Varicose Veins 

Hemroids 
Hemroids are varicose (swollen or dilated) veins located in or around the Excretory Orifice. Internal hemroids are varicose veins that surround the rectum and, when dilated, protrude inside, sometimes extending out of the Excretory Orifice.
Scientists aren't sure why people get hemroids. They are usually not painful, but they can be bothersome. Hemroids sufferers can frequently and safely push them back inside.

Certain conditions may cause internal hemroids to bulge, become irritated and bleed, including:

• Trauma during childbirth 

• The extra weight of pregnancy 

• Obesity 

• Chronic constipation with straining 

• Excretory Orifice intercourse 

• Rarely, a bulging internal hemroids may thrombose, meaning a blood clot may occur.

External hemroids are varicose veins located under the skin on the outside of the Excretory Orifice. They are frequently painful and usually arise when a blood clot blocks off the vein.

Hemroids caused by a blood clot, medically referred to as thrombosed hemroids, need to be treated right away by a doctor. The doctor usually will remove the blood clot. Otherwise, most cases of hemroids can be treated at home, with the most important aspect of care being good hygiene. Rarely, surgery is required to remove them.

Prevention
The best way to prevent hemroids is to keep bowel movements regular and stool soft. Try some of the tips for relieving constipation listed above. Also, avoid prolonged standing, sitting, and heavy lifting, and chronic coughing, straining at stool, and aggressive wiping.

Treatment for hemroids
Medical treatment of hemroids is first directed at relieving symptoms. This includes:

• Warm tub baths several times a day in plain, warm water for about 10 minutes Application of a hemorroidal cream or suppository to the affected area 

• In some cases, hemroids must be treated surgically. Surgery is used to shrink and destroy the hemroidsal tissue and is performed during an office or hospital visit. 

A number of methods may be used to remove or reduce the size of internal hemroids. These techniques include:

• Rubber band ligation: A rubber band is placed around the base of the hemroids inside the rectum. The band cuts off circulation, causing the hemroids to wither away within a few days. 

• Sclerotherapy: A chemical solution is injected around the blood vessel to shrink the hemroids.
  Infrared coagulation. A special device is used to burn hemroidsal tissue. 

• Hemroidsectomy. Occasionally, extensive or severe internal or external hemroids may require removal by surgery known as hemroidsectomy.