By hemorrhoids the veins in or around the anus, or in the lower rectum are swollen and often also inflamed. Hemorrhoids inside the rectum are called internal hemorrhoids, and those in the anal area external ones. Studies have shown that 1 out of 3 persons below the age of 50 will suffer from hemorrhoids. 1 out of 2 persons over the age of 50 is affected by this condition.
THE SYMPTOMS OF HEMORRHOIDS
Hemorrhoids give these symptoms:
-Swollen veins in the anal area or inside the rectum.
-Itching.
-Tears in the swollen veins and bleeding from the tears.
-Coagulated blood in the veins making hard lumps.
-The hemorrhoids may lead to permanent lumps, scars or thickened area after the initial healing.
THE PROCESS THAT LEADS TO HEMORRHOIDS
Before hemorrhoids form, there is usually an increased pressure in the veins of the anal area, for example due to over-filled intestines, due to constipation and thereby straining to get hard stool out during toilet visits, or due to frequent diarrhoea.
The veins have valves preventing the blood from flowing backwards. The increased pressure makes the segment of a vain right after a valve to swell up like a balloon.
The blood in the swollen vein segment then coagulates, making a hard lump that clogs the vein, and the clogged vein segment then gets infected and inflamed.
The inflamed hemorrhoids may then tear, so that the content empties and the vein bleeds. After emptying its content, the vein heals, but may develop a residing scar.
Other times the content of the hemorrhoids is dissolved and the vein heals without rupturing, but also now a permanent thickened or hardened vein segment may form.
CAUSES OF HEMORRHOIDS
Since hemorrhoids are caused by conditions making increased pressure in the anal veins, like lazy colon, constipation or diarrhoea, the ultimate cause of hemorrhoids are factors causing these conditions. Such factors are:
-Lack of fibre in the daily diet
-Drinking too less water.
-Consuming too less fat, or the opposite too much fat.
-Lack of daily physical exercise.
Cramping or prolonged tension in the anal sphincter and the muscles around the rectal opening seems to restrict the blood stream from the anal area back towards the heart, and thus also contribute to hemorrhoids. Nervous or psychological processes may cause tension in these muscles.
Hemorrhoids are a very common complication by pregnancy. The hormonal stimulation during pregnancy causes the vessels in the anal area to dilate. The weight of the foetus and the straining during childbirth will further cause a marked pressure increase in the already dilated vessels, with hemorrhoids as a consequence.
Heavy muscular work or heavy lifting can increase the pressure in the anal vessels and contribute to hemorrhoids. Conditions that weaken the tissue in the anal area may also contribute to development of hemorrhoids, for example inflammations, allergies or high age.
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