Dr. Haneen AlBoosta — Consultant General, Endocrine & Laparoscopic Surgeon
Dr. Haneen AlBoosta — Consultant General, Endocrine & Laparoscopic Surgeon in Bahrain
Hemorrhoids are enlarged vascular cushions in the anal canal that commonly cause painless bright red bleeding, itching, discomfort or a lump. Assessment involves a discreet examination, grading of internal hemorrhoids from I to IV, and identifying contributing factors such as constipation, straining or pregnancy. Rectal bleeding is never assumed to be hemorrhoids without an examination, since other conditions can produce identical symptoms.
Hemorrhoids are common in pregnancy and after delivery. Treatment focuses on fibre, fluids, safe stool softeners and topical measures approved in pregnancy. Many cases improve significantly in the months after delivery, and procedures are usually deferred unless symptoms are severe.
Anal fissures, inflammatory bowel disease, polyps and colorectal cancer can all cause bleeding that resembles hemorrhoids. Assessment is more thorough if you are over forty-five, if the bleeding is dark or mixed into the stool, if bowel habit has changed, or if there is unexplained weight loss, anaemia or a family history of colorectal cancer. Being examined is what allows the correct diagnosis to be made.
No. Anal fissures, polyps, inflammatory bowel disease and colorectal cancer can cause similar bleeding, which is why bleeding should be examined rather than assumed to be piles.
It is brief and performed discreetly with local anaesthetic gel where needed. Most patients find it far less uncomfortable than expected.
Increased pelvic pressure, hormonal changes and constipation all contribute. Symptoms often improve after delivery with fibre, fluids and pregnancy-safe treatments.
Some office-based treatments such as rubber band ligation can be performed in the clinic for suitable grades, after the examination and discussion.
For heavy or continuous bleeding, dizziness or fainting, or a severely painful, hard anal lump with fever.
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Reviewed by Dr. Haneen AlBoosta, Consultant General & Endocrine Surgeon. This page is updated periodically to remain consistent with current medical references and international guidelines. It is intended for general education and does not replace an individual medical consultation, examination or treatment plan.