Hemorrhoids (sometimes referred to as 'piles') occur when the blood vessels in and around the anal area swell and become inflamed. When straining is involved with a bowel movement, increased pressure placed on blood vessels within the rectum results in the development of internal hemorrhoids.

Internal hemorrhoids are located inside the anus and generally do not cause pain. They are graded from 1-4, depending on their size.

Grade 1 - these are very small and found within the lining of the anus. They are very common, though they cannot be seen.

Grade 2 - large than 1, but still within the anus. In some cases these hemorrhoids will be pushed out during a bowel movement; however, afterwards they return to the inside.

Grade 3 - referred to as prolapsed hemorrhoids, they will protrude outside the anus and usually decrease in size naturally. Normally they can be pushed back inside with gentle fingertip pressure.

Grade 4 - require treatment by a doctor. These hemorrhoids cannot be pushed back in and will remain outside the anus permanently.

Though hemorrhoids are capable of occurring at any time in life, pregnant women and the elderly are more often plagued with the condition. The symptoms demonstrated with internal hemorrhoids will vary, but the most common include itching and a burning sensation, blood on tissue and rectal discomfort. Thankfully the condition normally is not serious and treatment is often successful.

Though hemorrhoids can be uncomfortable, there are a number of things you can do to help the situation:

Avoid constipation. A high fiber diet, along with an adequate fluid intake (preferably water) will help eliminate hemorrhoids.

A warm sitz bath will ease burning, itching and pain, in addition to helping shrink swollen veins.

Limit salt intake and avoid foods that contribute to itching, such as hot spices and carbonated drinks.


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