10 Tips on Hemorrhoids

1. Hemorrhoids are masses of swollen veins in the lower rectum (internal hemorrhoids) or at the anus (external hemorrhoids).
2. Symptoms of internal hemorrhoids include:
   • Bright red rectal bleeding
   • Staining of undergarments with mucus
3. Symptoms of external hemorrhoids include:
   • Pain and itching when irritated by constipation or diarrhea
   • Difficulty with hygiene
4. Hemorrhoids are caused by:
   • Straining
   • Work strain (lifting, etc.)
   • Straining while defecating
   • Chronic constipation
   • Passing hard, dry, small stools
   • Laxative abuse
5. Do not assume rectal bleeding is from hemorrhoids. See your doctor to rule out cancer or other disease.
6. To prevent or manage hemorrhoids, increase your fiber and fluid intake. Consider adding a fiber supplement.
7. Avoid straining at stool or sitting on the toilet for a long time.
8. Clean the external rectal area gently with soap and water following stool evacuation.
9. Try a topical cream or sitz baths to reduce inflammation.
10. See your doctor if you don't improve.