strangulated hemorrhoid
hemorrhoid
[hem´ŏ-roid]Internal hemorrhoids usually are first noticed when minor bleeding occurs with defecation. Pain occurs rarely, unless there is an associated disorder such as an anal fissure, thrombosis, or strangulation of the affected vein. External hemorrhoids produce varying degrees of pain, feelings of pressure, itching, irritation, and a palpable mass. Bleeding occurs only if the external hemorrhoid is injured or ulcerated and begins to break down.
Hemorrhoids are caused by increased pressure on the veins of the anus. Prolonged sitting, constipation, and hard, dry stools that are difficult to pass can lead to straining and sitting at stool for long periods of time, all of which add pressure on the anal veins. Failure to follow through on the urge to defecate can also lead to hemorrhoids. In women, probably the single most common cause is pregnancy.
External hemorrhoids can be treated by local applications of cold and an astringent cream, by sitz baths, and by avoidance of constipation. Internal hemorrhoids may require sclerosing or cryosurgery to obliterate the affected tissue. More advanced, chronic hemorrhoids usually must be removed surgically by ligation and excision (hemorrhoidectomy) or by barron ligation.