Protruding Hemroids 

Hemroids are cushions, made out of blood vessels. They are located inside the anus to seal the opening and prevent leakage of gas or stools. 

Hemroids are divided into internal ones which are usually not visible and are covered by a shiny lining called mucosa, and external ones which are covered by normal skin. When the internal and external hemroids become so big that they blend one with the other, then they are called complex hemroids. 

The cause of hemroids is usually due to multiple factors such as : 
chronic constipation, 
the lack of adequate of an adequate amount of fiber in our diet, 
family history, 
pregnancy, 
the habit of spending several hours a day in the sitting position. 

The most common symptoms of hemroids are 
rectal bleeding, which is usually bright red, painless and follows bowel movements. 

I want to stress the fact that even though bleeding is a very common sign of hemroids, the presence of hemroids does not exclude that the bleeding could be coming from a tumor in the rectum or lower bowel. 

Another common symptom is the presence of swelling or lumps in the anal area. Hemroids are also known as piles. They are usually reducible, which means that they could be pushed back in at the end of bowel movements. 

Itching and burning are also very common symptoms of hemroids, as it is pain, especially if the hemroids become thrombosed. 

The treatment of hemroids has challenged physicians for the last 4,000 years. 

The medical treatment of hemroids is based on adding bulk to the diet. The rationale of adding bulk to the diet is to eliminate the need to straining and push too hard or too long during bowel movements.