Hemorrhoids: Causes, Symptoms, Diagnosis and Treatment

Hemorrhoids

Overview

Enlargement and engorgement of anal and rectal veins are hemorrhoids or piles. It can be internal or external piles.

Internal piles are classified as:

• 1st degree: Bleeding in stool without prolapse
• 2nd degree: Prolapse present but reduces on its own
• 3rd degree: Prolapse while straining and has to push back manually 
• 4th degree: Irreducible prolapse

Causes

Exact cause is unknown but few possibilities are described below.

• Chronic constipation; it increases intra abdominal pressure
• Obese
• Pregnancy: It may be temporary and usually resolves after birth
• Straining during toilet
• Sitting on toilet for long hours
• Family history
• Decrease intake of fibers
• Consumption of alcohol or spicy food
• Anal intercourse 
• Heavy lifting
• Age: 45 to 65 years

Symptoms

Internal hemorrhoids

• No pain; as it is has few pain sensation nerves
• Bleeding in stool
• When the piles are prolapsed in anal region then you may feel pain
• Prolapsed piles reduce back into the rectum on its own or when pushed

External hemorrhoids

• Painful as it is present around anus and is pain sensitive area
• Itching and irritation 
• Anal swelling
• Bleeding is common
• Incomplete evacuation 

Thrombosed hemorrhoids

• Clot is formed in external piles resulting in unbearable pain
• Blue and purple discoloration
• Itching
• Bleeding
• Hard lump

Diagnosis

• Digital rectal examination: Your doctor will insert lubricated and gloved finger into rectum to check the prolapse or swelling if any.
• Anoscopy:  To examine anal canal
• Sigmoidoscopy: For examining lower colon
• Colonoscopy: To  examine the entire colon

Treatment with homeopathy

1. Aesculus - For thrombosed piles

• For non bleeding piles. 
• Discolouration of piles into purple color.
• Pain in lumbar region, small of back and fullness in liver region.
• Acts well after Nux Vomica and Sulphur.

2. Collinsonia- For piles during pregnancy 

• Indicated for pregnant women having marked itching (pruritus) and constipation.
• If the bleeding is profuse, mother tincture is indicated.
• Hemorrhoids alternates with cerebral and cardiac troubles.
• Chronic, painful and bleeding piles. Pelvic organ congestion and catarrh of bladder; aggravates at night and ameliorates in morning.

3. Hamamelis

• Highly indicated when there is great prostration due to profuse bleeding.
• Burning and soreness at anus.
• Appearance of anus is red erythematous halo. Pulsation in rectum.

4. Aloe

• Protruded piles like bunch of grapes. Bleeding piles amelioration by cold application. 
• Insecurity of rectum. Frequent diarrhoea. 
• Itching present over rectum and sensation as if paralyzed. 
• Jelly like lumps, mucus in stool.

5. Nux Vomica

• For blind piles. Burning and itching at anus. Ineffectual urging for stool. 
• Hematuria due to suppressed hemorrhoids.
• Pain in the small of back must sit up.
• Aggravation from highly spicy seasoned food, abuse of medication, alcohol or insufficient sleep.

6. Sulphur

• Indicated for painless and bleeding piles.
• Lancinating pain after stool.
• Digestion is weak and dysuria. Uneasiness and fullness in liver.

Treatment with modern medicine

• Over the counter creams and ointments are available to give temporary relief from the pain.
• Surgical treatment; for prompt relief. Minimal invasive therapy like; rubber band ligation, coagulation (infrared, laser or bipolar). Major surgeries are hemorrhoidectomy and hemorrhoid stapling are performed. 

Home remedies 

Some easy ways to get relief are; eat high fiber food, sitz bath for 20 minutes, ice pack, by avoiding straining and have lots and lots of fluid.

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