What are Hemorrhoids?
Hemorrhoids can be a source of discomfort and concern for many. At N.A. Hemorrhoids Centre-Calgary, we prioritize your well-being and offer expert insights as well as personalized treatments for rapid and effective relief. Hemorrhoids are also known as piles and present as swollen veins in the lower rectum or anus. They are similar to varicose veins that you might develop on your legs. Many people ignore the discomfort until it becomes unbearable pain.
Types of Hemorrhoids
Generally, hemorrhoids are classified into two main types – Internal and External.
Some also add other categories, such as mixed or combined hemorrhoids, which form above and beneath the dentate line. In the Guoyi Proctology Therapy system, an even segment division is used based on size and location.
Internal Hemorrhoids
Internal hemorrhoids are found within your rectum and above the dentate. They commonly go unnoticed as the rectum has no nerves that can detect pain. Over time, the hemorrhoids will start to push outside the anus and may prolapse. Internal hemorrhoids may not cause pain unless they become prolapsed. They can range in severity from Grade I to Grade IV. Symptoms include rectal bleeding, anal pain, itching, and irritation.
Grade of the Hemorrhoids
Grade 1
Grade 1
- Some bleeding with bowel movements
- Some itchiness & discharge
- No prolapse
Grade 2
Grade 2
- Some bleeding with bowel movements
- Some itchiness & discharge
- Extends outside of the anus but resolves spontaneously
Grade 3
Grade 3
- Enlarging hemorrhoid
- Prolapses upon defecation and will not retract spontaneously
Grade 4
Prolapsed internal hemorrhoids
This is usually an advanced stage of internal hemorrhoid where the hemorrhoids prolapse below the anal cavity. This happens as the hemorrhoidal tissues become weak. Symptoms include rectal bleeding, anal pain, itching, and irritation.
Thrombosed Hemorrhoids
External Hemorrhoids
Inflamed and swollen veins below the dentate line or skin growth at the anus region. The most common symptoms include difficulty cleaning the anus region after bowel movements as well as pain from the inflammation or blood clots in veins. Symptoms include pain in the anus, enlarged hemorrhoidal nodes, rectal bleeding, and thrombosis.
Circumferential External Hemorrhoids
Hemorrhoids are more commonly described in terms of their size, severity, and number. Circumferential External Hemorrhoids surround the entire circumference of the anal opening, which commonly require surgical removal.
Mixed Hemorrhoids
Circumferential Mixed Hemorrhoids
This type of hemorrhoid is a Grade 4 internal hemorrhoid. They are described as circumferential hemorrhoidal prolapse combined with an external component. It is the most challenging type of hemorrhoid for both patients and their healthcare professionals.
Cause of Hemorrhoids and Risk Factors
Hemorrhoids can be caused by increased pressure in the lower rectum.
Common factors include:
- Straining during bowel movements
- Obesity
- Pregnancy
- A sedentary lifestyle
When to Seek Medical Attention?
Hemorrhoids are generally not considered a serious medical condition. However, persistent symptoms should be evaluated by a healthcare professional to rule out other potential issues.
Symptoms & Signs
The most common signs and symptoms of hemorrhoids regardless of their grade include:
- Itching or irritation
- Pain or discomfort
- Bleeding during bowel movements (e.g., bright red blood)
- Lump or swelling around the anus
Guoyi Proctology therapy –— a unique naturopathic modality that combines both minor-surgical and non-surgical procedures, aiming to resolve anal diseases at their root.
Minor Surgical Intervention
Minor surgical techniques use local anesthesia to perform the incision and excision in a minimized pain manner. This non-invasive procedure is reserved for addressing specific symptoms. The procedure spans 10 to 40 minutes and is carried out in an outpatient setting.
It is suitable in the following situations:
- Mixed Hemorrhoids.
- Painful external hemorrhoids
- Thrombosed hemorrhoids.
Some basics about minor surgical treatment include:
- No fasting is required
- Local anesthesia (No risks of general anesthesia)
- Strategic Pain Relief Plan
- Possibility of same-day procedure
- Essential Component of Post-treatment Care
Post-treatment phase of hemorrhoids Treatment
Since we understand the importance of post-treatment care, we take a unique approach to this phase. During hemorrhoid and chronic anal fissure post-treatment, we emphasize Stage One, which is a mandatory phase of daily care. This step is essential. Stage One of post-treatment care involves the application of Anorectal Ointment, which supports the drying process of hemorrhoidal tissue. As a result, most patients can resume normal bowel movements from the second day after minor surgery. The minimally invasive nature of the procedure, combined with the application of an Anorectal Ointment, facilitates patient recovery. Patients can drive to the clinic for follow-up care without significant limitations. The main features of post-treatment are.
- Professional Application – Each treatment session involves the ointment application by a skilled healthcare provider.
We can help with your hemorrhoids
Our clinic offers treatment options and supportive care for hemorrhoids, anal fissures, and other anorectal conditions.
Please complete the form below, and a member of our team will contact you shortly to help arrange an appointment at a convenient time.