Hemorroidien

Hemorroidien, often referred to as piles, are swollen veins in the anus and lower rectum. They can be caused by increased pressure in the lower rectum, often due to straining during bowel movements, obesity, pregnancy, or prolonged sitting. Hemorrhoids are broadly categorized into internal and external types. Internal hemorrhoids develop inside the rectum and are typically painless, though they may cause bleeding during bowel movements. External hemorrhoids form under the skin around the anus and can be itchy, painful, and may bleed.

Symptoms of hemorrhoids can vary depending on their type and severity. Common signs include itching or irritation in the anal region, pain or discomfort, a lump near the anus, and bleeding during bowel movements. Rectal bleeding, especially if it is a new symptom, should always be evaluated by a medical professional to rule out other conditions.

Diagnosis of hemorrhoids is usually made through a physical examination. Internal hemorrhoids may require a digital rectal exam or a proctoscope. Treatment approaches depend on the severity of the hemorrhoids and often focus on relieving symptoms and preventing complications. Lifestyle changes such as increasing fiber intake, staying hydrated, and avoiding straining during bowel movements are often recommended. Over-the-counter creams, ointments, and suppositories can help alleviate itching and pain. For more severe cases, medical procedures like rubber band ligation, sclerotherapy, or surgery may be considered.