Hemorrhoids: symptoms, diagnosis, treatment and cause

A hemorrhoid occurs on the inside of the anus. The hemorrhoid can best be described as a bulge. Hemorrhoids are very painful, but are not a serious condition. About half of all people will experience a hemorrhoid at some point. A hemorrhoid occurs when veins swell. Hemorrhoids can occur internally and externally.


  • Itch
  • Irritated feeling
  • Pain
  • Blood on toilet paper or in toilet
  • Slimy stools
  • Pressure feeling/Feeling that intestines are not empty
  • Pain after defecating


A hemorrhoid is often caused by constipation. Anyone who has to strain hard to pass stool has a high risk of developing hemorrhoids. Blood vessels can then swell. Fat people are also more likely to get hemorrhoids. That’s because they put a lot of pressure on the veins. Hemorrhoids also often occur during pregnancy. This is because the baby in the belly puts pressure on the blood vessels.


The GP can diagnose hemorrhoids himself. This can be done by examining the rectum. The doctor will put on a glove and use a finger to inspect the anus internally and externally.


In some cases the GP performs a proctoscopy. A proctoscopy is the insertion of a viewing tube into the rectum. If the doctor suspects that there is not a hemorrhoid, but a more serious condition for a referral to the hospital. This is, for example, the case with a suspicion of colon cancer.


Small hemorrhoids disappear on their own. This also applies to hemorrhoids that arise during pregnancy. Those who suffer from constipation can use fiber-rich food to combat constipation.


There are also medications to treat the symptoms of hemorrhoids. These medications do not solve the hemorrhoids, but they can address complaints such as pain, fissures and tears in the anus. Vaselinecetomacrogol cream, zinc sulphate Vaseline cream and zinc oxide suppositories help against itching. Lidocaine Vaseline cream offers a solution for pain and a burning sensation. Hydrocortisone Vaseline cream can help to combat inflammation. Diltiazem cream stimulates blood circulation in the mucous membrane. Psyllium fibers help to make the poop less hard.


If the medications do not help, other treatments are possible. With sclerotherapy, a fluid is injected into the swollen veins to reduce their size.

Tying off hemorrhoids

Large hemorrhoids can be surgically removed. This is done by tying off the hemorrhoids with elastic bands. The hemorrhoid then becomes smaller and falls off the swollen area on its own. The ligation of hemorrhoids is done in the hospital. After treatment, the anus may remain sensitive for a few days. Hemorrhoids often return quickly, even after treatment.


Patients can do a lot themselves to reduce the chance of getting hemorrhoids. Soft poop puts less pressure on the anus, making pushing easier. You can soften stool by drinking 1.5 to 2 liters per day. It is also recommended to exercise for at least a day and eat a fiber-rich diet. Fiber is found in brown bread, bran, vegetables and fruits. Do not hold stools, but go straight to the toilet to defecate. Take the time to poop in the toilet. It is not recommended to use toilet paper if you have a burning anus. It is better to use a wet cloth and dab the poop hole with it. Soap can also have a burning effect on an irritated anus. A warm bath can help combat itching and pain. Some patients experience less pain when they push in sagging bulges. Do this carefully!