Hemorrhoids also called piles are swollen veins in your anus and lower rectum, similar to varicose veins. Hemorrhoids can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids). Nearly three out of four adults will have hemorrhoids from time to time. Hemorrhoids have a number of causes. Fortunately, effective options are available to treat hemorrhoids. 

SYMPTOMS

Signs and symptoms of hemorrhoids usually depend on the type of hemorrhoid.

External hemorrhoids

These are under the skin around your anus. Signs and symptoms might include:

• Itching or irritation in your anal region
• Pain or discomfort
• Swelling around your anus
• Bleeding

Internal hemorrhoids

Internal hemorrhoids lie inside the rectum. You usually can’t see or feel them, and they rarely cause discomfort. But straining or irritation when passing stool can cause this.

• Painless bleeding during bowel movements. You might notice small amounts of bright red blood on your toilet tissue or in the toilet.
• A hemorrhoid to push through the anal opening (prolapsed or protruding hemorrhoid), resulting in pain and irritation.

Thrombosed hemorrhoids

If blood pools in an external hemorrhoid and forms a clot (thrombus), it can result in this.

• Severe pain
• Swelling
• Inflammation
• A hard lump near the anus

CAUSES

• Straining during bowel movements
• Sitting for long periods of time on the toilet
• Having chronic diarrhea or constipation
• Being obese
• Being pregnant
• Having anal intercourse
• Eating a low-fiber diet
• Regular heavy lifting

COMPLICATIONS

Complications of hemorrhoids are rare but include:

 Anemia:  Rarely, chronic blood loss from hemorrhoids may cause anemia, in which there isn’t enough healthy red blood cells to carry oxygen to cells.

Strangulated hemorrhoid:  If the blood supply to an internal hemorrhoid is cut off, the hemorrhoid may be “strangulated,” which can cause extreme pain.

 Blood clot: Occasionally, a clot can form in a hemorrhoid (thrombosed hemorrhoid). Although not dangerous, it can be extremely painful and sometimes needs to be lanced and drained.

HOMOEOPATHIC REMEDIES  

Aesculus hip: There is pain like burning and stitching pain in anus persist long hour after the stool. There is itching of anus. Feeling of something stuck inside the anus because of inflammation of piles. There is constipation tendency. The piles problem is associated with backache. 

Bryonia: It is advised in constipation if the stool is very hard and the person gives more strain while passing stool. The stool is hard as well as blackish color and difficult to pass. There is a tendency of taking more water as the person feels thirsty always.

Lycopodium: The person having more flatulency problem. There is bloated sensation in stomach with gurgling or rumbling sound in the stomach. There is heaviness of abdomen generally occur in afternoon hour. There is good appetite but a little food makes him full of stomach. There is burning of chest and sour eructation with sour taste in mouth.

Carbo veg: There is flatulence with bloated sensation of stomach. Much more burping and the person feel relief after that. So much flatulence tendency that everything he/ she eats seems to convert in gas. 

Sulphur: there is burning sensation of anus after stool. There is itching of anus always. The person is having a tendency of early morning stool just after waking from bed. There is disturbed sleep habit of waking up in little noise. The person is nervous nature with an unhealthy life style.