Understanding Hemorrhoid Pain: Causes, Symptoms & Relief

Haemorrhoids, also referred to as piles, are a common condition that can be somewhat problematic as they affect the veins in the anus and lower rectum. Similar to varicose veins, swollen, irritated veins can cause discomfort, including itching, pain, swelling, and rectal bleeding. Haemorrhoids are common in all demographics, but they are more common in older people, pregnant women, and sedentary people. Research suggests that more than 75% of adults will experience haemorrhoids at some point in their lives, and often it will happen more than once.

Haemorrhoids can be uncomfortable; however, you can manage the situation by making lifestyle changes, discussing treatment options, or using a supportive approach. Omansh provides general physiotherapy services with specialised programs, including pelvic dysfunction, pregnancy, and postpartum care. These programmes are a great service for women who are experiencing haemorrhoids during or after pregnancy, and pelvic floor strength and bowel regulation are crucial. 

On top of that, there are innovative practices like aerial yoga that can provide surprising benefits to manage some symptoms associated with haemorrhoids (including improved core strength, pelvic floor facilitated release, and improved circulation). We will delve into everything from what aerial yoga is, aerial yoga techniques, and benefits of aerial yoga vs. traditional yoga, while learning about everything about haemorrhoids.

What Are Haemorrhoids?

Haemorrhoids are engorged veins that are in the lower rectum and the anus. Depending on their location and symptoms, there are multiple types of haemorrhoids. 

Below are the types: 

Internal Hemorrhoids

● Inside the rectum, and are usually painless but may bleed. 

● Can prolapse (bulge outside the anus) in late or advanced stages. 

● Gradings are from 1 to 4, with 4 being the worst prolapse.

External Hemorrhoids

● Under the skin and around the anus. 

● The condition is often painful, itchy, and swollen, and it may bleed or possibly clot (thrombosis).

Thrombosed hemorrhoids

● External haemorrhoids (or external varicosities) that have a clot in them. 

● The pain is intense, and there will be a firm lump near the anus.

Prolapsed Hemorrhoids

● Bulging outside the anus can occur both internally and externally. 

● Usually require reduction, as is common with other conditions, and require medical management.

Causes of Hemorrhoids

The increase in pressure in the lower rectum is the typical cause of haemorrhoids. Some of the common contributing factors are:

● Straining during bowel movements

● Chronic constipation or diarrhea

● Sitting (especially on the toilet) for prolonged periods

● Obesity

● Pregnancy – pressure of the uterus and changes to hormones

● Low-fiber diet – results in hard stools and straining

● Aging weakens tissues that support rectal veins

● Heavy lifting

● Family history of hemorrhoids

● Anal intercourse

● Certain diseases, such as cirrhosis of the liver

Symptoms of Hemorrhoids

Being aware of the symptoms early allows for the management of the condition before it worsens. Important signs include:

● Bright red rectal bleeding

● Itching or irritation around the anal area

● Pain/discomfort even if sitting

● Swelling around the anus

● A lump near the anus which may be painful

● Leaking feces or mucus

● Prolapse, but mainly for internal haemorrhoids.

Hemorrhoids Diagnosis

Healthcare professionals have several different ways to diagnose haemorrhoids.

Initial evaluation

● Review of the patient’s history and discussion of symptoms

● Physical examination for external hemorrhoids

● Digital rectal examination (DRE) to examine potential internal problems

Diagnostic studies

● Anoscopy- for direct visualization of the anal canal

● Sigmoidoscopy or proctoscopy – for viewing and assessment of deeper areas of the colon

● Colonoscopy – if other gastrointestinal problems are suspected.

When to see a doctor

See a doctor for a diagnosis of persistent bleeding, changing bowel habits, or severe pain to rule out significant issues such as colorectal cancer

Treatment Options for Hemorrhoids

The severity of symptoms dictates treatment. There are various treatments for conditions, ranging from home remedies to medical intervention. 

Home Remedies

● Eat more fibre from fruits, vegetables, and whole grains.

● Have warm sitz baths for 15-20 minutes daily.

● Stay hydrated — drink plenty of water.

● Ice the area with a cold compress for swelling.

● Avoid straining during defecation.

Over-the-Counter Remedies

● Use over-the-counter haemorrhoid cream or suppositories to relieve symptoms. 

● Try over-the-counter pain relievers like acetaminophen or ibuprofen.

Medical Procedures

● Rubber Band Ligation: The blood supply to the haemorrhage is cut off.

● Sclerotherapy involves injecting a chemical solution to shrink the haemorrhoid.

● Infrared Coagulation — uses heat to shrink tissue.

● Haemorrhoidectomy – the surgical removal of haemorrhoids.

● Stapled haemorrhoidopexy – a surgical procedure that staples a prolapsed haemorrhoid back into place.

Physiotherapy Support for Hemorrhoids

Physiotherapy is critical for long-term relief and recovery:

● Pelvic floor exercises are essential to bowel regulation and decreased straining.

● Post-pregnancy rehab focuses on muscle strengthening and restoration following delivery.

● Therapeutic Lifestyle Change to support healthy bowel behaviors

● Bowel health management to provide long-term prevention and support

At Omansh, our team is specially trained in pre- and post-gynaecological rehabilitation, pregnancy, and postpartum care to provide individualised care for each woman.

Hemorrhoids Prevention Tips

Preventing haemorrhoids involves daily lifestyle adjustments:

● Eat fiber-rich foods to ease bowel movements

● Stay hydrated to soften stools

● Exercise regularly to improve circulation

● Avoid prolonged sitting, especially on toilets

● Respond promptly to bowel urges

● Maintain a healthy weight

These measures help prevent haemorrhoids and enhance overall digestive health, often complemented by aerial yoga, which supports core strength and pelvic health.

Hemorrhoids During Pregnancy

Haemorrhoids are especially common during pregnancy due to:

Causes 

● Increased pressure from the uterus. 

● Hormonal changes that allow blood vessels to relax. 

● Constipation due to slowed motility. 

● Straining during delivery. 

Symptoms 

● Pain, itching, and swelling. 

● Bleeding after having a bowel movement. 

● Noticeable lump near the anus. 

Safe Relief Tips

● A diet high in fibre foods. 

● Drink plenty of fluids. 

● Cold compresses or sitz baths. 

● Kegel exercises to promote pelvic circulation. 

● Witch hazel pads or unscented wipes. 

● Consult a doctor before any medication is used. 

Omansh offers individualised programs in pregnancy and postpartum care to assist women in managing their symptoms safely and effectively.

When to See a Doctor for Hemorrhoids

Make an appointment with a doctor if you have:

The symptoms are still present after one week of self-care.

The patient is bleeding recurrently during bowel movements.

Swelling or pain that feels severe.

Prolapsed or thrombosed haemorrhoids.

Fever, chills, or changes in patterns of bowel behaviour.

Early intervention can help a diagnosis and give you the care you need before complications.

Conclusion

Haemorrhoids are a common but treatable condition that can dramatically impact one's quality of life if not treated. You can relieve pain and restore your health by understanding the types of symptoms, causes, and treatments available for haemorrhoids, along with modifying habits and practices to promote healthy changes, such as practising aerial yoga! 

At Omansh, we are here to support you throughout the healing process with general physiotherapy services, pelvic care, and specialised individual rehabilitation. Whether you’re contrary to managing symptoms during pregnancy or prefer a non-invasive approach, we are here to support you! 

FAQs About Hemorrhoids

1. Are haemorrhoids dangerous?

 Generally, they are not dangerous but can become severely painful and uncomfortable if left untreated.

2. Do haemorrhoids go away on their own?

 Mild haemorrhoids often resolve with dietary changes and self-care. Severe cases may require medical intervention.

3. Is it possible to prevent haemorrhoids?

 Yes, through lifestyle changes like a high-fibre diet, hydration, regular exercise, and avoiding strains.

4. How long do haemorrhoids last?

 With proper care, symptoms can improve within a few days. Chronic or severe cases may take longer or require procedures.