and all are covered in enough detail to help you make informed decisions about how to treat your hemorrhoids.

Also a fair bit of interesting information on hemorrhoids is here, such as Napolean Bonapartes fight with hemorrhoids may have cost him his crucial victory.

Yes, although hemorrhoids are seldom deadly, the effect hemorrhoids can have on your life can be overwhelming.

Table of Contents:
1.. General Information on Hemorrhoids AND The Dreaded First Doctor's Visit: How to Cope with The Embarrassment
8... Hemorrhoid Grading System: How Internal Hemorrhoids Progress
2.. Hemorrhoid Appearance
9.. Hemorrhoids: What Really Caused the Fall of Napoleon
3.. Color: Why Does It Matter in Hemorrhoids?
10.. How do you Spell Hemorrhoid Again?: Alternative Names and Spellings
4.. Additional Hemorrhoid Signs and Symptoms
11.. Who Decided to Call Them Hemorrhoids, Anyway?
5.. Hemorrhoid Definition and Classifications
12.. Hemorrhoid General Summary
6.. How are Hemorrhoidal Cushions Different From Hemorrhoids?
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7.. Are Hemorrhoids a Form of Tumor?
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HEMROIDS - An 11th century picture of a hemroid operation

The artwork just to the left dates from the 11th century A.D. Among other medical procedures, it depicts a hemorrhoid operation. As you can see, hemorrhoids have been a human problem for quite a while!

Some have argued that hemorrhoids are a consequence of our modern lifestyle while, in fact, they have been with us for centuries! However, such lifestyle choices as diet and exercise, or lack thereon, are some of the most common underlying causes of hemorrhoids.

Medical-grade photographs of hemorrhoids are here.

1.. General Information on Hemorrhoids AND The Dreaded First Doctor's Visit: How to Cope with The Embarrassment:

Many, many people have internal hemorrhoids who are not even aware of them.

Internal hemorrhoids generally remain out of sight and show no symptoms, so they may exist quietly for years without causing problems.

Problems come up when hemorrhoids get inflamed for some reason, and as many as 10 million people worldwide per year find out about their hemorrhoids when inflammation finally occurs.

When hemorrhoids first begin to advertise their existence, fear and shock are very common and understandable reactions.

Suddenly, you're having pain and problems with an area of your body you probably haven't thought about in quite some time! It may look quite disgusting and the itching, pain, and burning can easily drive anyone to distraction.

For some, the proverbial "kick in the teeth" comes when hemorrhoids start bleeding, others find that excruciating pain is their wake-up call.

Luckily, all that hemorrhoids are is a big, nasty, painful cousin of varicose veins, which describes a vein which has swollen anywhere in the body. As such, they are generally pretty easy to soothe and eventually fix.

However, in addition to the physical pain that hemorrhoids can inflict, they're embarrassing as all get out, especially when your hemorrhoid decides to exit your body.

Does anybody like talking about that particular area of the body? Well, no, it's not usually considered polite dinner conversation, to say the least.

Nobody wants to talk about their hemorrhoids, but there are some times, like to a hemorrhoid doctor, where it really is an unavoidable topic of conversation.

If a sexual act might have contributed to the hemorrhoids, it's even MORE difficult to talk about. Nobody, but nobody likes feeling as though they're going to be judged.

However, doctors and surgeons usually don't do that sort of thing, medical people are specifically trained to not judge their patients. In fact, your doctor or surgeon is more likely to want to tell you what to do instead of trying to find out what causes your hemorrhoids.

Hemorrhoids are such a common problem that almost any doctor you go to is probably familiar with the simpler hemorrhoid procedures, such as latex banding or coagulation therapy. It's probable that they see patients presenting with hemorrhoids every day, and are no longer flustered or embarrassed by it in the slightest. It can even come as a relief to realize that there is at least one caring, concerned person with whom you can talk about the problems that hemorrhoids cause.

A valuable habit when it comes to seeing the doctor about anything, and especially hemorrhoids, is to write down all of your symptoms and everything you want to say or ask in the privacy of your own home first. As long as you remember to take your written record with you, you can even hand it to the doctor to read if you're feeling too embarrassed to say it all out loud. In addition, by using this method you won't have to worry about forgetting something due to the stress of the visit.

When I had my hemorrhoids looked at, sometimes internally, by male doctors, was it embarrassing? You bet it was! However, they were very kind about it, and it was better for me to be a bit embarrassed in the privacy of a doctor's office than to suffer from hemorrhoids or get a false diagnosis. By enduring that little bit, I was able to find treatment for my symptoms and relief from the fear that those hemorrhoid symptoms were masking anything more serious.

There are very few people who can diagnose their own hemorrhoids. It's easy to confuse hemorrhoids with warts, abscesses, anal fissures, full anal prolapse, cancer or a multitude of other conditions. Several pictures of hemorrhoids,are included here to assist you, but when in doubt, take yourself to a doctor.


Here's more help and information on the subject of hemorrhoids:

2... Hemorrhoid Appearance: What Do These Things Look Like, Anyway?

The most common symptom of hemorrhoids is their appearance, which looks like a small bunch of grapes emerging from the anus. You can see this by using a handheld mirror, if so inclined. The shape, size and number of hemorrhoids varies wildly between people.

Hemorrhoids range between the size of a walnut and the far more common size of a pea, or anywhere in between.

On occasion, only one hemorrhoid will be seen while other times many of them will show up. Most people have at least a small cluster.

Hemorrhoids are usually grape-like in appearance, but vary between wrinkled raisin looking things all the way to fully rounded growths.

Internal hemorrhoids can remain hidden within the anorectal canal or protrude from the anus. External hemorrhoids develop on the skin outside of the anus and therefore are always visible.


3... Color: Why Does It Matter In Hemorrhoids

Normal prolapsed hemorrhoids are usually reddish pink in color.

Thrombosed hemorrhoids can be shaded from purplish-blue up to dark red.

Normal external hemorrhoids are frequently brown in color, while thrombosed external hemorrhoids can also gain a purplish-blue or dark red tinge.

4... Additional Hemorrhoids Signs and Symptoms

Hemorrhoids frequently cover the anus, obscuring the anal opening from view.

One of the more irritating hemorrhoid symptoms is severe itchiness, particularly around the anal sphincter. Called pruritis ani, this may also be a symptom of parasites or intestinal worms instead of being exclusive to hemorrhoids.

Burning sensations, pain or general discomfort around the anal sphincter is also quite common.

Slight fecal incontinence leading to underwear soiling can be common as well, which also leads to itching and burning symptoms in addition to the direct symptoms from the hemorrhoid itself.

Another annoying symptom is a feeling of incomplete bowel evacuation. It feels as though you aren't done with your bowel movement, even though you are. This can cause further complications with hemorrhoids if you think that you need to keep straining to get a stool out that isn't there. This symptom is caused by the body misinterpreting a large hemorrhoid or cluster of hemorrhoids as a stool that hasn't passed yet.

Lumps protruding from the anal sphincter, also known as anal prolapse, can be a common symptom for some people. What it means is that tissue from the lining of the anal canal is protruding outside of the body through the anal sphincter. It may frighten you at first as it looks and feels quite strange. However, it's a fairly frequent symptom for an inflamed internal hemorrhoid. While it rates a visit to the doctor, it is not a sign of imminent death.

5... Hemorrhoid Definition and Classifications

Hemorrhoids are a specific kind of varicose like vein, more specifically the kind that occur in the anal region.

There is an extensive network of blood vessels running throughout the anal region, medically referred to as the hemorrhoidal plexuses.

This network of vessels can both dilate and contract, providing the anal region with a rich blood supply as needed, while moving and stretching with the natural movements of the area, such as bowel movements.

When one of these veins stretch out and cannot contract back to its normal state, it takes the surrounding tissue with it and becomes a hemorrhoid. This happens when the veins are placed under great strain, occuring due to issues like constipation or chronic diarrhea.

  If the swollen vein in question is located outside of the anal sphincter, it is classified as an external hemorrhoid.

External hemorrhoids present with three main symptoms: they can be seen or felt as hard little lumps just under the surface of the skin, they are most frequently found near the rim of the anal sphincter, so they are always outside the body, and last, because they most frequently develop in the darker pigmented skin found right outside the sphincter, they are frequently brownish or darker in color than an internal hemorrhoid.

You may hear the term "hemorrhoid" occasionally used in reference to a varicose vein very high up on the leg, but this is not the normal usage of the term.

If the swollen vein and surrounding tissue originate from inside the anal canal, it is classified as an internal hemorrhoid.

Internal hemorrhoids are made of more delicate mucosal tissue than external hemorrhoids, and so are more prone to bleeding.

However, due to a different distribution of nerves, internal hemorrhoids don't often cause pain while external hemorrhoids can make life truly miserable fairly quickly.

Internal hemorrhoids usually only cause pain when thrombosed or infected. 

When an internal hemorrhoid has progressed to the point where it can be seen or felt hanging outside of the body, it is then classified as a prolapsed hemorrhoid.

These are generally bright red or reddish-pink in color, and may only be felt during or just after a bowel movement.

It takes quite a while for an internal hemorrhoid to grow to the point where it hangs outside the body all of the time, and you probably want to see a doctor long before it gets to such a state.

Because the anal area is so dense with blood vessels, it is possible to have multiple hemorrhoids, even multiples of different classifications, all at the same time.


6... How are Hemorrhoidal Cushions Different From Hemorrhoids?

(Referring to anatomy rather than the doughnut cushions to sit on)

Some have said that hemorrhoids are normal, and even serve to cushion the rectum. Supposedly, they only become troublesome if irritated or annoyed. Unfortunately, this is only half right.

To explain, everyone has hemorrhoidal cushions. These cushions are beds of blood-rich tissue within the anorectal canal that serve to help with anal sphincter control by providing a "need to go" signal when pressed and to provide needed shock absorption for the delicate internal mucus membranes. It is only when one of the multiple blood vessels supplying blood flow to this area gets stretched beyond its capacity to contract that you have an internal hemorrhoid.

While hemorrhoid cushions only exist within the body, many veins descend past the anal sphincter before going back up to gain gravity's help in pushing blood back to the heart. External hemorrhoids originate from these U-shaped veins, which are closely connected to the internal blood vessels.

These various blood vessels dilate for a large number of reasons, usually due to pressure from something. This pressure can come from within the abdomen, such as chronic or extended straining during bowel movements or the internal pressures of pregnancy. However, it can also come from forces outside of the body, such as pressure from sitting on a toilet, a chair or a carseat for too long. In addition, age weakens both the walls of blood vessels and the tiny muscles that hold those vessels in place, setting the stage for hemorrhoid development.


7... Are Hemorrhoids a Form of Tumor?

Technically speaking, yes. Tumor, as a medical term, refers to any lump of tissue that the body may develop. Are hemorrhoids a form of cancerous tumor? No. Hearing the term "tumor" applied to any area of one's body is enough to cause nightmares, though, and we sometimes wish our friends and caretakers in the medical field would stop scaring us like that.

8... Hemorrhoid Grading System: How Internal Hemorrhoids Progress

Grade 1: The hemorrhoid exists. It may bleed from time to time, it may even become infected, but you will not find it coming out of the anal sphincter.

Grade 2: The hemorrhoid emerges from the anal sphincter with a bowel movement or strain of those muscles, but retracts back into the body on its own.

Grade 3: The hemorrhoid prolapses upon straining and does not retract on its own, but it can be pushed back in manually and stay there until the next time. At this grade, the hemorrhoid has a tendency to bleed a bit more.

Grade 4: The hemorrhoid now exists in a state of chronic prolapse, and will re-emerge quickly even if you try to push it back in. These tend to bleed quite a lot.

This system of symptom classification is what your doctor's talking about if he assigns your hemorrhoid a "grade."

9... Hemorrhoids: What Really Caused the Fall of Napoleon.

Dr. Paul Wolf stated, in 2001, that the Battle of Waterloo would probably have gone to the French instead of the British if Napoleon Bonaparte hadn't delayed the battle due to hemorrhoid pain. The conditions on the morning of that fateful battle seriously favored the French, but by the time everybody got around to having the fight, the weather conditions had changed to bolster the British.

Apparently, Napoleon had a terrible time with pain from his hemorrhoids for many of his battles because the stress of battle would cause his anal sphincter musculature to clamp down on his hemorrhoids. Given the excruciating pain that can cause, and how as a general he was spectacularly successful, imagine what he would have been like without hemorrhoids!

According to historical accounts, Napoleon frequently used bathing in warm water to help soothe his hemorrhoids. However, this was impossible during the Battle of Waterloo seeing as the man had an army to run and all. In addition, historians believe that he may have been seriously constipated that day, further contributing to his distracting pain. The moral of that story? Don't eat military food, ever.

While this may not be particularly relevant to someone in hemorrhoid crisis, it is an interesting bit of hemorrhoid history which most of us have serious sympathy for! It's also nice to know that even the greatest people in history can suffer, but not be limited by, such a common problem.

10.. How do you Spell Hemorrhoid Again?: Alternative Names and Spellings

Hemorrhoids can also be spelled hemorrhoids and haemorrhoids. Hemorrhoids is both the medically acceptable term and the one in most common usage today. The second most commonly used spelling is hemorrhoids, which is how I, among many others, spell it. Haemorrhoids is a somewhat archaic term today, mostly found in older medical journals and textbooks. Why do I usually spell it hemorrhoids? Well, hemorrhoids takes more letters to type, and I always seem to lose that last h and misspell it hemorroids.

One of the alternative names for hemorrhoids is piles, although you won't find it used very often today. This term was in use for more than a century. One of the references I have is a Victorian-era medical textbook from 1833, where the term "piles" was evidently in as frequent a use as the word "haemorrhoids." "Piles" was probably a laymen's term, while "haemorrhoids" shows a distinct modified Greek spelling much in vogue with educated people of the day. Neither hemorrhoids nor hemorrhoids are referenced as terms that far back in history.

Common misspellings of the term are: hemmroids, hemoroids, hemeroids, hemerroids, hameroids, hammeroids, hemorroids, haemorroids, hemmoroids, hemmeroids, hemmorhoids, hemorrhoides and hemorhoids. Hemorroids generally tops the list of misspellings, as it seems that I'm not the only one to lose the silent "h" at the end. Misspellings may also vary wildly by country.


11.. Who Decided to Call Them Hemorrhoids, Anyway?

The term "hemorrhoid" really refers to the hemorrhoidal cushions found within the anal canal. However, how many people really need to know that on a daily basis? Almost none. So, the term became attached instead to the most common problem of the hemorrhoidal cushions, namely the swollen varicose vein and tissue around it, even when the problem doesn't occur on the cushion itself.

"Hemorrhoids" seems to slowly be replacing "hemorrhoids" as the most common term, probably due to ease of spelling.

Now, while you may not have needed to know all of that, we hope that you did at least find it interesting.


12.. General Hemorrhoid Summary

In closing, there is a world of options for relief from and cure of hemorrhoids. Pain medications, herbal supplements and creams, pharmaceutical ointments and hemorrhoid cushions are just a few of the options for immediate relief from hemorrhoidal symptoms like pain, itching or burning. Diet and lifestyle changes, occasionally bolstered by herbal or dietary supplements cure most hemorrhoids for good, and for those hemorrhoids that have progressed too far or are too dangerous, surgery often fixes the problem.

To keep hemorrhoids from recurring in the future, or to prevent them from bothering you in the first place, try out a few of the tips on this website. You may particularly want to look at the list of potential causes, so you can avoid them, and the list of things you can proactively add to your life, such as beneficial fruits, vegetables, vitamins, minerals, and even herbal supplements. While there are never any guarantees, by avoiding causes and living a healthy lifestyle, there is much we can do to keep hemorrhoids from ever becoming a problem.

Links To Other Topics


Wow, People Gave Awards To This Site. Come See!

Many and deep thanks, as always, to the multitude of people who take the time to drop us a line. Whether it's to point something out that needs correcting or to give us their thanks, hearing from you is one of the things that makes this worthwhile.

Totally redesigned again, hope you all like it better.

As Featured On Ezine Articles November, 2007, received this award from Ezine and also "earned Expert Author status" with them.

Our Updated Sections

Our website now contains over 80,000 words worth of information, all of it as concise, up to date, and without bias as we can make it.

Check out our new sections! We've recently added one on conditions that can mimic hemorrhoid symptoms, and one on hemorrhoids in animals. In addition, we've added a hemorrhoid treatment overview page to illuminate the range of treatment options available as well as a page on alternative medicine for hemorrhoids.

We moved the medical-grade photos of hemorrhoids from our main page to their very own page, and updated with another photo besides. We now feature a photograph of an external hemorrhoid, a prolapsed internal hemorrhoid, and a chronically prolapsed hemorrhoid suffering from thrombosis. Please note that these are, in fact, medical-grade photographs and as such are quite graphic. Don't look if you don't want to know.

We've also added a whole new page on external hemorrhoids.

We've updated and edited many of our sections, including the page you are on right now, Hemorrhoids During Pregnancy, Bleeding Hemorrhoids and Hemorrhoid Home Remedies, which includes many suggestions on easy hemorrhoid relief options commonly available in the home. What Do Hemorrhoids Look Like, What Are Hemorrhoids, and Thrombosed Hemorrhoids have also recently been updated.

Quite a few of our pages have been divided into more specific topics so as to be more targeted for our readership looking for a specific treatment, tip or hemorrhoid cure.

If you're looking for information on surgery, we've also updated Surgical Treatments for Hemorrhoids which now includes an easy system for determining which surgical procedure, if any, would probably be best for your. We've added three more surgical procedures to our list of commonly available hemorrhoid surgeries. Because hemorrhoidecotomy is such a specialized and complex surgical procedure, it got it's very own page.

If you are coming back to our website, as many frequently do because it's so useful, it may be a good time to add us to your bookmarks or favorites under our new web address (URL). We've also done extensive work to the website design to make it more appealing and easier to navigate.

This website was born from a past sufferer's extensive experience with hemorrhoids. Because of this, we always strive to be up-to-date, down-to-earth, practical and, most importantly, helpful.


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Research and main write by D. S. Urquhart, editing and quality control by D. S. Urquhart and Loni L. Ice.

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All the best to you in your search for hemorrhoid relief and prevention

This website is an educational site and is in no way intended to take the place of a qualified medical practitioner. It is not intended to diagnose or treat any disease, but only to offer information, ideas, and options for you to discuss with your doctor. Always check this or any other printed information on any medical condition with your doctor and your own common sense.

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HEMORROIDES el español.