Hemorrhoid – Disease, causes and types

Hemorrhoid, also known as piles or bawaseer influence lots of people around the world. Nearly 89% of Americans are disturbed by a hemorrhoid at some point in their lives. It’s an extremely common since it occurs in an area we consider unmentionable. We consider constipation, Ulcerative colitis/Crohn’s disease, Anal fissures, Hemorrhoidal disease, Irritable bowel syndrome and chronic constipation among others, from one common cause. We believe that all these colorectal issues can be repaired by the common procedure of your body with a couple of changes to your eating regimen.

What are hemorrhoids?

Every man women and child is born with a very helpful set of blockers, protectors, Bodyguards called hemorrhoids. The internal bundles of vascular, muscular, and connective soft tissue that lines the anal canal and the region around the anus. There are three main bundles or cushions and some minor ones that are situated in between (also referred to as anal cushions) that encircle the anal canal.

Why are we facing hemorrhoid disease?

The reason they hang outside is because it gets really crowded in the anus. Impacted stools, large stools, dry stools, all these stools and we are afraid to sit. So like a bad dream these cushions get roughed up, pushed around until they are a bloody pulp.Without anywhere else to go, they are forced outside the anus. Do your hemorrhoid (tissue bundles) have a hemorrhoid (the sum of symptoms related to the inflammation, enlargement, thrombosis, and/or prolapsed of hemorrhoid (tissue bundles). The internal bundles of anal cushions lining the walls help protect you from items passing through the anal canal.

The anal canal in healthy adults stretches to about 3.5 cm (1.37″), look at a ruler right now, or better yet take a quarter out of your pocket. The anal opening is not much bigger then that quarter when fully stretched out.When we force movements through it that are too large, we create pressure from the inside and straining from the outside causing hemorrhoid to enlarge. As your hemorrhoid grows large, the anal canal grows smaller, making your stools harder to pass.Causing even more difficulty due to the need to strain even more.

Of course the first thing everyone tells you to do is eat more fiber. And in a way they are right. You see once you have killed your intestinal flora, dysbacteriosis you need fiber as a bulking agent. Constipation and straining a sign of dysbacteriosis are the two primary causes of hemorrhoidal disease. Like running in the hamster wheel, people keep increasing the amount of dietary and supplemental fiber to counteract the pain and difficulty of defecation.

As fiber is increased so is stool size, further causing greater irritation and enlargement of hemorrhoid. Pain, blood, discomfort, itch is only the beginning. Rectal prolapse, anal fissures, fistulas, abscesses, fecal incontinence, or other related ailments cause serious illness and even death.This vicious cycle will continue unless a change can break the cycle or you elect to have surgery. Since surgery causes problems such as scarring and nerve damage that influences the surrounding tissues, recovery is rarely absolute. Damage to muscle and nerve may require you to wear adult diapers for the rest of your life. As a result of pain you may experience delayed or incomplete stools, as mentioned earlier these problems can cause chronic fecal impaction, causing even more problems, including diverticular disease, irritable bowel syndrome, ulcerative colitis, precancerous polyps, and even colorectal cancer.

We can be thankful that our internal hemorrhoid (anal cushions) are not supplied with nerves, and do not cause pain, even when enlarged otherwise the pandemic of hemorrhoidal disease would be so much worse than it is now, because the tens of millions that have hemorrhoidal disease would know it. Since you don’t feel pain from inner hemorrhoidal disease most people never realize they have a hemorrhoid until the condition bleeds or progresses to a painful state.

Stools can do serious damage as they move along. Mostly because they are not soft.

Causing swelling, scratching, cutting and bleeding

If you are bleeding due to hemorrhoidal disease, it isn’t from the hemorrhoid or thrombosed veins, as everyone believes, it is from the abrasions, scratches, ulcerations,fissures and or fistulas of the mucosal membrane that line the anal canal. The bright red color of the blood indicates its arterial, rather than venous in nature.You see it is not the hemorrhoids fault that you are bleeding or have hemorrhoidal disease.

People usually think of hemorrhoid as ‘abnormal’, but in reality, everyone has them! It’s only when they get enlarged is they even noticed. It usually starts with an itchy feeling around the anus, then becomes painful and bleeds over time. These hemorrhoids symptoms usually go away in a few days.

Hemorrhoid - Disease, causes and types

Hemorrhoidal disease is either found inside or outside the anal canal, that’s why they are categorize according to their position:

Internal hemorrhoid are masses of tissue that contain muscle, blood vessels and elastic fibers. They occur higher up in the anal canal, inside the rectum and are out of sight. This area lacks pain receptors, so internal hemorrhoid are usually not painful.As a result, most people aren’t even aware that they have them! But internal hemorrhoid can bleed, albeit painlessly. Left untreated, they can become prolapsed or strangulated:Prolapsed internal hemorrhoid are enlarged hemorrhoids that get so distended that they push through the anal opening. This can cause pain, discomfort and some difficulty in easing it back into the rectum.

Strangulated internal hemorrhoid are formed when the anal sphincter muscle goes into spasm, trapping a prolapsed hemorrhoid outside the anal opening, thereby cutting off its blood supply.

External hemorrhoid, also known as perianal hematoma, is visible, enlarged blood vessels located on the outside edge of the anus and be similar to small lumps. They are usually blue in color, but when inflamed, they become red, tender, painful, terribly itchy and can sometimes crack and bleed. External hemorrhoids are more prevalent among young and middle aged adults. There can be complications if a vein ruptures inside an external hemorrhoid, forming a blood clot. This is known as a thrombosed external hemorrhoid and can cause a lot of pain and bleeding, needing immediate treatment, not usually because it is dangerous, but the pain is intense. Fortunately, this sort of complication is not that common. External hemorrhoids can be felt as a firm,but tender lump about the size of a pea on the edge of the anus. Be alert look for traces of blood in the toilet or on the toilet paper after a bowel movement.By the time people hit 50, half of them have had or still have hemorrhoidal disease!

Internal hemorrhoid - external hemorrhoid

The Four Stages of Internal Hemorrhoid

Internal hemorrhoids are categorize according to Banov’s grading system that use their degree of prolapse in the anal canal as a measure of severity:

Grade I hemorrhoid are small swellings located inside the lining of the anus. They are very common, asymptomatic and cannot be seen, but can sometimes bleed and enlarge to Grade II.

Grade II hemorrhoid are larger in size, but still within the anus. Sometimes they can be pushed out during bowel movements, but spontaneously retract once the straining stops.

Grade III hemorrhoid hang out (prolapse) from the anus and feel like soft, small hanging lumps. As mentioned earlier, they are also known as prolapsed internal hemorrhoids and can usually be pushed back inside with the finger. These hemorrhoids require manual reduction.

Grade IV hemorrhoid are quite large and chronically prolapsed (they permanently hang outside the anus). They cannot be reduced or pushed back in and need to be treated by a doctor. These hemorrhoid commonly have both internal and external aspects,so they can show signs of acute thrombosis or strangulation.Grades II, III, and IV internal hemorrhoid usually bleed painless, but can also lead to a dull aching pain, itching, and other symptoms due to prolapse.Nearly two thirds of healthy people who get their physical examinations done are told they have hemorrhoidal disease!