Hemorrhoids and pain during defecation

Hemorrhoids are common complaints. They cause pain and discomfort during defecation. A complaint with which you might prefer not to go to the doctor so quickly. However, your doctor can easily prescribe remedies to quickly reduce the symptoms. Read more below about the causes, symptoms of hemorrhoids and also complaints of a fissure, Marisken or bruising around the anus.

  • How do hemorrhoids occur?
  • What are the causes of hemorrhoids?
  • What complaints occur?
  • Other conditions with similar complaints
  • To the doctor

How do hemorrhoids occur?

Too much pressure on the anus causes the erectile tissues on the inside of the sphincter to swell. Hemorrhoids then develop. The erectile tissues normally prevent the leakage of fluid or gas from the anus. In the worst case, the hemorrhoids can swell so much that they protrude outside the anus. During pregnancies you are more likely to get hemorrhoids.

What are the causes of hemorrhoids?

  • Straining too hard during bowel movements;
  • Sitting in a squatting position a lot;
  • Little movement;
  • Postponement of defecation when urgent;
  • Sitting on the toilet for a long time;
  • Hard stools (constipation);
  • Diarrhea;
  • Relaxation of the tissue in the elderly;
  • Temporary relaxation of the tissue in pregnant women;
  • Medicines. For example, as a side effect of products containing iron and/or diuretics;
  • Excessive body weight;
  • Incorrect toilet training where too much haste has been learned during bowel movements.

What complaints occur?

  • Hemorrhoids can cause a feeling of urgency
  • Less proper closure of the anus, resulting in possible leakage, which leads to skin irritation and itching.
  • Blood loss due to irritation of the mucous membrane.
  • Cramping of the sphincter muscle resulting in a hard painful swelling in the anus.

Other conditions with similar complaints


Marisken can be recognized by so-called skin flaps around the anus. Sometimes the flaps can swell, but other than that it often causes no further complaints. Because the area around the anus is more difficult to keep clean and therefore less hygienic, it may be decided to have the Marisken removed.


Pressing too hard can cause bruising in the anus area with clot formation. There will immediately be a lot of pain and the swelling will need to be removed.


If bowel movements are accompanied by severe and sharp pain, this may indicate fissures (Fissura ani) in the mucous membrane of the anus. Sometimes this pain is so severe that one no longer dares to go to the toilet. Fissura ani are initially treated with ointment and a product that makes the stool softer.

To the doctor

Don’t wait too long to go to the doctor. The doctor can prescribe lactulose (syrup) in combination with an anesthetic ointment. The lactulose will soften the stool so that straining is no longer necessary. This gives the area around the anus peace. The anesthetic ointment ensures that the pain complaints temporarily decrease during the healing process. Waiting too long and postponing a visit to your doctor can lead to much bigger problems, sometimes even resulting in surgery. Save yourself this misery, bare your buttocks and get treated!

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