HEMROIDS / HEMORRHOIDS / PILES

What Hemroids are, and their Appearance, Signs, Symptoms, Relief, Treatment and Cure

HemorrhoidsHemroids.com is mainly written by me, a Psychologist (Donald Urquhart), to try and help people to understand and deal with their hemroids.

It is based on my own personal experience with hemroids: My own suffering and agony, the hemroids treatments I've had to use and come to terms with, and also my own extensive research into all facets of this condition we call hemroids.

It's breakthrough material, allowing one to easily discover everything about hemroids. You will find out what hemroids really are, learn about the treatments for hemroids, and even learn how to cure your hemroids, just like I cured mine.

On this particular page I am going to teach about the different types of hemorrhoids and what they are, the typical symptoms of hemorrhoids, the effects hemorrhoids can have on people, and even how to deal with the embarrassment of seeing a doctor about them should you need to. On the right, you can read a little more about those of us involved with HemorrhoidsHemroids.com.

Page Contents 1.. WHAT ARE HEMROIDS? - Definitions and types, including EXTERNAL hemroids 2.. Understanding the Hemorrhoidal Cushions inside you 3.. The Signs and Symptoms of Hemroids 4... Some symptoms of hemroids are used as the basis of classifying hemroids into Grades 5.. The devastating effects of hemroid symptoms - NAPOLEAN BONAPARTE and his fight with hemroids 6.. Diagnosis Hemroids - GENERAL INFORMATION on Hemroids and on seeing a doctor - dealing with the embarrassment 7.. Hemroids Relief, Treatment and Cure 8.. Hemroids, the name - Spelling and Associations 9.. Hemroids SUMMARY LOOKY.. Our awards and site updates

Our contributions extend from hemorrhoids to those conditions that may be confused with hemorrhoids, so that one can really develop an understanding of this simple, yet complex problem, we call hemorrhoids.

In fact, go back 2,500 years, to the time of Hipprocates, and hemroids were treated by burning them away with a hot poker, or cutting them off with a sharp implement.

Screaming from the patient was encouraged, as it caused more of the protruding / prolapsed hemroids to come out, thereby allowing more of the hemroids to be cut off!

So, as can be seen from this hemroids picture, hemroids are not just an affliction of a modern life style, even though some have argued just that.

However, hemorrhoids still remain basically unheard of in most nonindustrialized areas of the world today, yet many, many, millions of people in industrial nations, do actually have hemroids - it's normally only when the hemroids show themselves, or bleed, or become painful, that the hemroid sufferer becomes aware of their existence.

Unfortunately, apart from pregnancy related hemroids, and very mild cases of hemroids that tend to come and go, very rarely will hemroids get better on their own. The normal course is for hemroids, to just get worse.

"What is the hemorrhoids life style?". Essentially, it's sitting and the eating of processed foods.

So, the best long term hemorrhoids treatment in the industrialized world, is mostly about getting enough fiber in your diet, and doing more physical activity - and finding hemorrhoids relief until that works - it takes about 6 months for the body to heal itself of hemorrhoids, so long as you're helping it along, and provided your hemorrhoids aren't too bad.

Why cant I just use a hemorrhoids cream and not change anything? I like my life style just fine!

Well, you may be able to, hemroids can be caused by many things, not just diet and lack of exercise. Tend to the causes of your hemroids, and you may be able to treat your hemroids yourself, which is what HemorrhoidsHemroids.com is here to help you do.

According to the Ohio State University Medical School "Probably 95% of patients with hemorrhoid trouble can be treated without surgery" (cmis.ohio-state.edu/8871.cfm), which is something good to see in stats form, and an incentive to treat your hemorrhoids before you become one of the 5% needing surgery.

So, education is always one of the best defenses against hemroids and therefore the best hemroids treatment - without, you will most likely end up with hemorrhoids again and again, treating every hemroids outbreak, hoping it will be your last, even having one hemorrhoids operation after another. I know, I use to suffer from hemroids myself.

Anyway, whatever your hemroids concern may be, I'm sure you'll find the hemroid answers here on HemorrhoidsHemroids.com and they're free, and if you cant find the answer here, then contact me!

1... What are hemroids? There are several types to be aware of.

Real photos pictures of hemroids are now here.

This picture was taken from The Illustrated Family Doctor of 1935 and colored, but believe me, they haven't changed, a hemroid is still a hemroid, and the picture is absolutely clear in conveying what the basic types of hemorrhoids are. What I really love about this hemroids picture, is that it shows the small veins in the background - and it is the small veins like that, that turn into those huge hemroids. Real photos pictures of hemroids are now here.

Why suffer? Hemroids and Bleeding Hemroids can be gone in just days!

Read our detailed and honest hemroids treatment reviews to find out which ones work, which ones may be harmful, how fast they work, and lots more.

What are Hemorrhoids?

Firstly, hemroids are akin to, but not the same as, varicose veins and hemroids only occur in the anal region - enlarged, dilated veins of the hemorrhoidal plexuses ( hemorrhoidal plexuses being the network of blood vessels of the lower rectum and anal canal, to be medically precise ).

  The veins in this area of your body are quite flexible and stretchable to coexist with the bowel expanding and contracting.  This is why a hemroid can only occur in this area of the body - no other veins in the body can stretch as much and become so huge when pressurized with blood. 

To understand hemroids, think of the hemroid as the weakest part of a weakened area of blood vessels. The hemroid, as such, develops when one of the weakened veins expands under pressure - such as when straining on the toilet.  Once expanded AND if unable to return to normal size, it is then called a hemroid.

The more veins affected, the more hemroids you have.

What are external hemroids?

If the engorged vein is outside the anus, but really close to it, it is described as an external hemroid. Specifically, external hemroids have three main symptoms: They are seen as little bleeding areas that occur under the skin near the anus, which can be felt as hard lumps. They also do not show through the opening, but develop more on the rim, just outside and, because external hemroids develop in the often darkened area of skin near the opening, they are often brownish in color.

Some doctors will even call a varicose vein on the upper part of the leg a hemroid - but this is a different way of using the term. 

Another page you may be interested in is on bleeding internal and external hemroids and their treatment.

What are internal hemroids?

If the engorged vein is inside the rectum, the hemroids are referred to as internal hemroids, although they may bleed, they are seldom painful unless infected or thrombosed. 

Internal hemorrhoids only occur in the last two inches (5 cm) of the bottom hole. That's why a doctor can easily check you for internal hemroids. I mention this, as some people mistakenly believe that internal hemroids are quite long, large, massive things, that fall down from somewhere deep inside.

Two more pages you may be interested in on internal hemroids: internal hemroids symptoms, and bleeding internal hemroids.

What are prolapsed hemroids?

If the engorged vein is internal, but hangs outside where you can see it or feel it, it is referred to as a hemroid prolapse or a prolapsed hemroid and, they are generally reddish in color.

What are thrombosed hemroids?

Finally, the last type of hemorrhoids you'll likely need to know about are hemorrhoids called thrombosed hemorrhoids. Thrombosed hemorrhoids are hemorrhoids that have a blood clot in them, and they are exquisitely painful.

These pages on thrombosed hemroids may also be of interest: Thrombosed external hemroids and why and how do hemroids thrombose?

Are Hemroids Tumors?

An alternative definition for external hemroids - one encyclopedia I read referred to them as non-cancerous tumors! Medical jargon, enough to scare any one silly I think.

2... Hemroids and Hemorrhoidal Cushions - A Point of Clarification and Great Understanding:

(No, not the hemroid donut shaped cushions you sit on)

First lets clear up some misunderstandings:

The Ohio State University Medical Center states "Everyone has hemorrhoids, but not everyone is bothered by them." (cmis.ohio-state.edu/8871.cfm)

Also, an alternative definition of internal hemroids that I have come across states that hemroids are normal and helpful, as they protect and cushion the rectum. It is only when they become troublesome that we have to worry - To quote "In one sense, everyone has hemorrhoids, the pillow-like clusters of veins that lie just beneath the mucous membranes lining the lowest part of the rectum and the anus." July, 2004, Harvard Women’s Health Watch, The Harvard Medical School.

  Although these hemroids definition are a little wrong, they do have some merit, as I'll explain below:

Everyone has hemorrhoidal cushions, all the time, but these hemorrhoidal cushions are NOT hemroids. Hemorrhoidal cushions are cushions of tissue within the anal canal that are fed from a rich blood supply. These cushions exist to help provide anal sphincter control, and without them people would have a hard time knowing "when to go." When one of the many blood vessels in this area irreversibly enlarges, which also swells some of the supporting tissue (which can include hemorrhoidal cushion tissue), then you have a hemroid / hemorrhoid.

When this process takes place below the dentate line, which is the line where internal mucus membrane transitions to external skin, then you have an external hemroid. While there are no hemorrhoidal cushions on the outside of the body, many of the veins that supply those cushions with blood drain down to the outside before going back up to empty into larger veins. It is from this "dip" in the anal veins that external hemroids develop.

The large blood vessels of the hemorrhoidal cushions enlarge from a variety of reasons, not least of which is pressure on the blood vessels. This pressure can come from sitting too long on the toilet, at a desk, or on a car seat, constipation, pregnancy, or even a heart condition that prevents the blood from returning fast enough from the veins. The blood vessel walls can also weaken with age, which makes the elderly population particularly prone to hemroids.

3... The Signs and Symptoms of Hemroids:

What do hemroids look like? The common appearances of real Hemroids

The most obvious symptom of Hemroids is that they are often felt and seen (for example, by using a mirror) as a tiny lump of grapes arising from the anus - the classic appearance of prolapsed internal hemroids. The size, shape and number of hemroids varies from one person to another.

A hemroid can be larger than a grape, even walnut size, but typically hemroids are the size of a pea.

Sometimes there is only one hemroid, while some people can have many hemroids - normally a small cluster of is found.

Hemroids can look like flattened grapes, some look like full grapes, while others may look wrinkly.

Hemroids may come out of the anus, that is protrude, other times the hemroids remain inside the anus out of view, while some hemroids develop on the skin outside of the anus - this latter type of hemroids are called "external hemroids", and they often appear as a solitary bump in the skin near the anal opening.

An important symptom of hemroids is their color

Reddish pink hemroids are normally prolapsed internal hemroids.

Purplish blue or dark reddish hemroids are normally thrombosed hemroids.

Brownish hemroids are often external hemroids.

Other common signs and symptoms of hemroids

The emotional symptoms of hemroids YOU need to be in control of

Hemroids have been agony to people throughout recorded history, and hemroids have played their part in changing history as well, by their ability to cause us to be grumpy, irritable and quick to anger, to lose focus and to make errors.

Hemroids can be so distressing to a person, that even the horrific hemroids operations of bygone centuries, were considered worthwhile by the hemroid sufferer, to try and stop the distress the hemroids were causing.

To read just how devastating hemorrhoids can be, just read the bit about Napolean further on. The hemorrhoids affected him so badly he lost the war; so you could easily lose your job or lose your business or an important client, even lose a loved one. Hemorrhoids, as you are aware, are really bad news when they decide to get your attention.

More of the Physical Symptoms of Hemroids

Another typical symptom that hemroids often cover the anus, stopping the anal opening from being seen.

Hemroids can also cause a burning sensation, pain and or discomfort around the anal opening.

Soiling of underwear can be a common symptom with hemroids as well. This hemroids symptom can cause the other symptoms of itching and burning - akin to nappy rash.

Hemroids can also cause a feeling of incomplete evacuation of the bowel - you don't feel like you've emptied your bowel, even though you have. This hemroid symptom is a particularly nasty one, as trying to get a stool out that isn't there can aggravate or cause hemroids in it's own right. I think the bowel is interpreting large hemroids or clusters of hemroids as a bowel motion that hasn't passed.

For some people, lumps or prolapse of the anal region is a common sign / symptom of hemroids. It may scare you immensely at first, as it did me, but the prolapse is normally only the hemroids acting up. An anal prolapse literally refers to the internal lining of the anus appearing outside the anal aperture opening. Hence if an internal hemroid appears outside the anal opening, it is, by definition, an anal prolapse! However, a hemroids anal prolapse, is no where near as bad as a full anal prolapse.

4... Some symptoms of internal hemroids are used as the basis of medically classifying hemroids into Grades:

• Grade 1 hemroids do not prolapse, may bleed.
• Grade 2 hemroids prolapse - pop out - when straining, but the hemroids go back in of their own accord; they may bleed.
• Grade 3 hemroids pop out when straining, tend to bleed more and have to be gently pushed back in.
• Grade 4 hemroids are showing all the time and bleed much more.

So, if your doctor starts to talking about your hemroids as a specific grade, you'll have an idea of what he is on about, as well as the hemroid symptoms he used to make the grading.

5... The Effect of Hemroid Symptoms on a Sufferer

So you think Hemroids are NO big deal?

A case study of the devastating effects hemroids symptoms can have on someone's career, and on an entire country. So imagine what it may be doing to you.

Napoleon Bonaparte and his fight with Hemroids.

It has been identified by Dr. Paul Wolf, 2001, that Napoleon Bonaparte could have won the Battle of Waterloo by attacking earlier in the day, but Napoleon Bonaparte delayed his attack because he suffered greatly from hemroid pain that morning. By the time the afternoon came, the weather and so on, advantaged the British.

Napoleon Bonaparte suffered greatly from hemroid pain during many of his battles, as the tension of battle apparently caused his sphincter muscles to tighten horrendously on his hemroids, thereby generating massive pain and discomfort for him.

Napoleon Bonaparte used bathing to help control his hemroid pain, but during the battle of Waterloo he was constipated which made his discomfort and possibly his pain much worse, and so he left the battlefield, left his army in the command of a subordinate, and sat in a bath to ease his miserable state, then went back to the battlefield later in the day, resumed his command, and then he lost the war.

An interesting bit of hemroid history there, one I think many of us can understand and sympathize with!

6... Diagnosis Hemroids - The Big Embarrassment

How Common are Hemroids? Some General Information on Hemroids

Normally, everyone has internal hemroids, but they are not normally noticeable - they typically remain out of sight and show no signs nor symptoms.  Believe it or not, about 10 million people in the world are afflicted by troublesome hemroids every year.

Reaction to Finding Hemroids

When the hemroids do initially show themselves, the common reaction is one of shock, fear and concern.

All of a sudden, one's nice looking bottom has the insides look like they are falling out of it and the hemroids may also pain, itch and burn like nothing ever experienced before!

For some it's the shock of seeing lots of blood suddenly coming out or severe excruciating pain from a hemroid thrombosis.

These hemorrhoids symptoms are enough to get any ones attention real fast.

What are hemorrhoids? Fortunately, all hemroids really are, are swollen blood vessel, which for most people, are easily cured or relieved.

But having the problem of hemroids is an embarrassing one.

We are trained about how dirty and unmentionable that area of our anatomy is, so when hemroids drop out to say "Hi, I'm down here.", as in pregnancy, the last thing you want to do is talk to people about them. Even talking to doctors about the hemroids can be embarrassing for those of us who just don't talk about such things.

Why do I need to see a doctor about hemroids? It's so embarrassing!

Dealing with the embarrassment of hemroids in the doctors surgery

The problem of shame may be exasperated even more with hemroids, if you believe you caused the hemroids through a sexual act. You might feel that the doctor will pursue a too personal line of questioning with the hemroids. From my experience in discussing hemroids and hemroid treatments with doctors and surgeons, they haven't asked questions of a too personal nature - more interested in telling me what to do.

In fact, the problem of hemroids is so widespread in the community, that doctors will often be sufficiently skilled to perform a simple banding or injection hemroids treatment while you are there in the office, or any type of hemroids medical treatment for that matter. They possibly see people suffering with hemroids every day and are not typically embarrassed by it from my experience. So, once you get over the feeling of shame and embarrassment, realizing that the doctor wont likely get too personal in their questioning about your hemroids, you might feel a sense of relief about seeing them, and finding out about the hemroids treatment they feel is the best for you - most likely a dietary change to begin with.

Another good idea, is to write down the hemroid symptoms you have, so that when you go to discuss your hemroid symptoms with the doctor, it's just a matter of you reading the symptoms out. So, even if you were to get a bit flustered, all the hemroid symptoms can be conveyed without the feeling at the end of walking out of the appointment, "Jeees, I forget to say that. Would that change his diagnosis? Or the hermoids treatment I am having? ... "

Think about me and my hemroids. When I saw doctors, most of whom were males, they would have a look, some inside.

Yes, that was embarrassing, but it was better for me to get the correct diagnosis and the hemroid treatment options, than not.

Self diagnosis of hemroids is difficult.

A non-medical person may confuse hemroids with warts, abscess, anal fissure, anal prolapse, cancer or other conditions. A picture of hemroids, actually many hemroid pictures, are included here to assist you, but medical assessment is strongly suggested.

7... How to diagnose, get relief, get rid of and prevent hemroids is our goal: The treatment of hemroids / hemorrhoids is vital.

To this end informative photos are provided and fully discussed, and we cover and fully explain the causes and symptoms of hemroids, as well as how to attain fast hemroid relief.

Hemroid treatments, cures, home remedies, surgery and medical types of hemroids are also fully covered in depth.

We try to look after every aspect of your needs related to hemroids, by providing this well written, comprehensive, and informative material in an easy to read, understandable way.

There are also alternative treatments for hemroids available, as well as the online hemroids treatments that we have compared. The compared ones bring fast relief.

Want to enjoy your hard earned money?  Then what are you waiting for? Find your natural hemorhoids treatment here and stop your suffering A small investment for a big return

Navigating our Hemroids Treatment Site

Navigation links to our hemroids information / topics / pages are located on the left hand side, toward the top. As well, the page contents of the page you are on, may be displayed on the left hand side, but a bit further down. I am currently changing this format on all the hemroid pages, so that the hemroids contents section is near the top of the pages.

Anyway, enjoy the rest of this hemroids page, and any other pages you choose. The previous section on Napoleon Bonaparte's hemroids was, well, fascinating. Hemroids basically ended his career and his plans for conquest!

8.. Hemroids - The Name

Alternative SPELLINGS AND NAMES for hemroids

Alternative spellings for hemroids : Hemorrhoids and haemorrhoids. Hemorrhoids is the most common spelling and hemorrhoids is also the modern label in medical circles. Next in popularity comes hemroids, which is the way I and many others naturally spell it. Haemorrhoids is a term seldom used now - haemorrhoids is an older label that you will still find occasionally used in medical journals and texts. Why do I mostly use the word hemroids, instead of hemorrhoids? Hemorrhoids takes more letters to type and hemorrhoids is not the way I normally spell it - I frequently misspell hemorrhoids as hemorroids.

Alternative names for hemroids : Piles. The term piles has been used to describe hemroids for more than a century. In one of my medical texts from the 1833's, the term piles was evidently in common usage along with haemorrhoids. From what I can tell, piles was the term used by ordinary folk, while haemorrhoids may have been more restricted to use by doctors. The terms hemroids and hemorrhoids don't appear to have been used back then.

Common misspellings (? - may change from country to country) of the word hemroids: Hemmroids, hemoroids, hemeroids, hemorids, hemerroids, hameroids, hammeroids, hemorroids, haemorroids, hemmoroids, hemmeroids, hemmorhoids, hemorrhoides and hemorhoids. Of these apparent misspellings, hemorroids comes at the top of the list - I guess people forget about the silent h in the middle of hemorroids.

The stats breakdown - spelt "hemorrhoids" - about 55%. Spelt "hemroids" - around 40%. All the other spellings account for around 5%. Stats are based on a survey I did some time ago.

Origin of the condition "hemroids":  How the name became linked to the condition.

"Hemorrhoid" is actually an anatomical term for the cushions of tissue rich in blood vessels that naturally occur at the junction of the rectum and the anus, but, seeing as most people don't have to think about anorectal anatomy that often, the name got passed on to the annoying as heck swellings that occur around that area, even when the varicosity and swelling does not occur on the hemorrhoidal cushions themselves.

The lay person use of the word hemorrhoids appears to be slowly becoming shortened to "hemroids".

Some trivia information on hemroids, which you may or may not, have found interesting.

9.. Hemroids Summary

In summary, there is much you can do to bring relief from the discomfort and pain of hemroids. Surgery will normally be a good treatment option for hemroids as it removes them, diet and lifestyle may be able to cure them and stop them coming back, while pain medication and herbs, soothing creams, baths, hemroid pillows cushions and so on, can quickly bring relief to hemroids that are showing themselves.  Some herbs and vitamins may be able to cure you without surgery.

To remain cured of hemroids, or to prevent them from developing, try the suggestions on this web site for hemroids treatment - for example, by avoiding those things that can cause them to develop, by taking in therapeutic doses of certain herbs, fruits, vitamins and minerals. By avoiding the causes of hemroids, we have a much greater chance of preventing hemroids from coming back or developing in the first place, but there are no guarantees unfortunately.

We even review and provide links to popular and worthwhile online hemroids treatments, like Heal Hemorrhoids if you prefer a lotion to apply to external hemroids, and for a pill to swallow Venapro stands out as the best and does both external and internal hemroids.  You can also read about them and much more on our hemroids medication review page.

As to this hermoids web site, well, this is likely the most well researched and extensive hemroid web site on the internet, with around 100,000 words, covering just about everything hemroids - from hemroid pictures and photos, to hemroid treatments, hemroid diagnosis - even hemroids in animals are covered.

Find out more about these commercial hemroids treatments, and others, by reading our hemroids treatments compared BEFORE you buy anything.

Off topic links

LOOKY.. Our latest Awards and Hemroids page updates:

Firstly, thank you to the many, many people that take the time to say "what a great a site, thank you".

Been quite a few new pages missed, but here are some interesting ones completed before mid-Sept. 2009:

Colon Cleansing as a treatment for hemorrhoids was quite surprising. I thought The M.D. was going to bag colon cleansing, but instead he was actually favorable to some of the colon cleansing methods for helping hemorrhoids.

Anal sex can cause piles / hemorrhoids / hemroids, but there are safer ways of doing anal sex to minimize hemorrhoids.

Hemorrhoidectomy Recovery is an important focal point for folks that have had a hemorrhoidectomy.

Vaginal Hemorrhoids is a case of misdiagnosis. Anal warts are nothing like hemorrhoids, neither is herpes, but hemorrhoids can easily be confused with perianal hematoma. Anal skin tags can sort of look like hemorrhoids, sometimes.

Our review page has been significantly rearranged to make it more user friendly.

New pages include one on constipation and it's treatment and it's role in causing hemorrhoids.

Well, it's just before Christmas, 2008, and yet more photos of hemroids have been added, and, for those of you returning, you will probably notice the site redesign. More content of course, and this main page has been completely reorganized, with new content as well added.

More real hemorrhoids photos have been added, bringing the total to about 8 hemorrhoid ones I think, plus one on anal skin tags.

Totally redesigned again, hope you all like it better.

Www.hemorrhoidshemroids.com is now being referred to as an authority site on hemroids / hemorrhoids. Lots of emails from people thanking us for providing it as well.

Our web site is now about 80,000 words of concise writing.  Well researched and up to date and unbiased.

The web site has had many more pages added to it.  In brief, one of the changes we made was to add two new sections (several web pages each), one on animal hemroids and one on conditions that mimic hemroid symptoms.

Moved the graphical real photo pictures of hemroids from this main page to their own page and purchased another photo.  So we now have pictures of a prolapsed internal hemroid, of an external hemroid and of a grade 4 prolapsed internal hemroid which also appears to be thrombosed - These are real medical pictures of hemroids, so don't look if you don't want to see.

Added a new page on external hemroids.

Peer review, November, 2007, received this award from Ezine and also "earned Expert Author status" with them.

Updated sections include the page you are now on, Pregnancy, Bleeding Hemroids and, Home Remedies. The latter includes many home remedies for hemroid relief.

We have added a hemroid treatment overview page to help people see the range of treatments available.

Several of our pages have been broken up to be more relevant to people searching for a particular hemroid treatment or cure.

The hemroids cure page includes vitamins, foods and herbs that help prevent and possibly cure them.

The sections on What Do Hemroids Look Like, What Hemroids Are and Thrombosed Hemroids have been recently updated.

Considering surgery? Surgical Treatments for Hemroids has been updated and now includes a simple means of determining which surgical procedure, if any, you may benefit the most from. We have added three more surgical treatments to the list of hemroid surgeries you may be able to choose from.  Hemorrhoidectomy, being such a specialized and different hemroid surgery, is on it's own page.

Have added a page on alternative medicine for hemroids.

Of course, don't forget all our other pages on hemroids!

If you are returning to the web site, as many people do, now may be a good time to book mark us again with our new URL ( web address ). Also, trust the new web site design and name is more appealing and easier to navigate.

If you liked this web site on hemroids, then you may also like this one on teeth:

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