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About Hemorrhoid & Treatment

Hemorrhoids are swollen blood vessels in the lower rectum. They are among the most common causes of anal pathology, and subsequently are blamed for virtually any anorectal complaint by patients and medical professionals alike. Confusion often arises because the term "hemorrhoid" has been used to refer to both normal anatomic structures and pathologic structures. In the context of this article, "hemorrhoids" refers to the pathologic presentation of hemorrhoidal venous cushions.

Hemorrhoidal venous cushions are normal structures of the anorectum and are anatomically present unless a previous intervention has taken place. Because of their rich vascular supply, highly sensitive location, and tendency to engorge and prolapse, hemorrhoidal venous cushions are common causes of anal pathology. Symptoms can range from mildly bothersome, such as pruritus, to quite concerning, such as rectal bleeding.

Although hemorrhoids are a common condition diagnosed in clinical practice, many patients are too embarrassed to seek treatment. Consequently, the true prevalence of pathologic hemorrhoids is not known.In addition, although hemorrhoids are responsible for a large portion of anorectal complaints, it is important to rule out more serious conditions, such as other causes of gastrointestinal (GI) bleeding, before reflexively attributing symptoms to hemorrhoids.

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Frequently Asked Questions(FAQ)

What are hemorrhoids?

Hemorrhoids are swollen blood vessels in the lower rectum.

What are the symptoms of hemorrhoids?

Symptoms of hemorrhoids can range from mildly bothersome, such as pruritus, to quite concerning, such as rectal bleeding.

Why is there confusion around the term "hemorrhoids"?

Confusion arises because the term "hemorrhoids" has been used to refer to both normal anatomic structures and pathologic structures.

What are hemorrhoidal venous cushions?

Hemorrhoidal venous cushions are normal structures of the anorectum and are anatomically present unless a previous intervention has taken place.

Are hemorrhoids a common condition?

Yes, hemorrhoids are a common condition diagnosed in clinical practice.

Why is the true prevalence of pathologic hemorrhoids unknown?

Many patients are too embarrassed to seek treatment for hemorrhoids, so the true prevalence is not known.

Should other causes of gastrointestinal bleeding be ruled out before attributing symptoms to hemorrhoids?

Yes, it is important to rule out more serious conditions, such as other causes of gastrointestinal bleeding, before reflexively attributing symptoms to hemorrhoids.