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    Hemorrhoids

    1 minute(s) read
    Information by
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    Adjunct Prof. Dr. Art Hiranyakas

    Bangkok Hospital Siriroj

    Updated on: 17 Nov 2025
    Adjunct Prof. Dr. Art Hiranyakas
    Adjunct Prof. Dr. Art Hiranyakas
    Bangkok Hospital Siriroj
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    MRI Knee & Shoulder
    Hemorrhoids
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    Updated on: 17 Nov 2025

    What are hemorrhoids?

    Hemorrhoids are swollen veins in the lowest part of your rectum and anus, similar to varicose veins. Swollen hemorrhoids are also called piles.

    What causes hemorrhoids?

    They can occur for the following reasons:

    • Pregnancy.
    • Aging.
    • Chronic Diarrhea.
    • Chronic Constipation – from straining to move stool.
    • Sitting for long periods (especially on the toilet).
    • Anal Intercourse.
    • Obesity.
    • Low-fiber diet.
    • Heavy lifting.
    • People who stand or sit for long stretches of time.
    • Genetics – some people inherit a tendency to develop hemorrhoids.

     

    What are the symptoms of hemorrhoids?

    Signs and symptoms may include:

    • Feel discomfort, pain or itching around your anus.
    • Lumps protruding from the anal region.
    • Painless bleeding during bowel movement.
    • Swelling around your anus.
    • Get moist, pink bumps around the edge of or bulging out from your anus.

    Treatment

    Home Remedies

    In the majority of cases, simple measures will alleviate symptoms while the problem gets better on its own.

    • Eat high-fiber foods / Take high fiber diets.
    • Use topical treatments.
    • Soak regularly in warm bath.
    • Apply cold compress in your swelling anus.
    • Take oral pain relievers to help ease discomfort.
    • Exercise regularly.
    • Drink lots of fluid to keep stools soft and easier to pass.
    • Use a pillow in sitting hard surface.
    • Avoid using dry or rough toilet paper when you wipe after a bowel movement.

    Medical Procedures

    • Rubber band ligation.
    • Injection (Sclerotherapy).
    • Coagulation or cauterization.

    Surgical Procedures

    • Hemorrhoidectomy.
    • Stapled Hemorrhoidectomy.
    • TransanalHemorrhoidalDearterialization(THD).
    • Laser Hemorrhoidoplasty.
    • Radiofrequency Coagulation.

    Information by

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    Adjunct Prof. Dr. Art Hiranyakas

    Surgery

    Colon and Rectal Surgery

    Adjunct Prof. Dr. Art Hiranyakas

    Surgery

    Colon and Rectal Surgery
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