Hemorrhoids:Different type, cause, treatments and surgery intervention.


English 痔(じ) 切れ痔 内痔核

Definition of bleeding hemorrhoids. Causes and symptoms.


Straining or passing a hard stool caused by constipation can damage the anus resulting in bleeding hemorrhoids. A strong pain might occur during bowel movements. This can cause bleeding or just some drops on toilet tissue. When bleeding hemorrhoids become chronic, a dull pain might occur after bowel movements or causes thin stool because of anal shrinkage.

The main cause of bleeding hemorrhoids is constipation. As women are more likely than men to have constipation, more women suffer from hemorrhoids. Moreover, hemorrhoids are often seen between the 20's and 50's.

Self-treatment or home remedies


In most cases, we can find relief for bleeding hemorrhoids by self-treatment.
The most important point is to avoid constipation. Ameliorate your lifestyle habits such as diet and exercises to have a normal stool. If your stool is too hard, we recommend you to take some stool softeners like magnesium oxide.

It is also important to keep the anal area clean to ameliorate hemorrhoids. In case of pain, the use of an over-the-counter product such as creams or suppositories can relief pain.

Surgical intervention for bleeding hemorrhoids

When self-care treatments (home remedies) don't improve and your anus has shrinked because of repetition of bleeding hemorrhoids or when you are afraid to go to the toilet because of pain, you may need a surgical intervention.

Bleeding hemorrhoids surgery

Surgical intervention for bleeding hemorrhoids

The surgery of bleeding hemorrhoids consists of making incisions in the anal sphincter. This will widen the anus and defecate easier. As incisions are usually less than 1cm, the surgery is not very heavy to support.

Definition of internal and external hemorrhoids (internal and blind piles) Causes and symptoms of hemorrhoids


The elasticity of the anal cushion serves to control stool and farting. This anal cushion has many blood vessels. In case of excessive straining, blood vessels become swollen and hemorrhoids appear. Internal hemorrhoids are those above the dentate line. External hemorrhoids are those below the dentate line and on the outside of the anus.
When we talk about hemorrhoids, we usually refer to the internal hemorrhoids.

Symptoms of internal hemorrhoids: as they are no sensitive nerve on the rectal mucous membrane situated above the dentate line, you feel no pain. However, when hemorrhoids become big and bulges from the anus, it is frequent to have dull pain.

Moreover, the peculiarity of internal hemorrhoids is to bleed easily because of friction with the very delicate rectal mucous membrane during bowels movements. Bleeding can be just a little or can full the toilet bowl. You also can feel some itchiness as well as having some transparent mucus which can stain your underwear.

Are you alright? The following check-list is for people who are prone to develop hemorrhoids.


People with the above conditions should be careful because of an excessive straining of the anal cushion. These conditions may lead to hemorrhoids.

State of advancement of hemorrhoids (different degrees) and its treatments including surgery.

For hemorrhoids treatments, there are usually based on four states of advancement.

A first-degree internal hemorrhoid can bleed but don't bulges out of the anal canal during bowel movements. A conservative treatment is possible by ameliorating our lifestyle or by applying a cream or an ointment.
A second-degree internal hemorrhoid is bigger and bulges from the anus during bowel movements, then goes back inside by itself. Besides conservative treatment, a rubber band ligation or a sclerotherapy could be considered.
A third-degree hemorrhoid bulges from the anus during bowel movements and must be pushed back in with a finger. Besides rubber band ligation and sclerotherapy, a surgical intervention can be considered.
A fourth-degree hemorrhoid protrudes from the anus all the time. In most of the case, a surgical intervention is needed.
Once again, at any degree, the conservative treatment like ameliorating our lifestyle or using medication is very important to avoid the recurrence of hemorrhoids. Our lifestyle improving constipation and avoiding the straining of the anal cushion is important as well.

Rubber band ligation

Rubber band ligation involves applying a tiny rubber band to the base of an internal hemorrhoid. This restricts blood flow, eventually causing the hemorrhoid to shrivel up and fall off. The hemorrhoid will fall off with the rubber band within one week. This treatment is not painful during and after the operation, it can be treated ambulatory.
However, if you take anticoagulant drug, or if the hemorrhoid is either too big or too small, this treatment cannot be undertaken.

Sclerotherapy (injection)


Sclerotherapy involves injecting a medicated solution into the hemorrhoid to harden it and shrivel it up.
By getting stiff, this avoid its bleeding and the fact that it goes out from the anus.

This intervention could be done on an ambulatory basis, but usually you may need to stay 2 to 3 days in the hospital.

Hemorrhoids surgery


Hemorrhoidectomy is the surgical intervention widely carried out to treat internal hemorrhoid. The blood vessel is tied up with a thread to stop the blood supply to the hemorrhoid which is removed. It takes usually 1 to 2 weeks hospitalization. This surgical intervention is not only for fourth-degree, but also second or third-degree hemorrhoid. Especially when it is inconvenient in your daily life like "hemorrhoid bulges from the anus during bowel movements and must be pushed back in with a finger", or "when bleeding continues, and you have horrible anemia".

Basically, after the operation, you can do everything as usual, like taking a bath from the next day.

Except that during two weeks after the operation, we suggest not:

  • To do intense exercise
  • To bike
  • To travel
  • To sit for a long period of time
  • To eat spicy food
  • To drink alcohol