Hemorrhoids are nothing but swollen blood vessels in the anus – similar to varicose veins. Hemorrhoids can develop on the inside of the anus, or on the outside of the ring muscle.

The exact causes are not known, but the most common contributing factors are:

poor diet;
persistent constipation;
continuous pressure by, for example, spending long periods on the toilet;
a low in diet


It’s a very common condition: Nearly three out of every four adults develop hemorrhoids during their lifetime. Many people never experience symptoms. The most common symptoms of hemorrhoids:

persistent itching around the anus;
bleeding with stools – usually clear blood on the surface of the stool;
a painful mass outside the anus; and
swelling around the anus.

How do you know that you have hemorrhoids?

Blood loss during stool: small amounts of clear red blood on toilet paper or in the toilet.

Itching, sometimes a burning sensation around the anus.
Urgency: the feeling that you have to go to the toilet.
Hemorrhoids themselves are painless. But if the blood supply is pinched and a blood clot develops in the hemorrhoid ( hemorrhoids or haemorrhoidal thrombosis ), there is a sharp pain.

Internal hemorrhoids can be pressed out by pressing. Then they emerge from the vent ( prolapse ). That can give a dull pain or a gag feeling and be accompanied by a bleeding. In the beginning, the settled hemorrhoid will automatically retreat, but after several sagging it will no longer occur automatically and you will have to push it back in again.

Hemorrhoids Symptoms?

Hemorrhoids Symptoms?

The most commonly presented complaint in the GP practice is rectal bleeding (bright red, drop-wise, on the stool, on the toilet paper or in the toilet bowl after the stool). Other complaints are itching and pain, among other things due to leakage of mucus or feces or by sagging hemorrhoids.

Hemorrhoids usually give short-term symptoms that spontaneously pass. Hemorrhoids that have developed during pregnancy and childbirth usually disappear after a few weeks. Sharp pain symptoms may indicate fissure ani or thrombus formation in an external hemorrhoid.