Inside the anal canal are cushions which fill with blood to control bowel movement. When these become stretched due to too high blood pressure or too high volume of blood they become hemorrhoids. Hemorrhoids can vary a lot in regard to the pain they cause. They generally dont become a serious problem until severe pain is caused. Hemorrhoids are relatively common in the general population with 1 in 20 people suffering and around 50% of people sufferer from hemorrhoids at some point in their lifetime. Hemorrhoids are most common in people between 40 " 65 years of age.
As mentioned in the previous paragraph, hemorrhoids occur when the pelvic and rectal veins are exposed to too much pressure. Surrounding tissues along with the blood vessels stretch and then a hemorrhoid is formed. Constipation and diarrhea can both trigger hemorrhoids due to aggravation and straining.
Being overweight is also a common cause of hemorrhoids. Pregnant women are at high risk of hemorrhoids due to an increased blood flow and blood pressure while pregnant. Hemorrhoids can also occur due to the straining required when giving birth.
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Two main types of hemorrhoids exist, internal hemorrhoids and external hemorrhoids (both can occur simultaneously). The severity of the hemorrhoid will vary on a case by case basis depending on numerous factors. Internal and external hemorrhoids can both bleed. Hemorrhoids are usually divided into 4 degrees of severity. 1st degree hemorrhoids are the least serious while 4th degree hemorrhoids are the most severe.
First degree hemorrhoids (the least severe) will never protrude from the anal canal. Second degree hemorrhoids can sometimes protrude (for example during bowel movement) but they always enter the anal canal again naturally afterwards. Third degree hemorrhoids require manual insertion while hemorrhoids of the fourth degree cannot be inserted at all.
Symptoms of Severe Hemorrhoids
Severe hemorrhoids will be more painful than those that are not so severe. Symptoms remain the same, that means sufferers will usually experience itching, burning and notice blood on the stools or toilet paper.
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