Hemorrhoid is a swollen vein in the lower part of the rectum and anus. Sometimes, the wall of these swollen and stretched vessels becomes so thin that the vein protrudes, gets irritated, and especially the stool irritates the vein and causes scratching and irritation of the vein wall.
Hemorrhoids are the number one cause of rectal bleeding. And it is also the most common cause of rectal bleeding that patients refer to health care providers. It is rarely dangerous and can usually be cured within a few weeks. But patients should go to medical centers very soon to avoid aggravation and worsening of the disease. If hemorrhoid does not go away or is very painful, the patient should see a general surgeon. In such cases, doctors solve the problem during outpatient surgery.
Types of hemorrhoids
There are two types of hemorrhoids, internal and external. An internal hemorrhoid is far enough inside the rectum that it cannot be seen or felt. It is usually not painful because the sensory pain nerves that pass through this area are less than in the other areas. Bleeding may be the only symptom of the internal type.
External hemorrhoids are located in the anus, where many pain – sensing nerves pass. So they are painful and tend to bleed.
Sometimes hemorrhoids protrude or grow larger and protrude from the anal sphincter. In this case, you can see it as a moist and pinker bump than the surrounding area. It is also painful, especially during defecation.
Patients may have anal fissures or abscesses with hemorrhoids. In some cases, the patient may mistake genital warts in the anus area with hemorrhoids.
Causes of hemorrhoid
If a person has a family history and his parents have hemorrhoids, he is more likely to develop this problem.
High pressure in the lower part of the rectum can affect the blood flow, and cause swelling of the veins. This condition is more common in overweight, obese, or pregnant people. Hemorrhoids may also occur as a result of:
Strong straining during bowel movements
Pressure on the anus and rectum while doing heavy work or lifting heavy weights.
People who stand or sit for a long time are also at high risk of developing this problem.
People who have constipation or diarrhea and do not clean themselves well also get hemorrhoids. Coughing, sneezing, and vomiting can also aggravate this problem.
Treatment
Many people are afraid of injury and recovery after hemorrhoid surgery. And often for this reason, they do not act for the definitive treatment of their disease. And unfortunately, every day this disease progresses, and the pain, bleeding, and infection progress so much that the patient has to go to the emergency room. The fear of long-term hospitalization and incorrect information about this disease leads to a delayed visit to the doctor. While with the advancement of medical science, the old problems of hemorrhoid treatment and surgery no longer exist.
There are several surgical methods to remove symptomatic hemorrhoids. In all these methods, the doctor reduces the blood flow of the hemorrhoidal network and removes the excess mucus and derm.
With the powerful carbon dioxide laser, the doctor can drain and remove hemorrhoids without pain or bleeding. Therefore, it is better to consult a skilled laser and surgeon to perform this surgery with a high – power laser. Surgery with a powerful laser is like plastic surgery, and scars and wounds with razors and cauters are not left behind. Because this type of laser repairs the cut vessels and nerves at the same time. So, the bleeding caused by the surgical incision is not as severe as open surgery.
Home Remedies
The best and most effective home treatment for hemorrhoids:
Put your body in a child pose as shown below. Then try to open and close the anal sphincter ( anal muscle ) repeatedly. You should do this twice a day for three minutes. In this exercise, the force of gravity and the movement of the sphincter return the blood accumulated in the vein to the blood stream. And you won’t feel bulky after doing this exercise once or twice.

Another method is to lubricate the anus with vitamin A-D cream using disposable gloves.
You should do this every night before going to bed. You can use these methods together and get better results.
The second method is effective for the prevention and even treatment of fissures.
How to prevent hemorrhoid?
Eating fiber: one of the good ways to prevent hemorrhoids is to eat plant foods (vegetables, fruits, whole grains, nuts, seeds, and beans ).
Drinking water: Drinking water helps to avoid dry and hard stools and constipation. So there is less pressure on the anus and rectum during defecation. Fruits and vegetables are rich in fiber and contain a lot of water.
Exercise: Physical activity such as walking for half an hour a day, other exercises are a way to move the blood in the vessels and also to move the intestines.
Timely defecation: Go to the toilet as soon as feeling the need to defecate.