Hemorrhoids: Hemorrhoids are abnormally dilated venous channels around the anal mucosa and skin. Hemorrhoids may be internal or external. Hemorrhoids are most common problems associated with constipation,
Causes: hemorrhoids develop due to increased pressure on anus; pressure may be because of constipation. Straining to pass hard feces is the major cause in its development, pregnancy is another cause of hemorrhoid development due to pressure of baby on pelvis, increased intra abdominal pressure due to exercises and abdominal fullness due to indigestion, various arteriovenous malformations can result in hemorrhoids in which venous channels are abnormally dilated in different areas of body. Liver failure with portal hypertension can also result in hemorrhoids.
Symptoms: Patients give history of rectal bleeding and constipation in case of internal hemorrhoids, external hemorrhoids are more discomforting resulting in anal discomfort and pain, pain on passing stools, swelling in anal area, anal itching and leakage of stools.
Diagnosis: It is done by examination, external hemorrhoids are obvious and seen as swelling in anal area surrounding anal skin is red and inflamed, on coughing internal hemorrhoids are prolapsed outside and can be detectable. Sometimes internal examination is necessary under local anesthesia to diagnose internal hemorrhoids .
Treatment: Mild hemorrhoids causing mild pain and discomfort respond to local measures like treating constipation by high fiber diet and advise to drink a lot of water. Local antiseptic and anesthetic creams are applied to relive pain; large hemorrhoids causing severe pain and rectal bleeding require surgical correction.
In this page, we are going to discuss about Hemorrhoids and symptoms, diagnosis and treatment in Urdu and Roman Hindi for the people of Pakistan and India.