Hemorrhoids can result from straining to pass stools, so are common in constipation and chronic diarrhea. Internal hemorrhoids occur within the rectum and are painless but may bleed, showing as bright red blood on the stools or toilet paper, or blood dripping into the toilet bowl.
Larger internal hemorrhoids may prolapse out of the anus, typically after defecation, but often go back by themselves or may be pushed back in by hand. External hemorrhoids develop outside the anus. Both types can form itchy, tender, painful lumps.
Piles can be found by proctoscopy (viewing the anus and rectum). Hemorrhoid Treatments include increasing fluid and fiber intake, ointments, injections, banding, laser therapy, and surgery.
There are different surgery used to remove hemorrhoids, they are includes
Closed Hemorrhoidectomy: The surgeon removes the hemorrhoidal tissue and then closes the incisions with stitches.
Open Hemorrhoidectomy: In this approach, the surgeon leaves the incisions open, allowing for spontaneous healing. This method is less commonly used than closed hemorrhoidectomy.
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