Hemorrhoids

Hemorrhoids are swollen veins in the rectal area that sometimes bleed. Although the cause of hemorrhoids is not always known, it usually comes with constipation and straining to have a bowel movement. They are very common in pregnancy and may be the result of increased pressure.

Uncomplicated hemorrhoids are painless but sometimes cause bright red rectal bleeding with a bowel movement. Bleeding is usually a small amount of blood on toilet tissue or on the surface of the stool.

Hot sitz baths for at least 15 minutes three times per day and after each bowel movement are the best way to relieve pain and swelling. After the sitz bath, dry gently but thoroughly. Use of topical antibiotics, anesthetics or steroidal creams is of limited value.

Do not sit for a prolonged period on the toilet stool. Increase fluids and fiber in your diet to keep your bowel movements regular and soft. Use stool softeners like Colace (docusate) to avoid straining on the toilet. Avoid alcohol and caffeine for 3 – 5 days.