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Hemorrhoids also called piles, are swollen and inflamed veins in your a**s and lower re**um. Hemorrhoids may result from straining during bowel movements or from the increased pressure on these veins during pregnancy, among other causes. Hemorrhoids may be located inside the re**um (internal Hemorrhoids), or they may develop under the skin around the a**s (external Hemorrhoids).
Hemorrhoids are common ailments. By age 50, about half of adults have had to deal with the itching, discomfort and bleeding that can signal the presence of Hemorrhoids.
Fortunately, many effective options are available to treat Hemorrhoids. Most people can get relief from symptoms by using home treatments and making lifestyle changes.

SYMPTOMS

Signs and symptoms of Hemorrhoids may include:

Painless bleeding during bowel movements — you might notice small amounts of bright red blood on your toilet tissue or in the toilet bowl

Itching or irritation in your a**l region

Pain or discomfort

Swelling around your a**s

A lump near your a**s, which may be sensitive or painful

Leakage of f***s

Hemorrhoid symptoms usually depend on the location. Internal Hemorrhoids lie inside the re**um. You usually can't see or feel these Hemorrhoids, and they usually don't cause discomfort.
But straining or irritation when passing stool can damage a hemorrhoid's delicate surface and cause it to bleed. Occasionally, straining can push an internal hemorrhoid through the a**l opening. This is known as a protruding or pr*****ed hemorrhoid and can cause pain and irritation.
External Hemorrhoids are under the skin around your a**s. When irritated, external Hemorrhoids can itch or bleed. Sometimes blood may pool in an external hemorrhoid and form a clot (thrombus), resulting in severe pain, swelling and inflammation.
CAUSES

The veins around your a**s tend to stretch under pressure and may bulge or swell. Swollen veins (Hemorrhoids) can develop from an increase in pressure in the lower re**um. Factors that might cause increased pressure include:

Straining during bowel movements

Sitting for long periods of time on the toilet

Chronic Diarrhea or Constipation

Obesity

Pregnancy

A**l in*******se

Low-fiber diet

Hemorrhoids are more likely as you get older because the tissues that support the veins in your re**um and a**s can weaken and stretch with aging.

COMPLICATIONS

Complications of Hemorrhoids are rare but include:

Anemia. Chronic blood loss from Hemorrhoids may cause Anemia, in which you don't have enough healthy red blood cells to carry oxygen to your cells. This may result in fatigue and weakness.

Strangulated hemorrhoid. If blood supply to an internal hemorrhoid is cut off, the hemorrhoid may be "strangulated," which can cause extreme pain and lead to tissue death (Gangrene).