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Hemorrhoids are enlarged and inflamed veins in the lower rectum and anus, which sometimes occur outside the anus and can be seen (external type); at other times they occur inside the rectum and cannot be seen (internal type).

There are many contributing factors related to hemorrhoids: straining to have a bowel movement; passing hard, dry stools (constipation); sitting for long periods of time; having frequent diarrhea stools, and pregnancy (the pressure it puts on the bowel). Others include diet, overuse of laxatives, inflammation or infection of the rectal area, heredity and other conditions of the rectum. Hemorrhoids are a very common problem. It is not known exactly how many people have them, because often they do not cause symptoms. We do know that people between the ages of 20 and 50 experience the largest number of symptoms from hemorrhoids.

Pain, itching, and bleeding are common symptoms. Hemorrhoids inside the rectal opening are usually painless, but often bleed and cause a feeling of fullness. This may result in an urge to have a bowel movement even when there is no stool present. Straining to have a bowel movement can aggravate the problem. Bleeding from internal hemorrhoids usually occurs at the end of the bowel movement. You may notice that the stool is streaked with blood, blood may drip into the toilet bowl, or it will appear on the toilet paper when you wipe. Rectal bleeding can be a signal of a more severe problem and should be evaluated. Other symptoms include increased moisture or itching around the rectum, or finding a small bulge that is very tender to the touch outside the rectum.


Hemorrhoids tend to stay with you, but they may not cause you difficulty. An internal hemorrhoid can remain without symptoms for a long time. Bleeding and extension of internal hemorrhoids through the anus are the most common symptoms. This is known as prolapse. When the hemorrhoids develop a blood clot, known as thrombosis, the condition is more serious and needs evaluation. Thrombosis will usually be signaled by a significant increase in discomfort.

Treatment for this problem consists of two important parts: (1) what you can do, and (2) what your health care provider can do.

What Can You Do?

What Can Your Health Care Provider Do?

Yes, maybe. Because constipation is the most frequent cause of rectal problems, it is necessary to avoid constipation by eating a diet filled with high-fiber foods every day. Fiber adds bulk and moisture to the stool, and it speeds movement through the bowel. Foods that are rich in fiber are whole grain breads and cereals, fresh or cooked fruits and vegetables, beans and nuts. You also need to drink adequate amounts of water each day. People who suffer from hemorrhoids should decrease or eliminate alcohol and caffeine, because they can cause small, dry stools. By using good toilet habits you can help prevent hemorrhoids. Avoid straining, putting off the urge to go, and using laxatives or enemas. Do not strain or sit on the toilet for long periods of time. Many people think that they must have a bowel movement every day. Daily bowel movements are not necessary. A healthy bowel movement should happen naturally, within several minutes, and with little or no effort on your part. Also, avoid heavy lifting, which puts pressure on the anal opening.

Follow-up with your health care provider as recommended.

Notify your health care provider if you have any of the following symptoms:

For more information about hemorrhoids or a high-fiber diet, visit the McKinley Health Center Web site listed below. For more nutrition information or to schedule an appointment with a dietitian, call the Health Education Unit at 333-2714.

Bleday, R. (2006) Patient information: Hemorrhoids. UpToDate Primary Health Care Handbook, 1984.

If you are a registered University of Illinois student and you have questions or concerns,
or need to make an appointment, please call: Dial-A-Nurse at 333-2700


If you are concerned about any difference in your treatment plan and the information in this handout,

you are advised to contact your health care provider.


Visit the McKinley Health Center Web site at:

HEd. II-055

© The Board of Trustees of the University of Illinois, 2011.



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