Both internal haemorrhoids and external haemorrhoids are varicose veins. Internal haemorrhoids are not associated with pain. The rectum is not served by nerves which register the inflammation that occurs to thrombosed internal haemrrhoids, instead, the most common symptoms are bright red blood accompanying the passage of stool, and a feeling of rectal fullness when acute swelling occurs.

External haemorrhoids are often referred to as tags or piles. In the event of a thrombosis of veins that serve the anus, a bulge will appear at the anal opening. Pain is frequently reported, as is blood on toilet paper from abrading the anal tissues. Symptomatic treatment includes the use of steroidal, anti-inflammatory creams and suppositories to reduce inflammation and shrink the affected structures. Complete remission of heamorrhoids is rare, but the condition is usually manageable by direct therapies.

Ligature, or aspiration of inflamed haemorrhoidal tissue can be performed if swelling does not subside through less invasive means. Ligature involves tying off the affected structure to cut off blood flow. The haemorrhoid eventually withers due to a lack of blood supply, and it is sloughed off during a regular bowel movement. Aspiration or lancing, involved relieving the pressure through a small incision. allowing constricted blood flow to escape, and, thus, reduce the volume of fluid contained in the heamorrhoid. This is a short term solution.

Surgical removal of heamorrhoids is always an option when the patient experiences complications with the voiding of faeces. Large internal haemorrhoids may prolapse outside of the rectum, and become strangulated. A strangulated haemorrhoid can become a medical emergency, blocking the passage of stool, and providing an opportunity for infection. Unlike a ligated vein, a strangulated one remains in contact with the body’s blood supply. A strangulated haemorrhoid may become gangrenous, and spread its infection elsewhere. It is a situation to be avoided.

Because of the blood and pain involved with bowel movements, many people avoid regular use of the toilet. This increased the pressure in the anal canal, and actually cause the condition to worsen. The best preventive measure to avoid haemorrhoids, or to mitigate their adverse effects is to engage in a high fiber diet accompanied by plenty of fluids. The regular passage of large, well-formed stools has been proven to improve anal and rectal muscle tone, and to decrease the occurrence of haemorrhoids, both internal and external. Pregnant women often suffer from temporary haemorrhoids due to the increased pressure placed on the pelvic floor by the weight of the fetus and amniotic fluid. I diet high and vegetables and whole grains can prevent a haemorrhoidectomy.