Hemorrhoids can be occasional or chronic, with chronic cases causing symptoms over a long period of time or recurring. Chronic internal hemorrhoids may cause bleeding, pain, and itching, while chronic external hemorrhoids may cause itching, burning, pain, bleeding, and mucus drainage. Factors that contribute to chronic hemorrhoids include constipation, diarrhea, straining during bowel movements, and a lack of fiber in the diet. Home remedies may not work for chronic cases, and medical treatments may be necessary.
Some people have hemorrhoids, which are swollen and inflamed veins in the anus or rectum, that cause symptoms for only a short time and then don’t return. Others, however, have hemorrhoids that cause symptoms over a long period of time or come back. Chronic hemorrhoids can affect a person internally, developing inside the rectum and sometimes protruding from it. Chronic external hemorrhoids, on the other hand, develop around the edge of a person’s anus.
In most cases, hemorrhoids are an occasional problem. In such cases, a person may have an episode of hemorrhoids and then not have them again for years. In fact, some people who deal with hemorrhoids once may never have them again. With chronic hemorrhoids, however, symptoms can last more than two weeks or flare up repeatedly.
When a person has chronic external hemorrhoids, they have inflamed and swollen veins that appear under the skin around the edge of the anus. In many cases, external hemorrhoids are itchy, and some people notice a burning sensation during flare-ups. In fact, some people complain of pain rather than just discomfort when they have hemorrhoids. Chronic external hemorrhoids can also cause bleeding, and some people notice mucus draining from the area.
Chronic internal hemorrhoids are inflamed and bulging veins in the lower part of a person’s rectum. While they may protrude from a person’s anus, they don’t always appear on the outside. Therefore, some people are unaware that they have them. When symptoms do occur, they often include bleeding, pain, and itching. Any bleeding that occurs may be evident in a person’s stool or appear on toilet paper when wiping after a bowel movement. When veins don’t protrude from the anus, however, they usually don’t cause pain.
There are many factors that can contribute to the development of chronic hemorrhoids. They include long-term constipation and diarrhea, straining to move the bowels, and too little fiber in the diet. Sitting on the toilet for long periods of time and being pregnant can also contribute to the problem. Sometimes women develop hemorrhoids from pushing during childbirth, but these cases are often only temporary.
Usually, people use home and over-the-counter remedies, such as hemorrhoid creams and sitz baths, to treat cases of hemorrhoids. Unfortunately, however, such treatments may not work as well for chronic cases. Medical treatments for chronic hemorrhoids often include those aimed at cutting off the blood supply to the vein. Using agents that cause the affected veins to collapse and applying heat to shrink the affected tissue also often works.
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