Non-Thrombosed External Hemorrhoids


Hemorrhoids are present in all people as part of their perianal anatomy and sometimes swell due to irritation or other factors. As long as thrombosis does not occur, the person might not even notice that the swellings are occurring. Also, a lot of people think that hemorrhoids happen only on the outside part of the anus; however, these swellings can occur inside the canal.

Types of Non thrombosed Hemorrhoids

All hemmorhoids can be classified as internal or external or mixed internal-external and only differ based on whether a pool of blood (clot) is present or not.

The swellings are caused by blood vessels that were strained or put under pressure. The pressure/strain became too much for the blood vessels and surrounding muscles so that they swell to form a sac-like tangible protrusion. Often, the hemorrhoids might swell when the strain factor is present or while defecating but then goes back to normal. This is called a second-degree (internal) hemorrhoid. The first degree consists of swelled sacs, which are rarely known to the person with this condition. The third degree swells and tries to prolapsed (go outside the anus) every time the person defecates or strains with an activity, but the swelling goes back after manual replacement. The fourth degree is definitely the worst as after the prolapse, the swelling continues, and the sac does not get back to its original position.

External hemorrhoids occur around the anus. Piles of this criterion are at a higher risk of thrombosis.

People at Risk

There are certain parts of the population who are more at risk of developing this illness. These are the people who are subjected to prolonged sitting because of their jobs or certain medical conditions. Because pressure causes the rectal muscles to be irritated along with the nerves, people who have to sit for a long time can take short breaks or move their weights to shift the pressure. Those who are often constipated or dehydrated are prone to develop hemorrhoids more than those who aren't. People who do heavy lifting are advised not to hold their breaths while carrying a heavy object to minimize the possibility of developing piles.

Medical conditions such as liver cirrhosis might possibly be another cause. Also, people who engage in anal sex have a higher risk of developing hemorrhoids as the muscles and blood vessels in their perianal area are subjected to prolonged stress.

Pregnancy may also cause hemorrhoids as the subtle changes in the body's hormones and muscle position cause some veins and muscles to be affected.

How to Treat Hemorrhoids

There are a lot of ways to treat non thrombosed hemorrhoids, and the simplest and cheapest come in the form of a sitz bath, which is done by soaking the rectal part into lukewarm water for a few minutes for several times during the day. Also, cream can be applied on the affected area (external only); however, the cream might not reduce the swelling at all. Water and fiber-enriched diet can also help swell down the piles.

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