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Women's Health
A Woman's Body

Hemorrhoids

Hemorrhoids are swollen blood vessels in the anal canal and lower rectum. They are a common cause of itching and rectal bleeding, especially during bowel movements. People with hemorrhoids may notice bright red blood on the toilet tissue or on the stool itself.

Causes

Hemorrhoids may be caused by straining to move a stool. They can also develop for other reasons, including pregnancy, aging, chronic constipation or diarrhea, and anal intercourse.

Self-Care

  • Use an over-the-counter rectal ointment such as Anusol HC or Preparation H.

  • Soak in a tub of warm water for 10 to 15 minutes three times a day to help relieve paina and to clean and heal the area.

  • Apply moistened wipes, such as Tucks pads, to the rectal area twice a day and after bowel movements.

  • Take acetaminophen for pain relief. Do not take aspirin because it can make the bleeding worse.

Prevention

To avoid constipation that can irritate hemorrhoids:

  • Take a fiber supplement, such as Metamucil or Citrucel.

  •  Drink plenty of fluids, especially water and fruit juices.

  • Eat plenty of fresh fruits, vegetables, and foods high in fiber.

Decision Guide for Hemorrhoids

Symptoms/Signs

Action

Known hemorrhoids, with blood on toilet tissue or blood-tinged water in toilet bowl and rectal pain or itching or both

Use Self-care;  Illustration of bandage Use self-care

Known hemorrhoids, with symptoms lasting more than 3 to 5 days or recurring symptoms, on and off, for longer than 1 week

See Provider;  Illustration of stethescope See provider

New onset of blood on toilet tissue or blood-tinged water in toilet bowl with no history of hemorrhoids

See Provider;  Illustration of stethescope See provider

Rectal pain and fever or possible exposure to sexually transmitted disease

See Provider;  Illustration of stethescope See provider

Bright red rectal bleeding associated with abdominal pain or fever

Seek Help Now;  Illustration of hospital sign Seek help now

Publication Source: Well Advised, Second Edition, Text copyright © 2003 Park Nicollet Institute
Online Editor: Fuhrer, Phil
Online Medical Reviewer: Cineas, Sybil MD
Online Medical Reviewer: Godsey, Cynthia M.S., M.S.N., APRN
Online Medical Reviewer: Lambert, J.G. M.D.
Date Last Reviewed: 2/13/2006
Date Last Modified: 10/14/2003