Types and Symptoms of Hemorrhoids

Dr. Soloman Shah MD

Introduction• Soloman Shah, MD, has cared for patients at Virginia's

Gastrointestinal Medical Associates since 1999. Dr. Soloman Shah treats hemorrhoids and other conditions of the digestive system.

Hemorrhoids, also known as piles, develop when increased pressure in the lower abdomen cause local blood vessels to swell and distend. This often occurs when a patient has been straining during bowel movements, though it can also result from extended periods of sitting or from the increased weight of pregnancy. Other potential causes include obesity, anal intercourse, or disease of the lower bowel.

Hemorrhoids• Hemorrhoids fall into one of two categories. The internal

variety occur in the interior lining of the lower rectum and are asymptomatic as long as they remain inside the anus. In some cases, however, the hemorrhoid will prolapse out of the anal opening and cause the patient discomfort.

External hemorrhoids, which develop beneath the skin surrounding the anus, are by nature more uncomfortable than their internal counterparts. The skin around the protruding mass, may become irritated and can begin to bleed. In some cases, an external hemorrhoid can develop a blood clot, which can cause severe pain and swelling until the clot dissolves.