Durai The Surgeon


Dr Durai Ravi Surgeon Hemorrhoids

What are hemorrhoids (Piles)?
Hemorrhoids are swollen, enlarged veins that form inside and outside the anus and rectum. They can be painful, uncomfortable and cause rectal bleeding. hemorrhoids are also called piles.

How common are hemorrhoids?
They affect people of all ages, genders, races, and ethnicities. They are more common as you age, affecting more than half of people over age 50.

Who might get hemorrhoids?
Anyone can get symptomatic hemorrhoids, even teenagers.

What are the types of hemorrhoids?
Hemorrhoids can happen inside or outside the rectum. The type depends on where the swollen vein develops.

External: Swollen veins form underneath the skin around the anus. External hemorrhoids can be itchy and painful. Occasionally, they bleed. Sometimes they fill with blood that can clot. This is not dangerous but can result in pain and swelling.
Internal:  Swollen veins form inside the rectum. Your rectum is the part of the digestive system that connects the colon (large intestine) to the anus. Internal hemorrhoids may bleed, but they usually are not painful.
Prolapsed: Both internal and external hemorrhoids can prolapse, meaning they stretch and bulge outside of the anus. These hemorrhoids may bleed or cause pain.

What is the difference between hemorrhoids and anal fissures?
hemorrhoids and anal fissures cause similar symptoms, such as itching, pain and bleeding. While swollen veins cause hemorrhoids, a tear in the lining of the anus causes an anal fissure.

What causes hemorrhoids?

Hemorrhoids may develop due to:

Causes for Hemorrhoids
Symptoms for Hemorrhoids

What are the symptoms of hemorrhoids?

Signs of external hemorrhoids include:

What other conditions cause hemorrhoid-type symptoms?

Different gastrointestinal disorders can cause rectal bleeding and other symptoms like hemorrhoids. Some of these disorders are life-threatening.

Bowel diseases that can cause bleeding include:

Colon cancer.
Crohn’s disease.
Ulcerative colitis.


Your healthcare provider diagnoses hemorrhoids based on symptoms and a physical exam. You may also have:
Digital rectal exam: Your provider inserts a gloved, lubricated finger into the rectum to feel for swollen veins.
Proctoscopy: Your provider uses a proctoscopy to view the lining of the anus and rectum.
Sigmoidoscopy: Your provider uses a sigmoidoscopy (lighted tube with a camera) to view inside the lower (sigmoid) part of the colon and rectum. Procedure types include flexible sigmoidoscopy and rigid sigmoidoscopy.
These tests may be uncomfortable but are not painful. They typically take place in a Surgeon’s office or outpatient centre without anaesthesia. You go home the same day.
Your provider may perform a colonoscopy to confirm findings from other tests or check for signs of colon cancer. This outpatient procedure requires anaesthesia.

Management And Treatment

What are the complications of hemorrhoids?

Hemorrhoids can be uncomfortable and painful, but they do not tend to cause serious problems. Rarely, people with hemorrhoids develop:

How can I treat haemorrhoids at home?

Hemorrhoids often go away on their own without treatment. Symptoms like pain and bleeding may last one week or slightly longer. In the meantime, you can take these steps to ease symptoms:

How do healthcare providers treat hemorrhoids?
You should see your healthcare provider if symptoms get worse or interfere with your daily life or sleep. Also seek help if signs do not improve after a week of at-home treatments.

Non-invasive management:

Rubber band ligation: A small rubber band placed around the base of a hemorrhoid cuts off blood supply to the vein.
Electrocoagulation: An electric current stops blood flow to a hemorrhoid.
Infrared coagulation: A small probe inserted into the rectum transmits heat to get rid of the hemorrhoid.
Sclerotherapy: A chemical injected into the swollen vein destroys hemorrhoid tissue.

Painless Treatment for Hemorrhoids
Treatment for Hemorrhoids at home

Surgical treatments include:

Hemorrhoidectomy: Surgery removes large external hemorrhoids or prolapsed internal ones.
Hemorrhoid stapling: A stapling instrument removes an internal hemorrhoid. Or it pulls a prolapsed internal hemorrhoid back inside the anus and holds it there.
Laser Hemorrhoidopexy: Your surgeon uses a laser to coagulate the hemorrhoidal veins there by reducing the size and symptoms. It can be done for Grade 1 to Grade 3 hemorrhoids.

Surgical treatment for Hemorrhoids
Prevention for Hemorrhoids



When should I call the Surgeon?