Very common condition often called the varicose veins of the anus and rectum, divided into internal and external hemorriods. External hemorriods can be very painful, often causing itching, discomfort and bleeding. Often external hemorriods can thrombose which then need to be lanced and drained. Internal hemorrhoids causes painless bleeding during bowel movements. Most common causes are history of constipation, aging, pregnancy. Common symptoms are bleeding from rectum area, itching, painful defecation, sensitive lumps in anus. Diagnosis is made via examination and history taking. Treatment consists of steriod suppositories, creams, sitz path, increasing fiber intake in diet and reducing straining during defecation by treating constipation. Surgical treatment is also available that includes Rubber Band Ligation, Hemorrhoidectomy, Injection and Coagulation.

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