June 2, 2022

Hemorrhoids are swollen veins in the wall of the rectum and anus that may be caused by too much pressure in the vein. Hemorrhoids can cause pain or bleeding. Hemorrhoids are also called piles. Hemorrhoids are generally caused by increased pressure due to pregnancy, being overweight, or straining during bowel movements. Hemorrhoids are prevalent, occurring in half of all men and women by 50.


Hemorrhoids may become a recurring condition for susceptible individuals. Therefore, the first step to healing is determining whether you have internal or external hemorrhoids. Hemorrhoid banding is only used on internal hemorrhoids, but internal banding can sometimes help relieve the pain of some external hemorrhoids.

Internal Hemorrhoids:

These hemorrhoids are not visible outside the body, but they can be felt. They are less painful than external hemorrhoids and may be thought of as an internal itching or feeling of fullness after a bowel movement. Banding is an effective treatment for these.

External Hemorrhoids:

These visible lumps or bulges around the anus are more painful and sensitive than internal hemorrhoids. They generally go away on their own with minimal treatment. Banding is not an option for external hemorrhoids.

Prolapsed Hemorrhoids:

Both internal and external hemorrhoids can prolapse, stretching and bulging outside the anus. These hemorrhoids may bleed or cause pain.


  • Anal pain
  • Rectal bleeding
  • The feeling of discomfort or fullness in the rectum
  • Soiling of underwear
  • Anal and rectal itching
  • Difficulty cleaning after a bowel movement
  • Bulging tissue from the rectum
  • The sensation of needing to defecate
  • Lumps around the anus


  • Pelvic pressure from weight gain
  • Straining during bowel movements
  • Being pregnant
  • Being obese
  • Eating a low-fiber diet
  • Having anal intercourse
  • Straining to lift heavy objects or weightlifting
  • Sitting for long periods of time on the toilet


  • Don’t push too hard or sit too long on the toilet
  • Drink plenty of water.
  • Go to the toilet when the urge hits.
  • Eat more high-fiber foods or take supplements. Generally, women should aim for 25 grams per day, while men should get 35 grams of fiber.
  • Stay physically active. Being on the move keeps bowels moving.
  • Take laxatives or use enemas only as recommended by your healthcare provider. Too many laxatives or enemas can make it hard for your body to regulate how you poop.


Hemorrhoids can cause discomfort and severe pain. However, hemorrhoids are not deadly. It won’t put your life in danger.

Trying out home remedies and implementing prevention strategies can help to reduce hemorrhoids’ interference in your daily routine.

Another more severe condition can sometimes cause chronic pain that appears to be from hemorrhoids.

Consult your doctor if you are suffering from severe anal pain or bleeding, especially if you are experiencing a high fever and diarrhea.


With home treatments, you can often relieve the mild pain, swelling, and inflammation of hemorrhoids.

  • Eat a high-fiber diet like whole grains, vegetables, and fruits. This helps the stool and increases its bulk, which will help you avoid the straining that can worsen symptoms from existing hemorrhoids. Fiber can also be added to your diet to avoid the problems related to gas trouble.
  • Apply an over-the-counter hemorrhoid cream containing hydrocortisone, or use witch hazel pads.
  • Soak your anal area in warm water for 10 to 15 minutes two to three times a day.
  • You can temporarily use acetaminophen (Tylenol, others), aspirin, or ibuprofen (Advil, Motrin IB, others) to help relieve your pain.

With these treatments, the symptoms of hemorrhoids usually disappear within a week. Consult your doctor in a week of time if you don’t get calmness, or sooner if you have bleeding or severe pain.


If your hemorrhoids produce only a small discomfort, your doctor might suggest over-the-counter creams, ointments, suppositories, or pads. These products contain witch hazel, or hydrocortisone, and lidocaine, which can temporarily relieve pain and itching.

Please never use an over-the-counter steroid cream for more than a week unless or otherwise suggested by your doctor because it can make your skin thin.

External Hemorrhoid Thrombectomy:

If a painful blood clot has formed within an external hemorrhoid, your doctor can remove the hemorrhoid, which can provide prompt comfort. This procedure is most successful if done within 72 hours of evolving a clot.

Minimally Invasive Procedures:

For persistent pain or bleeding hemorrhoids, your doctor might suggest a minimally invasive procedure that is obtainable. These treatments can be done in the outpatient settings or in your doctor’s office and usually don’t need anesthesia.


Only a tiny percentage of people with hemorrhoids need surgery. However, if other procedures or medications haven’t been successful or you have considerably huge hemorrhoids, your doctor might suggest one of the following:

  • Hemorrhoid Removal (Hemorrhoidectomy):

By choosing one of the different methods, your surgeon takes out excessive tissue that causes bleeding. The surgery can be done with local anesthesia combined with spinal anesthesia, sedation, or general anesthesia.

Hemorrhoidectomy is the complete and most effective way to treat recurring or severe hemorrhoids. Complications of this procedure may include temporary difficulty emptying your bladder, resulting in urinary tract infections. This complication often occurs after spinal anesthesia.

  • Hemorrhoid Stapling:

This procedure which is called stapled hemorrhoidopexy blocks blood flow to hemorrhoidal tissue. It is mainly used only for internal hemorrhoids.

Stapling generally involves less pain than hemorrhoidectomy and allows for an earlier return to routine activities. Compared with hemorrhoidectomy, however, stapling has been associated with a greater risk of rectal prolapse and recurrence and rectal, in which part of the rectum protrudes from the anus.

Complications can include bleeding, urinary retention, pain, and sepsis. Consult and talk with your doctor to understand the best option for you.


Al Hilal Hospital is the largest and fastest-growing chain of private healthcare providers in Bahrain, with five branches. Al Hilal Healthcare Group is committed to providing high-quality healthcare services at an affordable price to the people of Bahrain through a combination of superior medical technology and excellent clinical services. Its vision is to be the largest healthcare service provider in the region by catering to the needy at the most affordable rates.

Al Hilal Healthcare Group now offers advanced surgical solutions for major surgeries. We now introduce Laparoscopic and Laser Surgeries as well. In addition, Al Hilal has specialist surgeons who do the surgery for Hemorrhoids successfully.


Al Hilal Healthcare group is equipped with high surgical excellence and the best and most experienced surgeons. Al Hilal provides all these surgeries at an affordable price to the patients. We also offer the utmost care before, during, and after the surgery. We have General Surgeons who are well-experienced in surgery for Hemorrhoids.